B08 Attachment 0003 Past Performance Questionaire Signed 23JUN2022.pdf

DEPARTMENT OF THE ARMY

ARMY CONTRACTING COMMAND ROCK ISLAND

3055 RODMAN AVENUE

ROCK ISLAND, IL 61299-8000

Attachment 0003 Past Performance Questionnaire

June 23, 2022

Dear Sir or Madam:

The Army Contracting Command - Rock Island (ACC-RI) is acquiring the 105mm Cannon Artillery M67 Propelling Charge, which is comprised of seven propelling bag increments filled with M64 Single Perforation and Multi Perforation Propellants.

The M67 Propelling Charge is used in the 105mm M1 High Explosive, Smoke and Illumination Cartridges, M60 Smoke Cartridge, M1130 Pre-formed Fragmented Cartridge, Projectile Gun Units 43/B, 44/B and 45/B, and the M84 Smoke Cartridge. Requirements include the purchase of various quantities over five ordering periods (60 months total) along with delivery of associated Contract Data Requirements List (CDRL) items.

The U.S. Army is conducting a performance risk assessment in anticipation of a possible contract award. An Offeror interested in proposing on this work has identified you as a Point of Contact (POC) on a past or present contract, which the Offeror deems relevant to this effort. We are, therefore, requesting your assistance in completing the attached Performance Risk Assessment Questionnaire so that we may evaluate the Offeror in the area of past performance. The Questionnaire has been developed for ease of electronic completion. Please provide your comments regarding the overall assesmemt of the Offeror’s performance on the contract identified and any additional information that your organization deems relevant to your 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 the below questionnaire and submit to the Contracting Officer, Ms.

Kathleen Ward (Kathleen.m.ward20.civ@army.mil) and Contract Specialist, Ms.

Chelsey Love(Chelsey.m.love.civ@army.mil).

Sincerely, Kathleen Ward Procuring Contracting Officer Munitions & Industrial Base Directorate Branch AMC

A. CONTRACT IDENTIFICATION

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

Past Performance Questionnaire

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. 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 15 days after receipt.

Thank you.

PART I. (To be completed by the Offeror)

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:

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

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

F. Overall

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

C. Timeliness of Performance for Product Deliverables, including the Administrative Aspects of Performance.

D. Effectiveness in Forecasting and Controlling Project Cost.

Comments field below)

Comments:

Exceptional (Explanation must be provided in Comments field below) Satisfactory Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

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)

Comments:

Exceptional (Explanation must be provided in Comments field below) Satisfactory Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

Extremely Satisfactory (Explanation must be provided in Comments field

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

H. Other Information Sources. Please provide the following information:

I. Respondent Identification. Please provide the following information:

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

Comments:

Comments:

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:

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 and Specialist identified in the cover letter.

Thank you for your assistance.