Revised_09_May_Exhibit_B_-_Past_Performance_Questionnaire_.doc

Exhibit B- Past Performance Questionnaire

SUBJECT: Past Performance Questionnaire for Solicitation W56HZV-19-R-0070

1. GENERAL INSTRUCTIONS:

This information, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 and shall not be disclosed to anyone outside the Government Source Selection Team.

Upon completion of this questionnaire, please forward by electronic mail to: lisa.m.koski.civ@mail.mil.

Officer’s Representative

2. DESCRIPTION OF THE CURRENT SOLICITATION:

The U.S. Army Contracting Command (ACC) in Warren, MI is requesting proposals under solicitation W56HZV-19-R-0070 for Corrosion Engineering Services.

3. Instructions on Completing Questionnaire:

Offerors interested in proposing on this effort have been requested to send the provided Past Performance Questionnaire to the appropriate 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. This questionnaire has been developed 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 to lisa.m.koski.civ@mail.mil as soon as possible, but no later than the Request for Proposal (RFP) closing date 20 May 2019.

Thank you in advance for your assistance in making this a Best Value Trade Off Procurement.

Past Performance Assessment 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 with the company in question, please forward this questionnaire to the person who does. Thank you for your assistance.

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

A. RELEVANT CONTRACT

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract/Task Order Number:

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:

Brief Description of the Relevant Contract Scope:

B. OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

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. Management and Business Relations

a. Assess the contractor’s performance in resolving Program Management, Engineering, Contract Management and Quality Assurance issues.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

b. Assess the contractor’s ability to manage and execute a Government contract.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

2. Timeliness Response:

a. Assess the contractor’s responsiveness to problems, issues or concerns.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor.

3. Schedule

a. Assess the contractor’s ability to meet contractual schedules.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. delays by the customer/end user, changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor (e.g. unusually severe weather or default of a subcontractor beyond the control of both the Contractor and subcontractor).

4. Technical Execution

a. Assess the contractor's performance in conducting and evaluating corrosion prevention and control technology.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. delays by the customer/end user, changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor (e.g. unusually severe weather or default of a subcontractor beyond the control of both the Contractor and subcontractor).

b. Assess the contractor's performance in support of military documentation, technical writing, and logistics products related to ground vehicle corrosion assessment.

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 (e.g. mostly attributable to contractor, evenly attributable to contractor and customer/end user, only some somewhat attributable to contractor) and your assessment of the extent to which customer/end user was at fault (e.g. delays by the customer/end user, changes to the specification requirements, unrealistic or ambiguous specification requirements, etc.) or other factors beyond the control and without the fault or negligence of the contractor (e.g. unusually severe weather or default of a subcontractor beyond the control of both the Contractor and subcontractor).

5. 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.

Comments:

PART III - RESPONDENT IDENTIFICATION

Please provide respondent point of contact information who compiled or completed Part II of 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:

Address:

Fax Number:

E-mail Address: