Att0009_Past_Perf_Questionnaire.docx
DOCX document 31 KB Posted
- Attached to
- 13-NSA AND NSMWS 5 YEAR IDIQ SOLICITATION
- Solicitation number
- W52P1J-15-R-0072
About this file
ATTACHMENT 0009 PAST PERFORMANCE QUESTIONNAIRE
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Text version
W52PIJ-15-R-0072 (Attachment 0009)
PAST PERFORMANCE QUESTIONNAIRE
In order to assess potential vendors under the Non Standard Mortar Weapon systems (NSMWS) and Non Standard Ammunition (NSA) for U.S. Government requirements and Foreign Military Sales procurement, Request for Proposal W52PIJ-15-R-0072, the ACC-RI contracting office is obtaining past performance information with respect to each Offeror. The contract(s) awarded under this procurement will be for the procurement and delivery of various types of NSMWS and NSA and related items for United States Government requirements and for allied and friendly Governments under the Foreign Military Sales program for training and combat purposes.
In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. We thank you for your time, effort, and cooperation in responding to this questionnaire.
(Offeror to complete item II A. and II B. prior to sending this questionnaire to the Evaluator)
The completed Questionnaire shall be submitted directly via email to Bridget L. Kramer, Contract Specialist, bridget.l.kramer.civ@mail.mil by the due date established for receipt of offers. The “subject” line in the email shall clearly indicate: W52P1J-15-R-0072 NSMWS/NSA Past Performance Questionnaire Submission for Company Name. The message shall originate from the Evaluator’s corporate or government email system.
I. GENERAL GUIDANCE
Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):
| RATING |
| DESCRIPTION |
| Excellent |
| The Offeror's past performance far exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Good |
| The Offeror’s past performance exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Satisfactory |
| The Offeror's past performance met the customer's expectations and contract requirements. |
| Marginal |
| The Offeror's past performance could have been improved. The Offeror required major agency resources to ensure achievement of contract requirements. |
| Unsatisfactory |
| The Offeror's past performance did not meet customer expectations and/or contract requirements. |
II. GENERAL INFORMATION
| A. | AGENCY & RESPONDENT IDENTIFICATION: |
| 1 | |
| Name & Title: |
| 2 |
| Organization: |
| 3 |
| Address: |
| 4 |
| Phone No.: |
| 5 |
| E-mail: |
| 6 |
| Date: |
B. CONTRACT IDENTIFICATION
| 1 |
| Contractor Name: |
(Company being evaluated)
| 2 |
| Type of Procurement Instrument: |
(e.g. Contract/Order/Subcontract/Other)
| 3 |
| Contract Identification Number: |
| 4 |
| Order Number (If applicable): |
| 5 |
| Project Title and Service Description (Add rows if needed): |
| 6 |
| Type of Contract: |
(e.g. Negotiated, Sealed Bid)
| 7 |
| Pricing Type |
(e.g. Fixed Price, Time and Materials; Other) other):
| 8 |
| Competitive Award (Y/N): |
| 9 |
| Follow-on Contract (Y/N): |
| 10 |
| Date of Award: |
| 12 |
| Initial Contract Dollar Value (w/Options): |
| 13 |
| Final Contract Dollar Value (w/Options); Or Total Amount Invoiced to Date: |
| 14 |
| Final Subcontract Value (if applicable): |
| 15 |
| Period of Performance: |
| 16 |
| Place(s) of Performance: |
| 17 |
| Type and extent of subcontracting (add rows if needed): |
III CONTRACT PERFORMANCE (General Information)
| 1 |
| Has the Contractor ever been given a cure notice, show cause notice, suspension of progress payments, etc.? If yes, explain. |
| 2 |
| Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g. default, convenience). |
| 3 |
| If this was an award or incentive fee contract, what percentage of the available fee did the Contractor usually receive? |
| 4 |
| Changes in contract dollar amounts throughout the life of the contract are/were generally attributable to customer-issued Change Orders, Contractor-submitted claims, other Customer actions (please explain): |
How Would You Rate This Contractor:
A. Compliance of products, services, documents, and related deliverables to specification requirements and standards of good workmanship.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
B. Effectiveness of program management in planning, subcontracting, scheduling, urgent or changing requirements, and monitoring.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
C. Effectiveness of supply chain management of timely deliverables and the administrative aspects of coordinating and integrating schedules, packaging, transportation, and responsiveness to change or hurdles.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
D. The ability to resolve technical problems or issues quickly and effectively to include timely notification that an issue or problem exists to the Contracting Officer, Contracting Officer Representative, or Customer:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
E. Effectiveness in forecasting, estimating, and controlling cost.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ F. Timeliness and accuracy of billing to include associated cost controls.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
G. Contractor’s ability to effectively organize and manage subcontractors and/or team members:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In summary, please give an overall assessment of this contractor.
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:
IV RETURN INFORMATION
When completed, please send electronically via email to:
Sue A. Burton, Contract Specialist, sue.a.burton.civ@mail.mil
Thank you for your assistance.
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