ATTACH0017_Past_Performance_Evaluation_Survey.pdf

Past Performance Evaluation Survey MK-124 MOD 1 Signal

Solicitation W52P1J-17-R-0097

The Army Contracting Command, Rock Island, is currently evaluating a best value procurement which includes past performance relating to the area of timeliness of deliveries and quality. You have been identified as a point of contact for contracts/purchase orders for the below identified items. Recent is defined as occurring within the past 3 years prior to the solicitation’s initial closing date, or 2) awarded earlier than three (3) years ago, but for which deliveries occurred or were scheduled to occur within the past three (3) years before the initial closing date of this solicitation, 31 MAY 2018 and up to the date of award. Relevant is defined as present and/or past performance effort that involved similar scope and magnitude of effort and complexities this solicitation requires.

Request that you taking a few moments to provide delivery information on the contract

/purchase order you have been identified as POC. Your time and effort is greatly appreciated.

Please submit the completed survey to the POC listed below. If you have any questions with regard to this request, please contact Benjamin Riessen at 309-782-5225 or email

Benjamin.c.riessen.civ@mail.mil and Ms. Katie Olson at 309-782-8736 or email

Kathleen.r.olson5.civ@mail.mil.

I appreciate your timely response.

Survey is being completed for offeror: _____________________________________________

Name of Company/Government Agency completing Survey: _______________________

Contract/Purchase Order Number: _______________________________________________

Name, title, and phone number of person completing Survey:

Length of time your firm/agency has been involved with the offeror:

PLEASE SUBMIT PAST PERFORMANCE SURVEY BY: 31 MAY 2018, to Benjamin Riessen, 309-782-5225, Benjamin.c.riessen.civ@mail.mil.

mailto:Benjamin.c.riessen.civ@mail.mil mailto:Kathleen.r.olson5.civ@mail.mil mailto:Benjamin.c.riessen.civ@mail.mil

1. Did the contractor meet the original contract delivery schedule? Yes _____ No _____

a. If no, was it contractor or government caused delay?

b. If contractor, why?

c. How many times was the delivery schedule revised due to contractor delay?

d. If yes, was the contractor ahead of schedule?

2. How would you rate this contractor’s past performance regarding meeting contract delivery schedule and why?

3. Throughout the course of your contract:

a. Did the contractor submit Requests for Deviation (RFDs) and/or Engineering Change

Proposals (ECPs)? How would you rate the timeliness and quality of these submissions?

b. Did the contractor have any First Article Test (FAT) or Lot Acceptance Test (LAT) failures?

Please specify

c. Was the contract terminated for any reason? Please specify

4. Throughout the course of your contract, did the contractor have any critical characteristic failures? If so, how would you rate the timeliness and quality of Failure Analysis Corrective

Action Reports (FACARs)?

a. How many critical characteristic failures did the Contractor have?

b. Did the Critical Failures cause a major delay in schedule, if so how many time?

5. How would you rate the overall quality of the contractor? Please circle one:

Outstanding Good Acceptable Marginal Unacceptable

6. How would you rate the contractor’s responsiveness to requests for information? Please circle one and provide a brief explanation:

7. How would you rate the contractor/customer relationship for this contract? Please circle one and provide a brief explanation:

8. Any other comments regarding Quality, Delivery Schedule Performance/On-Time

Delivery or about the contractor’s past performance in general?

Signature of person submitting Survey Date