Past_Perfromance_Questionnaire.pdf

SUBJECT: Solicitation W56HZV-17-R-9997, Center for Military History, U.S. Army Women’s

Museum, Fort Lee, VA, Museum Exhibits Design and Build Services, Past Performance

Questionnaire

OFFEROR: PAST PERFORMANCE QUESTIONNAIRE

MUSEUM DESIGN AND BUILD SERVICES SOLICITATION

1. The Center for Military History has a need for design and build services for the U.S.

Army Women’s Museum exhibits for Fort Lee, VA. The Unites States Army Contracting

Command- Warren (ACC-WRN) is conducting a past performance assessment in anticipation of possible contract award.

2. Offerors interested in quoting on this work have been requested to send the attached

Past Performance Questionnaire to points of contact on recent and relevant contracts as defined in provision 52.212-1 Addendum of the solicitation. In this regard, we are requesting your assistance in completing this questionnaire so that we may evaluate the offeror in the area of past performance. The attached questionnaire has been developed for ease of electronic completion.

Please provide your comments regarding the overall assessment of the contractor’s performance in each of the three areas of consideration in the gray boxes for the identified contract. Any additional information, which your organization deems relevant or important, will be welcomed by our evaluation team. If a question on the questionnaire is not applicable, please so indicate. It is important that your information be as factual, accurate, and complete as possible to preclude the need for follow-up by the evaluators.

3. Upon completion of this questionnaire, please forward by electronic mail to Roxanne

Dunn at roxanne.L.dunn.civ@mail.mil.

4. Please complete and submit the questionnaire by July 14, 2017. Thank you in advance for your assistance.

Dawn M. VanHulle

Procurement Contracting Officer

DEPARTMENT OF THE ARMY

UNITED STATES ARMY CONTRACTING COMMAND-WARREN

6501 EAST 11 MILE ROAD

WARREN, MICHIGAN 48397-5000

June 15, 2017 mailto:roxanne.L.dunn.civ@mail.mil

Once Filled In, this document is considered

Source Selection Information – See FAR 2.101 and FAR 3.104

Past Performance Assessment Questionnaire

Please provide your candid response to the following questions. If you do not have the appropriate knowledge with the company in question, please forward this questionnaire to the person who does. Upon completion of this questionnaire, please forward it by electronic e-mail to Roxanne Dunn at roxanne.L.dunn.civ@mail.mil by July 14, 2017. Thank you for your assistance.

PART I - IDENTIFICATION (To be completed by the Offeror)

A. RELEVANT CONTRACT

Prime Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract/Task Order Number:

Contract Award Date:

Contract Period of Performance End Date:

Forecasted or Actual Contract Completion:

B. OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

E-mail Address:

mailto:roxanne.L.dunn.civ@mail.mil

PART II - EVALUATION (To be completed by Point of Contact – Respondent)

RATING SCALE & DEFINITIONS

Table 1 identifies the rating scale and descriptions. Please apply the rating that most closely matches your assessment for each area of consideration listed below. Please include a written narrative for each rating applied, utilizing the adjectival rating definition in Table 1.

Table 1

1. Quality of Exhibit Design:

Assess the quality and workmanship of the contractor’s museum exhibit design (e.g., {insert any specific things you want to consider when they provide the rating here).

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

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/or if other factors beyond the control and without the fault or negligence of the contractor played a predominant role.

2. Project Schedule:

Assess the timeliness of contractor performance (e.g. design reviews, etc) and completion of the overall project. This assessment of the contractor’s adherence to the required performance schedule should include the contractor’s efforts that contributed, negatively or positively, to the project schedule.

Satisfactory

Marginal

Unsatisfactory

3. Management / Business Relations:

Assess the efforts of contractor’s management and business relations during the performance of the effort. (i.e. timely identification of deficiencies, effective and timely corrective action plans, ability to provide sufficient contractor staffing, etc.)

Satisfactory

Marginal

Unsatisfactory

4. General Comments.

Any additional information, which your organization deems relevant or important, will be welcome by our evaluation team. Please provide any other relevant or important performance information.

PART III - RESPONDENT IDENTIFICATION

Please provide a point of contact who compiled or completed this questionnaire and who, if needed, may be contacted by our evaluation team regarding the information provided in this questionnaire.

Organization:

Name:

Title:

Date:

Telephone Number:

E-mail Address: