Attachment_0016_-_Industry_Past_Performance_Questionnaire.doc

DEPARTMENT OF THE ARMY

UNITED STATES ARMY CONTRACTING COMMAND-WARREN

6501 EAST 11 MILE ROAD

WARREN, MICHIGAN 48397-5000

SUBJECT: Solicitation W56HZV-17-R-0106, Army Program Office Family Medium Tactical Vehicles (FMTV), FMTV Protection Kits, Past Performance Questionnaire

1. GENERAL INSTRUCTIONS:

The Government shall treat this completed questionnaire and the information contained herein as Source Selection Sensitive in accordance with FAR 3.104-3 and the Government shall not disclose the information to anyone outside the Government Source Selection Team.

Upon completion of this questionnaire, please forward it either (1) by electronic mail to: usarmy.detroit.acc.mbx.wrn-fmtv-b-kits@mail.mil or (2) return it directly to the Government at the following address:

OUTSIDE ENVELOPE:

United States Army Contracting Command – Warren

TACOM Contracting Center / Medium Tactical Vehicles Contracting Team

6501 East 11 Mile Road

Warren, MI 48397-5000

Exclusively for:

Marc M. Landoy Contract Specialist

Mail Stop 416

INNER ENVELOPE:

RFP W56HZV-17-R-0106

PAST PERFORMANCE SOURCE

SELECTION INFORMATION

E-MAIL:

W56HZV-17-R-0106

2. Contracting Officer’s Representative

2. DESCRIPTION OF THE CURRENT SOLICITATION:

The solicitation for the Army Project Office Family of Medium Tactical Vehicles (FMTV), FMTV Protection Kits requires the offeror to provide FMTV Protection Kits for a period of up to five years. The successful offeror shall provide FMTV Protection Kits, which may consist of the B-Kit, Underbody Armor Kit, and the Underbody Counterweight Kit. The FMTV Protection Kits provide optimal Crew Component Occupant Protection on the Long Term Armor Strategy (LTAS) FMTV.

3. Instructions on Completing Questionnaire:

The Government requests that Offerors interested in proposing on this effort to send the provided Past Performance Questionnaire to the appropriate Government point(s) of contact on past and present contracts, which the offeror deems relevant to this effort as defined in Section L. In this regard, the United States Army is conducting a past performance assessment in anticipation of a possible contract award.

We are requesting your assistance in completing this questionnaire so that we may evaluate the offerors in the area of past performance. The Government has developed this questionnaire for ease of electronic completion. Please provide your comments regarding the overall assessment of the contractor’s performance on the contract identified. Any additional information, which your organization deems relevant or important, will be welcome by our evaluation team. If a question on the questionnaire is not applicable, please so indicate.

SUSPENSE: Please complete and submit the questionnaire as soon as possible, but no later than the Request for Proposal (RFP) closing date (See Block #9 of the SF33 cover page to the solicitation.) Thank you in advance for your assistance in making this a Best Value Procurement.

Lisa M. Jones

PROCURING CONTRACTING OFFICER

Performance Risk Assessment Questionnaire

Please provide your candid response to the following questions. The Government will use the information that you provide in the awarding of a federal contract. 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 to the Contract Specialist via e-mail at usarmy.detroit.acc.mbx.wrn-fmtv-b-kits@mail.mil no later than the Request for Proposal (RFP) closing date (See Block #9 of the SF33 cover page to the solicitation.) Thank you.

PART I. (To be Completed by the Offeror)

A. CONTRACT IDENTIFICATION

· Contractor/Company Name/Division:

· Address:

· Program Identification/Title:

· Contract Number:

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

· Contract Award Date:

· Forecasted or Actual Contract Completion:

B. OFFEROR’S POINT OF CONTACT FOR RESPONDENT QUESTIONS

· Name:

· Title:

· Telephone Number:

· FAX Number:

· Address:

· E-mail Address:

· Date Sent to Respondent:

Rating Scale

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

· 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 Government Point of Contact – Respondent)

TECHNICAL:

1. Execution of contracting activities in support of providing Opaque and Transparent armor to a Government Technical Data Package (TDP) for Military Vehicles provided to the Department of Defense.

To what extent did the contractor satisfy the above stated past 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.

Quality of packaging in accordance with the Government TDP of the Protection Kits:

To what extent did the contractor’s packaging process satisfy the contract requirement? 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. Production of Protection Kits:

To what extent did the contractor meet the contractual production rate requirements for the protection kits? 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.

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

To what extent did the contractor satisfy the above stated past 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.

PROGRAM MANAGEMENT:

1. 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

· 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. Commitment to Customer Satisfaction and Business-like concern for its Customers’ interest.

To what extent did the contractor satisfy the above stated past 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.

3. To what extent was the contractor effective in managing significant risks (cost, schedule, and performance) in the performance of this contract?

To what extent did the contractor satisfy the above stated past 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.

DELIVERY:

4. 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

· 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.

PART III. Other Information Sources

Please provide the following information:

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

Comments:

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.

PART IV. Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Telephone Number:

Address:

Fax Number:

E-mail Address:

Date of Completion & Submission:

Attachment 0016 – Past Performance Questionnaire

SOURCE SELECTION INFORMATION – SEE FAR 2.101 & 3.104

FOR OFFICIAL USE ONLY