Past_Performance_Questionaire_Pool_Maintenance.docx

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

1. The contractor listed below is being considered in a Source Selection by the Naval Special Warfare Center, Special Boat Team Twenty-Two. You have received this questionnaire because you have been identified as a source of Past Performance Information for that offeror. Any comments you can provide regarding the past performance of the contractor providing this form is greatly appreciated.

2. Please complete the attached questionnaire for the contractor and program described in Section I below (to be completed by the offeror) based on the following guidance. Send the completed questionnaire to arethalia.whitfield@navsoc.socom.mil. Do not send the completed questionnaire to the contractor. We appreciate your help.

PLEASE FILL IN ALL SECTIONS. STATE “NOT APPLICABLE” IF QUESTION DOES NOT APPLY OR YOU HAVE NO COMMENT. YOUR PROMPT RESPONSE WILL BE ONE OF THE KEYS TO THE SUCCESSFUL AND TIMELY COMPLETION OF THE SOURCE SELECTION.

3. Indicate a rating, based on the description below, for the contractor’s performance on the identified program. Underline the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels.

Exceptional

EX

Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element being assessed 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 requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

SAT

Performance meets contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal

MAR

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

Unsatisfactory

UNS

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

Not Applicable

NA

Unable to provide a score. Performance in this area is not applicable to the effort assessed.

4. In addition to completing the attached questionnaire for the identified program, please provide comments on any other programs for which your activity has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

Thank you for your prompt response and assistance!

Call with any questions: 757-763-4430!

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ________________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: ______________________________________________________________________________

B. Customer or agency description (if applicable): _______________________________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

D. Reasons for differences between initial contract cost and final contract costs: ____________________________

E. Description of service provided ________________________________________________________________

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name: ______________________________________________________________________________________ B. Evaluator's title: ______________________________________________________________________________________ C. Evaluator's phone/fax number: ___________________________________________________________________

Number of years evaluator worked on subject contract: _____________________

SECTION 4: EVALUATION

a. Adequacy of technical knowledge of techniques and local Instructions.

b. Capable of providing maintenance for 670,000 gallon combat training tank

c. Proficiency in maintaining a 670,000 gallon combat training tank

d. Quality of completed of work

e. Understood/complied with customer objectives and technical requirements.

f. Ability to meet contract requirements.

g. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program).

Comments:

1. Provided knowledgeable, capable employees with the appropriate qualifications.

2. Effectiveness of contractor’s mediation of any problems to include schedule delays.

Comments:

Comments:

Overall, how satisfied are you with the contractor’s performance?

Comments:

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?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date