Attachment2PastPerformanceQuestionnaireDLA.docx

PRESENT/PAST PERFORMANCE QUESTIONNAIRE – RFP SPRWA1-19-R-0007

Name/Signature and Role Relative to Contract (e.g. Buyer, Program Manager):_____________________________________________________________________________________________ Agency or Business: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Address: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Telephone No. _______________________________ FAX No. ____________________________________

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL NOT BE RELEASED TO THE OFFEROR.

PART I. SPECIFIC PROGRAM INFORMATION.

Contractor/Business: _____________________________________________ CAGE Code: __________

Program Title and Brief Description: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Role in the Program/Work Performed As: _____Prime _____Subcontractor _____Vendor/Supplier

Contract Number: ________________________________ Number of Years?: Basic:________ Option: _________

Contract Type(s): List all applicable contract types, i.e. Firm-Fixed-Price, Time & Materials, Cost, etc._________________________________________________________________________________________________________

PART II. GENERAL PROGRAM INFORMATION.

Period of Performance:

1. Original Schedule (assuming all options exercised): Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised): Beginning Date _________ through ____________

3. Reason for difference (if applicable) ___________________________________________________________________________

Contract Dollar Value:

1. Original MAX Contract $ Value (assuming all options are exercised: _________________________________________

NOTE: In Part III, should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 3.

PART III.PERFORMANCE ASSESSMENTS.

Please check the appropriate rating for each of the following questions (see definitions on page 4):

U= Unknown Confidence NC= No Confidence LC=Limited Confidence SC= Satisfactory Confidence SU C= Substantial Confidence

1. Extent to which Company’s products and/or services met the specification /performance requirements:

2. Configuration Management (first product delivered same as last):

3. Quality of Completed Product:

4. Overall management of subcontracting efforts:

5. Quality of Technical Manuals or Commercial Manuals:

6. Customer’s Satisfaction with warranty response times and corrective actions:

7. Adequate Number of Dedicated Resources For Your Program:

8. Timely recognition and notification of administrative, engineering, production, problems affecting the program:

9. Company performed independently without significant customer direction/oversight?

10. Monitoring of Program Schedules and Critical Milestones:

11. Completed Work on Time:

12. Company demonstrated positive responsiveness to unscheduled requirements or contract changes:

13. Has action been initiated to cancel or terminate the contract for default? If yes, explain. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

14. Have there been any disputes/claims relative to the contract? If yes, explain.

15. Describe the contractor’s or company’s strong and/or weak points identified as a result of technical performance and any technical performance risk identified during the life of the contract.

16. If given a choice, would you award to this contractor again? If not, please explain. _______________________________________________________________________________________________________________________________________________________________________________________________________________________

17. Do you feel you “got what you paid for” ? Please explain. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

18. Additional Remarks.

ASSESSMENT RATING SYSTEM

Performance Confidence Assessments

(WHEN COMPLETED) SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104 FOR OFFICIAL USE ONLY Page 2