Attachment_0010_-_Past_Performance_Questionnaire.doc

W56HZV-15-R-0130

ATS III

Attachment 0012

PAST PERFORMANCE QUESTIONNAIRE

PART 1 – General Information Thank you for participating in our survey. Please email, fax, or call for hard copy pick-up:

Michael Gross michael.e.gross28.civ@mail.mil 586-282-7483 fax 586-282-xxx (If you fax, please call first)

If you use email, you can bold, italicize, enlarge, or underline the response. Do not use different colors or highlights.

(The information in this survey is source selection sensitive and may not be released to anyone other than those with the knowledge needed to fill it in and the SSEB members.)

Please verify or fill in the following information:

Contractor Name:

Contract Number:

Performance Period:

Contract Type

Instrument:

Pricing Arrangement:

Type of Work:

Amount of Contract:

Place of Performance:

End Item/Service:

Please check off all items that were included in the Statement of Work:

· Family of Vehicles, Configurations, Variants

· Production

· Engineering and Manufacturing Development (EMD)

· Software Engineering

· Systems Engineering and Design

· Test - Fix –Test

· Shakedown/Control Testing

· Production Verification Testing

· Live Fire Testing

· Initial Operational Test and Evaluation (IOT&E)

· Subsystems Manufacturing

· Vehicle Final Assembly

· Integrated Logistics Support for Production

· Field Service Representatives (FSRs) - Contractor Logistics Support (CLS)

· Supply Support - Contractor Logistics Support (CLS)

· New Equipment Training (NET) - Training and Materials

· Fielding Support

· Provisioning

PART 2 - Technical Rating Scale:

Excellent: Objectives/requirements essentially always achieved or exceeded, with inconsequential exceptions.

Good: Objectives/requirements achieved with only rare exceptions, and the exceptions had minor consequences.

Adequate: Objectives/requirements generally achieved with occasional exceptions, and in most cases, exceptions had minor consequences.

Marginal: Objectives/requirements were occasionally not achieved, with significant consequences in some cases.

Poor: Objectives/requirements frequently not achieved, with significant consequences.

Too Soon to Tell

Not Applicable

Instructions for Narratives:

Please include additional narrative information for your responses. At a minimum, if your response is Excellent or Marginal/Poor, include an explanation for the rating. For a rating level of Excellent where the Contractor exceeded requirements, describe where the contractor exceeded the requirement. Number your narratives with the Question #. You may add pages if necessary.

Questions:

1. To what extent did the contractor supplied production hardware meet contract performance requirements?

Excellent Good Adequate Marginal Poor Too soon to tell NA

2. To what extent did the systems engineering, system technical support or other engineering activity result in technical solutions that met performance requirements or engineering objectives, including pre-production or initial production testing?

Excellent Good Adequate Marginal Poor Too soon to tell NA

3. To what extent did the contractor’s field service support to fielded hardware result in a rapid and effective solutions to field problems?

Excellent Good Adequate Marginal Poor Too soon to tell NA

4. To what extent did Publications and Provisioning deliverables (Logistics Management Information (LMI), Provisioning Parts List (PPL), Design Change Notices (DCN)), meet contract requirements?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

5. To what extent did other Contract Data Requirements List submissions meet contract requirements?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

Your Technical Narratives:

PART 3 - Delivery Rating Scale:

Excellent: Objectives/requirements essentially always achieved or exceeded, with inconsequential exceptions.

Good: Objectives/requirements achieved with only rare exceptions, and exceptions had minor consequences.

Adequate: Objectives/requirements generally achieved with occasional exceptions, and in most cases, exceptions had minor consequences.

Marginal: Objectives/requirements were occasionally not achieved, with significant consequences in some cases.

Poor: Objectives/requirements frequently not achieved, with significant consequences.

Too Soon to Tell

Not Applicable Instructions for Narratives:

Please include additional narrative information for your responses. At a minimum, if your response is Excellent or Marginal/Poor, include an explanation for the rating. For a rating level of Excellent where the Contractor exceeded requirements, describe where the contractor exceeded the requirement. Number your narratives with the Question #. You may add pages if necessary.

Questions:

The following questions refer to the contract's original delivery schedule unless there was a government-caused delay that resulted in a revised schedule. In that case, refer to the revised schedule.

6. Did the contractor meet the contract delivery schedules for hardware?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

7. Were the systems Engineering and Design activities, including pre-production or initial production testing, timely accomplished to satisfy contract schedule requirements and objectives?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

8. To what extent did Publications and Provisioning deliverables (e.g. Logistics Management Information (LMI), Provisioning Parts List (PPL), Design Change Notices (DCN)) timely accomplished to satisfy contract schedule requirements?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

9. Were other Contract Data Requirements List submissions timely accomplished to satisfy contract schedule requirements?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

Your Schedule Narratives:

PART 4 - Cost Estimating

Rating Scale:

Excellent: Essentially always at or under estimated cost with inconsequential exceptions.

Good: With rare exceptions, always at or under estimated cost, and exceptions had minor consequences.

Adequate: With occasional exceptions, generally within cost estimates and, in most cases, exceptions had minor consequences.

Marginal: Cost estimates were exceeded, with significant consequences in some cases.

Poor: Cost Estimates were frequently exceeded, with significant consequences.

Too soon to tell

NA

Instructions for Narratives:

Please include additional narrative information for your responses. At a minimum, if your response is Excellent or Marginal/Poor, include an explanation for the rating. For a rating level of Excellent, describe the extent to which the contractor either came in below cost estimates or otherwise provided superior performance. Number your narratives with the Question #. You may add pages if necessary.

Questions:

Fill in for cost reimbursement and fixed-price-incentive contracts only. Not applicable to firm-fixed-price contracts.

10. To what extent did the contractor stay within cost estimates?

Too soon to tell

NA

Your Cost Estimating Narratives:

PART 5 - Business Relations/Customer Satisfaction

Rating Scale:

Excellent: Essentially always with inconsequential exceptions.

Good: Vast majority of the time, and exceptions had minor consequences.

Adequate: Most of the time, but with occasional exceptions. In most cases exceptions had minor consequences.

Marginal: Occasionally not, with significant consequences in some cases.

Often not, and with significant consequences.

Too Soon to Tell

Not Applicable

Instructions for Narratives:

Please include additional narrative information for your responses. At a minimum, if your response is Excellent or Marginal/Poor, include an explanation for the rating. For a rating level of Excellent, describe where contractor performance was superior.

Questions:

11. Were the contractor’s responses to inquiries and directed contract changes complete and timely?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

12. Did the contractor notify the government of potentially negative performance issues, including cost overruns, in a timely manner?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

13. Did the contractor resolve issues at the lowest government level possible?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

14. Were minimal government resources needed for administration and oversight of this contract?

Excellent Good Adequate Marginal Poor Too soon to tell

NA

Your Business Relations/Customer Satisfaction Narratives:

PART 6 – Contractor Assertions/Additional Comments The following are assertions the contractor has made about the contract. Please comment on these claims in the space below. You may add any additional comments you think would assist the government in its source selection.

PART 7 – Points of Contact Please fill in the information for each person having input to the responses on this questionnaire.

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

Name:

Position/Title/Role related to the contract being evaluated:

Office Name:

Office Symbol:

Email Address:

Phone:

FAX:

SOURCE SELECTION INFORMATION - See FAR 3.104 1