TE2 - Past Performance Questionnaire.pdf

TECHNICAL EXHIBIT 2

PAST PERFORMANCE QUESTIONAIRE

MEDICAL TRAINING - CAPRINES

H92239-25-R-E003

NOTICE: ONCE COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL NOT BE

RELEASED TO THE OFFEROR.

SECTION 1: CONTRACT IDENTIFICATION

(to be completed prior to emailing to the respondent)

A. Contractor's Name :

a. Are you proposing as a prime under H92239-25-R-E003? Yes____ No_______ partnering with? If no, who are you partnering with? ___________________________

B. Contract number for Past Performance Reference____________________________ C. Contractor's Role in the contract identified above: Prime: Yes_____ No_______

Subcontractor to Prime? If Yes, who? _______ D. Cage Code: _______________________ E. Contract type: _____________________ F. Was this a competitive contract? Yes_____No_______ G. Period of performance: ________________________________________ H. Initial contract cost: $______________________________________ I. Current/final contract cost: $________________________________ J. Reasons for differences between initial contract cost and final contract costs: _____________________________ K. Description of supplies or services provided______________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

(to be completed prior to mailing or faxing to the respondent)

A. Customer or agency name:___________________________________________ B. Customer or agency description (if applicable):___________________________ C. Geographic description of supplies or services under this contract, i.e. local, nationwide, worldwide, other commands________________________________________________________

SECTION 3: EVALUATOR IDENTIFICATION

(to be completed by the respondent)

A. Evaluator's name: ________________________________________________________________ B. Evaluator's title/role: ______________________________________________________________ C. Evaluator's phone/fax number: ______________________________________________________ D. Number of years evaluator worked on subject contract: ___________________________________

SECTION 4: EVALUATION

(to be completed by the offeror)

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements to the

Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements to the

Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

Past Performance Area E V S M U N/A

Effectiveness of overall contract management.

Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

Ability to maintain a current USDA Class A or Class B license in good standing without expiration, suspension or any other encumbrance.

Ability to consistently provide Caprines or other animals as agreed under the respective contract.

Ability to maintain a farm that complies with USDA inspection regulations to include size standards, usage and ventilation requirement.

1. Please discuss each and every response for which you indicated a M (Marginal) or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes____ Default____ Convenience____ Pending Terminations____ No ____

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc)._________________________________________________________________________________________

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? Yes____ or No_____

Please provide any additional comments concerning this contractor’s performance in a separate document.

Evaluator’s Signature Date

THANK YOU. PLEASE RETURN COMPLETED QUESTIONNAIRES TO:

USASOCContracting1SHDMBX@socom.mil mailto:USASOCContracting1SHDMBX@socom.mil