PAST_PERFORMANCE_ATTACHMENT_3c_ECC.docx

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Operation and Maintenance (O&M) Martinsburg, WV
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ATTACHMENT 3c

PAST PERFORMANCE QUESTIONNAIRE

Contractor:__________________________________________ Contract Number:____________________ Contract Type:______________________________ Description of Service:__________________________________________________________ Period of Performance:__________________________________________________________ Contract Value at Award (including options):________________________________________ Current Contract or Contract Completion amount:____________________________________ Performed as: ( ) Prime ( ) Subcontractor on contract mentioned above.

(TO BE COMPLETED BY THE CONTRACTOR PERFORMANCE EVALUATOR)

Name of Evaluator:___________________________________________________________ Office symbol and Organization:_________________________________________________ Phone:_______________________ Fax number:___________________________________ Address:____________________________________________________________________ Position and Title:_____________________________________________________________ Dates of Involvement in Contract in Contract Referenced above:________________________ Date Questionnaire completed:___________________________________________________

INSTRUCTIONS

The following questions are of two types: YES/NO and RATING. Circle your answer to each question.

· With the exception of items 21-23, the YES/NO questions should be supplemented with explanatory narrative if “YES” is circled.

· When responding to the RATING-type questions, choose the corresponding letter(s) that most accurately describes the contractor’s performance or situation. If the question is not applicable, circle “N/A”. response to the RATING questions should be supplemented with explanatory narrative as will, if necessary.

RATING CATEGORY

O – Outstanding: A rating of “Outstanding” will be assessed when the offeror provides past performance which:

●exceeds all stated requirements (i.e., does not take an issue with or ignores material terms and conditions);
●presents NO foreseeable or identifiable risk of failure or problems during contract performance;
●is complete in terms of the basic content and level of information the Government seeks for evaluation (i.e., complies materially with the proposal preparation instructions of the RFP)

and

● contains NO deficiencies or significant weaknesses (or excesses), except those that are minor and easily correctible.

A – ACCEPTABLE: A rating of “ACCEPTABLE” will be assessed when the offeror past performance which:

●meets all stated requirements (i.e., does not take an issue with, or ignores material terms and conditions);
●presents MODERATE risk of failure or problems during contract performance;
●is complete in terms of the basic content and level of information the Government seeks for evaluation (i.e., complies materially with the proposal preparation instructions of the RFP)

and

● contains MINIMAL deficiencies or significant weaknesses (or excesses), except those that are minor and easily correctible.

U – UNACCEPTABLE: A rating of “UNACCEPTABLE” will be assessed when the offeror provides a past performance which:

● FAILS to meet all stated requirements;

LACKS essential information or is conflicting or is unclear;

· Presents an almost CERTAIN risk of failure or significant problems during contract performance;

and

· Contains deficiencies and weaknesses which do not appear to be susceptible to correction through exchanges and or discussions.

*N – NEUTRAL: A rating of “NEUTRAL” will be assessed when the offeror provides a proposal in which there is not relevant performance history. In this case, an offeror without a record of past performance or for whom information on past performance is not available; the offeror may not be evaluated favorably or unfavorably on past performance.

* The “N-Neutral” rating is applicable to past performance ONLY. This rating will only be used for Offeror’s with no previous relevant past performance.

MANAGEMENT

(Outstanding, Acceptable, Unacceptable, Neutral)

1. Subcontract management O A U N

2. Overall Management performance O A U N

3. Effective Communication O A U N

4. Government property control O A U N

5. Appropriate staffing levels for the services provided O A U N

6. Appropriate experience/mix of skills for services provided O A U N

7. Appropriate Employee Competence Levels O A U N

8. Ability to effectively control the entire contract effort O A U N

9. Contract start-up (mobilization) transition O A U N

10. Stability in the Contractor’s workforce (frequency of personnel changes, turn over/capture rates, etc.) O A U N

11. Working relationship with the Government O A U N

12. Responsiveness/timeliness to Government requirements O A U N

13. Knowledge/expertise demonstrated by contractor personnel O A U N

14. Ability to simultaneously manage multiple projects with multiple disciplines. O A U N

15. Ability to assimilate and incorporate changes in requirements and/or priority. O A U N

16. Ability to identify problems in

a) Management (relative to the contract)O A U N
b) Personnel (quantity and/or quality)O A U N
c) Scheduling ProjectsO A U N
d) Quality ControlO A U N

17. Willingness to resolve the above problem in

a) Management (relative to the contract)O A U N
b) Personnel (quantity and/or quality)O A U N
c) Scheduling ProjectsO A U N
d) Quality ControlO A U N

18. Ability to resolve the above problems in

a) Management (relative to the contract)O A U N
b) Personnel (quantity and/or quality)O A U N

c) Scheduling Projects

19. Demonstration of ability to work independent of outside O A U N (government or other) guidance.

20. Exhibited knowledge of and compliance with government (or other) O A U N Regulations and industry standards.

21. Have there been any violations of Public Law, especially of the Service Contract?

(If YES, please explain in “REMARKS”) YES NO

22. To your knowledge, has contractor had any contracts terminate for default?

(If YES, please explain in “REMARKS”) YES NO

23. Has your organization ever elected to not exercise an option due to subject contractor’s poor performance: (If YES, please explain in “REMARKS”) YES NO

24. Home office responsiveness to government request O A U N

25. What do you think is the Contractor’s strongest management attribute and why?

26. What is the Contractor’s weakest management attribute and why? Did the Contractor correct, or attempt to correct the weaknesses?

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