Attachment_0003_Past_Performance_Evaluation_Survey.pdf

Past Performance Evaluation Survey Body Assembly for M69 Delay Practice Hand Grenade

Solicitation W52P1J-18-R-0077

The Army Contracting Command - Rock Island, is currently evaluating a Lowest Price Technically Acceptable 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 item. Recent is defined as having occurred within three years prior to solicitation W52P1J-18-R-0077’s initial closing date up until date of award, or awarded more than three years prior to closing date, but for which deliveries occurred or were scheduled to occur within the three year period prior to the closing of this solicitation. The Government defines Relevant as having previously produced like or similar items involving similar scope and magnitude of effort and complexities. Like or similar items are defined as items that have been produced using similar manufacturing processes, essential skills and unique techniques required to produce the Body Assembly for M69 Delay Practice Hand Grenade (M69 Grenade Body).

A like item shall also have performed under similar performance parameters, military or industry specifications and environmental conditions as the M69 Grenade Body.

Request that you take a few moments to provide delivery information for the contract/purchase order the offeror has identified you as POC. The Government greatly appreciates your time and effort. Please submit the completed survey to the POC listed below. If you have any questions with regard to this request, please contact Larry Schroeder at 309-782-0986 or Lawrence.j.schroeder4.civ@mail.mil.

I appreciate your timely response.

This survey is 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 2018 JANUARY 04 TO:

Larry Schroeder, 309-782-0986 or Lawrence.j.schroeder4.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 in 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 times?

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