Attachment_12_-_PAST_PERFORMANCE_EVALUATION_QUESTIONNAIRE_FORM_-_01.17.2017.pdf

Joint Air-to-Ground Missile Shipping and Storage Container, Guided Missile

P/N 13556595

Past Performance Evaluation

Questionnaire Form

Attachment 12

RFP# - W31P4Q-17-R-0063

DATE – 17 January 2017

DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited.

DEPARTMENT OF THE ARMY

ARMY CONTRACTING COMMAND-REDSTONE

BUILDING 5303 MARTIN ROAD

REDSTONE ARSENAL, ALABAMA 35898-5000

CCAM-TM-A 17 January 2017

SUBJECT: Offeror’s Past Performance Assessment in Support of Request for Proposal (RFP) Number W31P4Q-17-R-0063

Dear Sir/Ma’am;

The Army Contracting Command-Redstone is currently conducting a competitive source selection to evaluate Offerors on subject RFP. As part of this evaluation, we have requested that the Offerors provide information about their past performance on same or similar federal, state, local government, or commercial contracts as compared to North American Industry Classification System (NAICS) 336419. You have been identified as the point of contact cited on the enclosure.

Your assessment of the Offeror’s performance is extremely valuable to the Government’s evaluation. Please complete the enclosed Past Performance Evaluation Questionnaire, and return to the Army Contracting Command-Redstone, ATTN:

CCAM-TM-A (Brittany Quinn), Redstone Arsenal, AL 35898, no later than 3 days after receipt of request. Your questionnaire may be submitted electronically to Ms. Brittany Quinn brittany.a.quinn2.civ@mail.mil or the undersigned at retha.r.adams.civ@mail.mil.

Your prompt attention to this request is greatly appreciated. Questions may be directed to Ms. Quinn at (256) 313-2033 or the undersigned at (256) 876-7065.

Sincerely, Retha R. Adams Contracting Officer

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

Contractor _ Contract No.:

Subcontract No. (if applicable): ____________________________________________

POC: ______________________________ Title:

(Name) (e.g., PCO/ACO/TM)

(Agency, Telephone No., E-mail Address & Fax Number)

The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible.

Please provide examples and/or explanations (use additional pages if necessary).

The following adjectival ratings shall be used in your response.

Outstanding (O): Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good (G): Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable (A): Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal (M): Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

Unacceptable (U): Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

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

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

E-mail Address:

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

A. QUALITY AND PERFORMANCE OF WORK

1. How would you describe the Contractor’s compliance with customer objectives and technical requirements?

O G A M U N/A

2. How would you describe the Contractor’s workmanship and quality control?

O G A M U N/A

3. How would you describe the adequacy of the Contractor’s ability to identify/correct deficient work?

O G A M U N/A

4. How well did the Contractor suggest solutions and display initiative to implement solutions?

O G A M U N/A

5. How well did the Contractor adhere to Quality Requirements?

O G A M U N/A

6. How well does the Contractor address warranty issues?

O G A M U N/A

7. How well does the Contractor package and deliver the equipment without damage?

O G A M U N/A

Comments (Please provide additional explanation of any ratings of Outstanding (O), Marginal (M), Unacceptable (U), or NO):

B. TIMELINESS OF PERFORMANCE

8. How would you describe the adequacy and timeliness of the Contractor’s submittals and their adherence to fabrication and delivery schedules?

O G A M U N/A

9. How well did the Contractor resolve delays? O G A M U N/A

Comments (Please provide additional explanation of any ratings of Outstanding (O), Marginal (M), Unacceptable (U), or NO):

C. MODIFICATION PRICING

10. Did the Contractor propose and respond to contract changes in a timely manner?

Yes No N/A

11. How accurate, complete, and reasonable were the Contractor’s supporting prices for contract changes?

O G A M U N/A

(M), Unacceptable (U) or NO):

D. MANAGEMENT EFFECTIVENESS

12. Please rate the Project Manager assigned to the Project.

O G A M U N/A

13. Please rate the Quality Control Manager assigned to the Project.

O G A M U N/A

14. How well did the Contractor protect your critical resources from theft or damage?

O G A M U N/A

15. How well did the Contractor management effectively communicate with the customer?

O G A M U N/A

16. How would you rate the Contractor’s ability to provide adequate resources to successfully perform the work (i.e. equipment, material, long lead items)?

O G A M U N/A

17. How would you rate the Contractor’s overall management and performance effectiveness?

O G A M U N/A

18. How well did the Contractor coordinate, integrate and manage subcontractors for optimum contract performance?

O G A M U N/A

19. How was the overall skill level and technical competence of Contractor personnel?

O G A M U N/A

20. How well did the contractor understand the requirements and specifications called out in the design without excessive technical guidance?

O G A M U N/A

21. How effectively did the Contractor work with customer tram members?

O G A M U N/A

E. COMPLIANCE WITH SAFETY STANDARDS

22. Were there any safety incidents or OSHA violations reported for this project? If YES, elaborate as to the resolution and any corrective action taken?

Yes No N/A

F. COMPLIANCE WITH REGULATION/LAWS

23. Were there any incidents of Environmental Regulation violations reported for this project? If YES, elaborate as to the resolution of any corrective action taken.

Yes No N/A

G. ADDITIONAL INFORMATION

24. Would you select this contractor again? Yes No N/A

25. How well did the delivered product meet your expectations?

O G A M U N/A

26. Other areas of concern, strengths and weaknesses observed?

Yes No N/A

27. List of other known references regarding the Contractor’s performance:

NAME ADDRESS PHONE/FAX NO.

H. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

E-mail Address:

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer identified in the cover letter.

Thank you for your assistance.

Signature Date

Typed or Printed Name