J-5_Past_Performance_Questionnaire.docx

ATTACHMENT J-5

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Instructions to Offerors (Section A):

Section A shall be completed by the Offeror (the firm requesting the reference) prior to issuing the questionnaire. The Offeror shall send the questionnaires for all recent and relevant projects listed in response to the RFP Section L, Factor III Past Performance, to individuals identified as being able to provide a reference. For Government contracts, send the questionnaire to the Government Contracting Officer, Contracting Officer’s Representative, Technical Representative, or Contracting Officer. For commercial contracts, send the questionnaire to those personnel with similar duties as those for Government contracts. It is the responsibility of the Offeror to encourage references to submit a questionnaire.

All projects submitted must be determined as recent, meaning that they are in progress or have been completed in the past five (5) years based on the proposal submission date for this RFP. If the offeror intends to use this reference for more than one submission (ex: If proposing on Oceans IDIQ on prime and subcontractor teams), it must be clearly delineated in Section A of the questionnaire. It is the responsibility of the offeror to indicate what submission(s) the reference is supporting. After completing Section A of the questionnaire, the document shall be electronically sent directly to the individual providing the reference.

Instructions to Individual Providing Reference (Section B):

In order to assess potential vendors under this Department of Commerce (DOC), National Oceanic and Atmospheric Administration (NOAA), Acquisition and Grants Office (AGO), Professional and Technical (ProTech) Services procurement, the government is requesting past performance information with respect to each Offeror. As a reference for work performed by the firm identified in Section A of this questionnaire, your candid response will assist in the evaluation process. Please complete Section B of the questionnaire as thoroughly as possible, and submit to protech.oceans@noaa.gov no later than May 31, 2017. The subject line in the submission e-mail shall clearly indicate: ProTech Past Performance Questionnaire Submission for <Company Name> and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a major NOAA acquisition and your input is greatly appreciated. If you have questions regarding this questionnaire, please submit inquiries to protech.oceans@noaa.gov.

Sincerely, Courtney Holbrook Contracting Officer

SECTION A

(TO BE COMPLETED BY OFFEROR REQUESTING REFERENCE)

PART I: PROTECH OFFEROR INFORMATION

OFFEROR NAME

OFFEROR ADDRESS

OFFEROR DUNS AND CAGE CODE

OFFEROR POC

EMAIL

PHONE

PROPOSING AS

If Proposing as a Sub, list the Prime Contractor(s) this Reference is supporting:

PART II: PAST PERFORMANCE REFERENCE INFORMATION

TITLE OF PROJECT/CONTRACT NUMBER:

PROCUREMENT VEHICLE (e.g. Contract/Order/Subcontract/etc.):

TYPE OF CONTRACT (e.g. Negotiated, Sealed Bid, Sole Source):

PRICING TYPE:

____ FP ____ FPI ____ CPAF ____ CPIF ____ IDIQ ____ BOA

____ Requirements ____ Labor-Hour ____ T&M ____ Other (Specify) __________

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

INITIAL CONTRACT DOLLAR VALUE (W/OPTIONS) _______________

FINAL CONTRACT DOLLAR VALUE (W/OPTIONS) _______________

ROLE ON PROJECT: ____ PRIME ____ SUBCONTRACTOR (Explain type and extent of subcontracting, if applicable, including percentage of total project work completed by your company)

GENERAL DESCRIPTION OF TYPE OF SERVICES/PRODUCTS REQUIRED UNDER THE CONTRACT:

DESCRIBE THE COMPLEXITY OF THE WORK PERFORMED):

SECTION B

(TO BE COMPLETED BY INDIVIDUAL PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION:

CONTRACT ROLE (e.g. CO, COR, PM):

ADDRESS:

PHONE NUMBER:

EMAIL:

Part II: INFORMATION ABOUT REFERENCED PROJECT/CONTRACT

Please Identify and correct any information that is not accurate in Section A (Reference may attach additional pages if required):

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating:

· Exceptional (E): Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

· Very Good (VG): Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

· Satisfactory (S): Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

· Marginal (M): Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

· Unsatisfactory (U): Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contract’s corrective actions appear or were ineffective

1. Quality of Product or Service: Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship/performance (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

Comments:

2. Schedule: Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule).

Comments:

3. Cost Control: Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.

Comments (Please Put N/A if a FFP Contract):

4. Business Relations: Assess the contractor’s integration and coordination of all the activities needed to execute the contract, specifically focus on the timeliness, completeness, and quality of the offeror’s problem identification procedures, corrective action plans, the contractor’s history of reasonable and cooperative behavior, customer satisfaction (including professional concern for interest of customers), and timely award and management of subcontractors.

Comments:

5. Management of Key Personnel: Assess the contractor’s performance in selecting, retaining, supporting, and replacing key personnel, when necessary, with equally qualified candidates.

Comments:

6. Utilization of Small Business: FAR Subpart 19.7 and 15 U.S.C. 637 contains statutory requirements for complying with the Small Business subcontracting Program. Assess whether the contractor provided maximum practicable opportunity for small business to participate in contract performance consistent with efficient performance of the contract.

Comments (Please Put N/A if Offeror is a Small Business):

7. What would your overall rating of this contractor’s performance be?

8. Identify any overall strengths on the referenced projects.

9. Identify any overall weaknesses on the referenced projects.

10. Given the choice, would you award to this contractor again? Why?

11. Are you aware of any other efforts performed by this contractor similar in nature to this contract? Please identify the contractor/program and any known point of contact.

12. Additional comments you would like to share (Reference may attach additional pages if required):