Attachment_0019_PPQ.doc

DEPARTMENT OF THE ARMY

UNITED STATES ARMY CONTRACTING COMMAND-WARREN

6501 EAST 11 MILE ROAD

WARREN, MICHIGAN 48397-5000

xx Month 20xx Dear Sir or Madam:

The Army Contracting Command is acquiring Army Standard Family International Standard Organization (ASF ISO) Shelters to fulfill its mission. Requirements include the purchase of various quantities over a five year ordering period along with delivery of associated Contract Data Requirements List (CDRL) items.

The U.S. Army is conducting a past performance assessment in anticipation of a possible contract award. An Offeror interested in proposing on this work has identified you as a Point of Contact (POC) on a past or present contract which the Offeror deems relevant to this effort. We are, therefore, requesting your assistance in completing the attached Past Performance Questionnaire so that we may evaluate the Offeror in the area of past performance. The Questionnaire has been developed for ease of electronic completion. Please provide your comments regarding the overall assessment of the Offeror’s performance on the contract identified and any additional information that your organization deems relevant to our evaluation team. It is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators.

Please complete and submit the Questionnaire within 15 days of receipt via e-mail to.the Government at Jacob.a.silcox2.civ@mail.mil . If you have any questions relative to the enclosed Questionnaire, please contact me.

Thank you in advance for your assistance.

Sincerely, //signed//

(name of Contracting Officer)

Contracting Officer

Past Performance Questionnaire

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete 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 the completed Questionnaire via email to the Government at Jacob.a.silcox2.civ@mail.mil within 15 days after receipt. Thank you.

PART I. (To be completed by the Offeror)

1. Contract Number (and delivery/task order number if applicable);

2. Contract Type;

3. Total Value of the Contract (beginning & ending value);

4. Delivery or Performance Schedule;

5. Government or private industry contracting activity address, telephone number and e-mail;

6. Procuring Contracting Officers (PCO) and/or Contract Specialist's name, or point of contact for private industry entity responsible for signing or administering the contract, telephone number and e-mail;

7. Government (DCMA) or commercial administrative contracting officer (ACO), contracting officers representative (COR), performance certifier, and/or quality assurance representative (QAR), name, telephone number and email;

8. Specify the Government or Contractor Point of Contact(s) for which the Questionnaire sent, and provide the date(s) it was sent.

9. A description of past contract scope of work requirements and a discussion of the similarities between the cited contract scope to each of the statement of work requirements identified above in L.6.2.1 (b) that the Offeror believes is relevant. In its description, the Offeror should specify the location in the proposal (to include filename or document reference with page and paragraph of the past contract information) that substantiates the relevance;

10. Contract period of performance;

11. A description of work performed by the Offeror

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

To what extent was the contractor compliant relating to contract deliverables on an overall basis? Please check one answer and provide an explanation for your rating.

· Exceptional (Explanation must be provided in Comments field below)

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

· Not Applicable Comments:

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

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

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.

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

· Not Applicable

Comments:

To what extent did the contractor perform to the development of LMI data and Technical Publications? Please check one answer and provide an explanation for your rating.

· Exceptional (Explanation must be provided in Comments field below)

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

To what extent did the contractor exhibit the ability, knowledge, and skill to provide customer satisfaction.

· Exceptional (Explanation must be provided in Comments field below)

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

F. Overall Satisfaction

To what extent did the contractor demonstrate knowledge and ability to perform all requirements to meet the form, fit, and function of the contract.

· Exceptional (Explanation must be provided in Comments field below)

· Very Good

· Satsfactory

· Marginal

· Unsatifactory (Explanation must be provided in Comments field below)

· Too soon to tell

· Not Applicable

Comments:

Comments:

Are you aware of other relevant past efforts by this company?

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

Organization:

Name:

Title:

Date:

Telephone Number

Address:

Fax Number:

E-mail Address:

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer identified in the cover letter.

Thank you for your assistance.

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

B. Effectiveness of Project Management (to include use and control of subcontractors).

C. Timeliness of Performance for Product Deliverables, including the Administrative Aspects of Performance.

D. Compliance of Products, Documents, and Related Deliverables to pertaining to the development and production of Logistic Management Information (LMI) and Technical Publications.

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest.

F. Overall Satisfaction.

G. General Comments. Provide any other relevant performance information.

H. Other Information Sources. Please provide the following information:

I. Respondent Identification. Please provide the following information:

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Source Selection Information --See FAR 2.101 and 3.104