Attachment0006PastPerformance.docx

FOR OFFICIAL USE ONLY

PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does. Please return the completed Questionnaire within 15 days. Thank you.

PART I (To be completed by the Offeror) A.

CONTRACT IDENTIFICATION

Offeror/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Offeror Name (if different from the Offeror name cited above):

CAGE Code:

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B.

IDENTIFICATION OF OFFERORS’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

C. RESPONDENT IDENTIFICATION

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address:

PART II EVALUATION (To be completed by Point of Contact – Respondent)

Describe the requirements (technical, services and products) of the contract. Include in your description, if applicable, a summary of the contract efforts related to system design, development, integration, manufacturing, testing and production of GPS systems of similar technical complexity to a SAASM-based GPS receiver.

B. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship and adherence to sound system engi neering processes and practices

Conforming to specifications and standards of good workmanship and adherence to sound system engineering processes and practices

· Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

· Meets Contractual Requirements

· Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

Comments:

C. Establishing and maintaining effective management of Sub-contractors

· Exceptional (Explanation must be provided in Comments field below)

· Satisfactory

· Unsatisfactory (Explanation must be provided in Comments field below)

D. Timeliness of Performance for Services and Product Deliverables, including the Administrative Aspects of Performance

· Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

· Meets Contractual Requirements

· Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

E. Maintaining program execution within Cost/Price

F. Commitment to Customer Satisfaction and business-like Concern for its Customers and evidence of collaborative partnering and sharing of data with the Government and contractors (e.g. relationship with Performance Specification, integrated management approach, communications between parties, continuity of program organization);

· Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

G. Demonstrated ability to resolve technical and manufacturing problems quickly and effectively

H. Demonstrated delivery of quality products, as reflected by returns of product to vendor for repair

I. Overall Satisfaction

· Extremely Satisfactory (Explanation must be provided in Comments field below)

J . Was this contract, o r any portion of it, terminated ? If yes, was it terminated for convenience or default and why

K. General Comments. Provide any other relevant performance information.

L. Other Information Sources.

Please provide the following information:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

PART III RETURN INFORMATION

PLEASE NOTE: When completed, please send by electronically via email to Laura Crescenzo; laura.m.crescenzo.civ@mail.mil

Thank you for your assistance.