Attach_0003_-_NEC-RI_ITSS__PPQ_27Sep2016.doc

PAST PERFORMANCE QUESTIONNAIRE

(NOTE: The Offeror must complete PART I A and B. Subsequently, the offeror shall include this document with its proposal as well as send a copy to the respondent identified in IIA.)

In order to assess potential vendors under the NEC-RI ITSS C4IM, Army procurement (W52PIJ-16-R-4002), the ACC-RI contracting office is obtaining past performance information with respect to each Offeror. The contract resulting from this procurement will provide the Army with a full range of services in support of the NEC-RI ITSS requirement. Please complete all sections except Section II A, II B, and II C. In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a critical acquisition being conducted by ACC-RI and your support is sincerely appreciated.

The completed questionnaire shall be submitted directly via email to Mr. David S. Fields, Contract Specialist, david.s.fields16.civ@mail.mil and Ms. Tami L. Lord, Contracting Officer, tami.l.lord.civ@mail.mil for receipt of offers. The “subject” line in the submission email shall clearly indicate: W52P1J-16-R-4002 NEC PPQ for Company and Contract Number.

OFFEROR’s COMPANY NAME__________________________________________________

OFFEROR’s CAGE________________

The email message shall originate from the Evaluator’s corporate or government email system.

Please provide your candid responses. The information that you provide will be used in the awarding of DoD/Army contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up. 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 5 days via email to the POCs above. Thank you.

SECTION II. (To be completed by the Offerors)

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):

CAGE Code:

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:

FAX Number:

Address:

E-mail Address:

Organization:

Name:

Title:

Date:

Telephone Number

Address:

Fax Number:

E-mail Address:

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

· 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:

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

· Satisfactory

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

· Satisfactory

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

C. AGENCY OR RESPONDENT IDENTIFICATION

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

B. Effectiveness in Transition of work from/to another Contractor at the end of a contract.

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

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

E. The ability to resolve technical problems or issues quickly and effectively to include timely notification that an issue or problem exists to Contracting Officer, Contracting Officer Representative, or Customer.

F. Effectiveness in Forecasting and Controlling Project Cost.

G. Internal billing and control systems for estimating, customer property accountability, warranties processing, and associated cost controls.

H. Training of systems and integration of newly hired or re-assigned personnel within the company to satisfy customer expectations.

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

J. Overall Satisfaction.

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

L. Other Information Sources. 1) Number of contractor provided FTEs used to support the contracted work? 2) Was there any significant outages or security issues/problems?