Attachment__3_-Past_Performance_Questionnaire_180807.pdf

PAST PERFORMANCE QUESTIONNAIRE

The Theater Contracting Center (TCC) is soliciting for a requirement to provide installation security services in Germany.

We would appreciate your assistance in providing the evaluation information below.

This survey will be used to evaluate the past performance for the contractor and the contracting action identified below. The TCC may contact you to clarify or verify any information provided. The point of contact at the TCC is Edward Sido, Contract Specialist, DSN (314) 542-6885/commercial (0631) 143-542-6885.

The following questions pertain to the contractor’s record of past (within the past five 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.

Your candid response to the questions is important to our evaluation effort and may affect the award outcome. Please provide specific examples in your responses and feel free to add pages if required. In accordance with OFPP Policy Letter Number 92-5, the names of individuals supplying past performance information will remain confidential.

PART I – REFERENCE DETAILS

Note: This section is to be completed by the Offeror. Fields 1-10 are required.

1 Company Name

2 Point of Contact (Name, Title, Email, Phone #)

3 Contract/Subcontract Number

4 Company Address

5 Contract Start Date:

Contract Completion Date:

6 Place of Performance 7 Total Value of Contract

(or estimated value if contract is incomplete)

8 Description of Contract/ Contract Type (i.e. Fixed Price, Cost, IDIQ)

9 Brief description of Services

10 Customer POC #1 (COR/KO/Other) (Name, Title, Agency/Company, Email, Phone)

11 Customer POC #2 (COR/KO/Other) (Name, Title, Agency/Company, Email, Phone)

12 Name of Procuring Agency (if known)

PART II - EVALUATION

Note: PART II shall be completed by the individual identified in Blocks 10 or 11 above and emailed to BOTH edward.t.sido.civ@mail.mil & benjamin.m.kamp.civ@mail.mil

SUBJECT: GWISS - Past Performance Questionnaire.

1. Was the contractor, for the subject contract listed above, the Prime or Subcontractor

Prime Contractor Subcontractor

2. Quality of Service (Provide rationale for rating.) Outstanding Good Acceptable Marginal Unacceptable

NOT RATED

3. Schedule (Provide rationale for rating.) Outstanding

Acceptable Marginal Unacceptable

NOT RATED

4. Cost Control (Provide rationale for rating.) Outstanding Good Acceptable Marginal Unacceptable NOT RATED (Use this IF Firm-Fixed Price)

5. Management (Provide rationale for rating.) Outstanding

Acceptable Marginal

6. Regulatory Compliance (Provide rationale for rating.) Outstanding

Acceptable Marginal mailto:%20edward.t.sido.civ@mail.mil mailto:benjamin.m.kamp.civ@mail.mil

7. How would you rate this contractor’s overall performance? (Provide rationale for rating.)

Outstanding Good Acceptable Marginal

8. Given what you know today about the contractor’s ability to perform in accordance with the contract’s most significant requirements, would you recommend them for similar requirements in the future? (Provide rationale for response checked to the right .)

Would

Would Not

9. Please check which of the tasks below were performed under this contract, as related to the current requirement::

Access Control Walking or Roving Patrols Explosive detection dog services Monitoring of intrusion detection systems Operating vehicle x-ray equipment

10. Provide your contact information in the event there are additional questions regarding this evaluation.

Contact Name:

Organization Name:

Title:

Email:

Phone:

Today’s Date:

Signature:

11. Additional Comments: