Attachment_0002_-_Past_Performance_Questionnaire_DRAFT.docx

DEPARTMENT OF THE ARMY

UNITED STATES ARMY CONTRACTING COMMAND-WARREN

6501 EAST 11 MILE ROAD

WARREN, MICHIGAN 48397-5000

SUBJECT: Solicitation W56HZV-19-R-0067, M16A4 Rifle program, 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.

Offerors interested in proposing 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 Section L 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. Please provide your comments regarding the overall assessment of the contractor’s performance in each of the areas of consideration for the identified contract. 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. It is important that your information be as factual, accurate, and complete as possible to preclude that the need for follow-up by the evaluators.

Upon completion of this questionnaire, please forward it either (1) by electronic mail to: Add POC email or (2) return it directly to the Government at the following address:

Solicitation Number: W56HZV-19-R-0067 Terrie D. Legette Contract Specialist Mail Stop 351

SELECTION INFORMATION

E-MAIL: W56HZV-19-R-0067

1. Contracting Officer’s Representative

Attachment 0002 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. Upon completion of this questionnaire, please forward by electronic email to Terrie D. Legette at Terrie D. Legette.civ@mail.mil. Thank you for your assistance.

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:

Contract Period of Performance End 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 & 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

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

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. 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.

3. Timeliness of Performance for Product Deliverables:

To what extent did the contractor adhere to delivery schedules per the contract requirement? 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.

4. Quality of producing Carbine series rifle IAW a Government TDP per contract requirements:

To what extent did the contractor’s quality process meet the contract requirements for testing and final inspection? 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. Performance for chrome/phosphate/anodize protective finishes

To what extent did the contractor have a thorough understanding of the application of protective chrome and phosphate finishes for a Carbine series rifle which satisfied local, state, and federal government requirements? 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:

6. 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:

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