Attachment_0020_Past_Performance_Questionnaire_20161101.docx

PAST PERFORMANCE COVER LETTER

Dear Sir or Madam, The Army Contracting Command – Rock Island is acquiring Heavy Lift and Line Haul Services throughout the U.S. Central Command to fulfill its mission. Services to be provided include all personnel, equipment, tools, materials, supervision, and non-personal services necessary to perform commercial line haul, heavy lift and personnel transportation services as defined in the HL8 Performance Work Statement (PWS). The Contractors will provide commercial line haul transportation for the movement of equipment, cargo and personnel within the CENTCOM AOR. All vehicles, associated equipment and services provided shall be safely operated; shall meet the intended functions and operations of like new conditions; and be maintained IAW the PWS, the contract and local laws and regulations. Trained, qualified and properly licensed operators should be able to operate vehicles and equipment; properly secure loads per Army standards to quickly and safely transport loads as directed by the U.S. Government; recover disabled equipment and cargo; and repair/replace disabled equipment. The services to be provided for this acquisition are commercial.

The U.S. Army is conducting a performance confidence assessment in anticipation of a possible contract award. An Offeror interested in proposing on this work has identified you as a Point of Contact on a past or present contract which the Offeror deems relevant to this effort. We are, therefore, requesting your assistance in completing the attached Past Performance Assessment Questionnaire so that we may evaluate the Offeror under the Factor of past performance. The Questionnaire has been developed for ease of electronic completion. Please provide your comments regarding the overall assessment of the Offeror’s performance on the contract identified and any additional information that your organization deems relevant to our evaluation team. It is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators.

Please complete and submit the Questionnaire within seven days of receipt via e-mail to the undersigned Contracting Officer at usarmy.ria.acc.mbx.hl8@mail.mil. If you have any questions relative to the enclosed Questionnaire, please email the address above.

Thank you in advance for your assistance.

Sincerely, Stephanie A. Brown Procuring Contracting Officer

PAST PERFORMANCE EVALUATION - QUESTIONNAIRE FORM

Contractor:____________________ Contract No.:____________________________ Subcontract No. (if applicable):_________________________________

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

Marginal: 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: 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:

Address:

E-mail Address:

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

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

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

· Good

· Acceptable

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

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

Comments:

B. Effectiveness of Project Management (to include use and control of subcontractors).

· Acceptable

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

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

C. Timeliness of Performance for Services and Product Deliverables.

· Acceptable

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

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

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

· Acceptable

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

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

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

· Acceptable

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

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

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

G. 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:

H. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

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.

Typed or Printed Name