Attachment_0024_-_Past_Performance_Questionnaire.docx

Attachment 0024 Past Performance Questionnaire Please provide your candid response to the following questions. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual and accurate as possible. If you do not have the appropriate knowledge of or experience with the company in question, please forward this questionnaire to the person who does. Please return within 3 days. Thank you.

PART I. (To be Completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number/Task Order:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion:

Place of Performance:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

Rating Scale

In each of the following sections you will find questions where you are asked to rate some aspect of performance on a scale in the below ranges. If possible, PLEASE INCLUDE AN EXPLANATION FOR THE RATING. The criterion for each rating is described below:

Excellent: Superior performance with inconsequential exceptions.

Good: Outstanding performance with only rare exceptions, and the exceptions had minor consequences.

Adequate: Generally satisfactory performance, but with occasional exceptions. In most cases, exceptions had minor consequences.

Marginal: Occasional unsatisfactory performance with significant consequences in some cases.

Poor: Generally unsatisfactory performance, with significant consequences in many cases.

Too Soon To Tell

Not Applicable

PART II. EVALUATION (To be Completed by Point of Contact – Respondent)

1. Develop, manage, and follow a Configuration Management Plan.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

· Not Applicable

Comments:

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

2. Development, submittal, tracking, and implementation of configuration management documents including ECPs, ERRs, and NORs, including timely and accurate updates to affected technical data.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

3. Creation of a Government-format Level III Technical Data Package, in compliance with appropriate standards (eg: ASME Y14.100).

To what extent did satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

· Not Applicable

Comments:

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

4. Assigning and referencing Part or Identifying Numbers in accordance with ASME Y14.100 Appendix D.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

5. Effectiveness of Program Management (to include use and control of subcontractors).

To what extent was the contractor effective in managing the program, including its employees and subcontractors, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

6. Timeliness of Performance for Services and Product Deliverables:

To what extent did the contractor adhere to the delivery schedules, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

7. Kept Costs within Contracted Totals:

To what extent did the contractor adhere to the contracted costs, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

8. Develop or manage the development of Provisioning Data.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

9. Develop or manage the development of Technical Manuals.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

10. Develop or manage the development of Training Materials.

To what extent did the contractor satisfy the above stated performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

· Excellent

· Good

· Adequate

· Marginal

· Poor

· Too soon to tell

For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

PART III. Other Information Sources

Please provide the following information:

11. Please describe any problems or special accomplishments noted regarding the Offeror.

Are you aware of other relevant past efforts by this company with your agency/company?

If yes, please provide the name, telephone number and email of a point of contact.

Comments:

PART IV. Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address: