Past_Performance_Questionnaire-Attachment_2.doc

Department of the Army

U.S. ARMY CONTRACTING COMMAND - ABERDEEN PROVING GROUND

6001 COMBAT DRIVE

ABERDEEN PROVING GROUND, MD 21005-1846

REPLY TO

ATTENTION OF

CCAP-SCG

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) Number # W56ZTN-18-R-0006 Dear Sir/Ma’am;

The US Army Contracting Command – Aberdeen Proving Ground (ACC-APG), Tenant Division, Facilities Branch is currently conducting a competitive source selection to evaluate offerors on the subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on same or similar federal, state or local government or commercial contracts as compared to North American Industry Classification System (NAICS) Code 562111 (solid waste/refuse and recycling/trash). You have been identified as a point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return electronically to: Ms. Bernadette L. Farnan at bernadette.l.farnan.civ@mail.mil or Mr. Lane M. Gary, Contracting Officer, lane.m.gary.civ@mail.mil.

Your cooperation is greatly appreciated. Questions may be directed to POC or the undersigned.

Sincerely, //LMG//

Lane M. Gary Contracting Officer

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

Contractor:

Contract No.:

Subcontract No. (if applicable):

POC:

Title: _________________________________

(Name)

(E.G. PCO/ACO/TM)

(Agency, Telephone No., E-mail Address & Fax Number) The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

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

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Telephone Number:

Address:

Email Address:

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

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

Unacceptable (Explanation must be provided in Comments field below) Comments:

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

Acceptable

Unacceptable (Explanation must be provided in Comments field below) Comments:

C. Timeliness of Performance for Services and Product Deliverables.

Acceptable

Unacceptable (Explanation must be provided in Comments field below) Comments:

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only.)

Acceptable

Unacceptable (Explanation must be provided in Comments field below) Comments:

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

Acceptable

Unacceptable (Explanation must be provided in Comments field below) F. General Comments. Provide any other relevant performance information.

Comments:

G. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Telephone:

Email 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.

Signature

Date

Typed or Printed Name: