Attachment_3(a)_ETSC_Past_Performance_Self-Assessment_Questionnaire.pdf

W900KK-17-R-0026 Enterprise Training Services Contract (ETSC) Attachment 3(a)

SOURCE SELECTION SENSITIVE INFORMATION – PROTECT IAW FAR 2.101 & 3.104

PAST PERFORMANCE SELF-ASSESSMENT (PPSA)

This PPSA shall include three detailed and relevant performance examples from the Offeror and one detailed and relevant example from each major subcontractor conducted within the last three years. The Offeror shall use one PPSA for each performance example identified. Section L.5 of the Solicitation should be read in its entirety before completing these PPSAs.

Instructions and samples are provided to assist the Offeror in completing this PPSA and to understand the information requested. The instructions are for formatting information only and are not intended to represent any factual information related to the ETSC. Any relation to actual entities, locations, organizations, contracts, nations, or places is merely coincidental.

In the event that any changes in corporate identity have occurred for the submitting firm (Prime or subcontractor) from the date of past performance to the date of completion of this PPSA, then the applicable questions shall be answered with both the current (first) and prior (labeled as “previously” and listed second) information (e.g. name of the company, CAGE Code, DUNS Number, address, point of contact). If the Offeror is proposing on behalf of a division or subsidiary of a larger entity, then the name of that division or subsidiary shall be provided. Claiming experience and credit for performance examples conducted by another division or subsidiary of the company, other than the one under which the Offeror performed, will be considered a misrepresentation of facts which may result in the PCO’s disqualification of the Offeror’s proposal for non-compliance.

In the event of a conflict in information requirements, the guidance in Section L.5 of the ETSC Solicitation takes precedence.

This PPSA is completed by the Offeror and provided as part of the ETSC Past Performance Volume.

CONTENTS:

Instructions for PPSA

PPSA

DRAFT

INSTRUCTIONS FOR

1. Contractor/Company Name/Division:

- Identify the name of the commercial entity that performed the work associated with this PPSA submission.

- SAMPLE OF DESIRED SUBMISSION: Alpha Bravo Charlie (ABC) Corporation, Delta Echo Foxtrot (DEF) division, also known as Golf Hotel India (GHI), Inc. Prior to 1/1/2016, the division was known as Juliet Kilo Lima (JKL), LLC at the same address.

2. CAGE Code:

- The Commercial and Government Entity (CAGE) Code for the firm (and the CAGE Code and effective dates for its prior name/structure if applicable).

3. DUNS Number:

- The nine digit Data Universal Numbering System (also known as the Dun and Bradstreet Number) for the firm (and the DUNS Number and effective dates for its prior name/structure if applicable).

4. Address:

- The complete and official mailing address of the commercial entity that performed the work. In the event that this mailing address is not sufficient to reach the point of contact submitting the proposal information, then it should also provide subsequent information to reach the point of contact.

5. Contract Name:

- The full name of the prior contract being identified to include any acronyms.

6. Contract Number:

- The contract number of the basic contract under which the performance occurred.

7. Delivery Order/Task Order (DO/TO) Number (if applicable):

- The Delivery Order/Task Order Number under which the performance occurred.

8. Subcontract Information (if applicable):

- For past performance involving subcontracted activities, provide the necessary information to identify the subcontract.

9. Subcontractor Verification Information:

- If a subcontractor, provide the contact information (name, current address, email, telephone number) of either a Government representative capable of discussing the past performance example as a subcontractor (if known) or a prime contractor representative (if not known).

- The Government is requesting this information to allow verification that past performance occurred under a given contract and to secure contact information for a

Government representative who is able to verify the subcontractor performance if and when necessary.

- The Government will not request any prime contractor to assess the performance of any subcontractor.

- SAMPLE OF DESIRED SUBMISSION: Mike Nancy Oscar (MNO) Corp., ATTN: Guy Overseer, 12345 North 331st St, Bigcity, FL 98765-4321. Email:

guy.overseer@mno.com. Phone: 123-456-7890.

10. Contract Award Date:

- The date that the base contract or DO/TO being referenced was awarded by the Government.

- SAMPLE OF DESIRED SUBMISSION: 1/24/2016

11. Place of Performance:

- The geographical location (street address if possible) where the majority of the labor was expended in support of the contract.

- SAMPLE OF DESIRED SUBMISSION: Work was divided among five sites, with three of them covering 90% of the work as follows: A foreign nation run training facility (Nonexistent National Park, Nontown, North Africa); Our corporate headquarters (ABC Corp, 123 Any Street, Corptown, DM, 12345-6789), and a drilling rig in the middle of the Atlantic Ocean (Drilling platform 204B, c/o Owning Corp, 321 Elsewhere Pl, Nowheresville, LA 54321-8765).

12. Contract Type:

- Identify the type of contract – whether Fixed Price (FP), Cost Reimbursable (CR), Time and Materials (T&M), or Other. If Other, then specify the type.

- SAMPLE OF DESIRED SUBMISSION: Other: Cost Plus Award Fee (CPAF)

13. Period of Performance (PoP) for the Work Performed:

- Identify the start and end date of the work being cited. The PoP for the Work Performed does not necessarily coincide with the Contract Award Date in #10 above.

- SAMPLE OF DESIRED SUBMISSION: 1/4/2015-7/31/2016.

14. Awarded Price and Labor Price:

- Both the total price and the labor only price at the time of award should be furnished.

The price data provided should refer ONLY to the specific scope cited under #5 through #13 above. [Note: Blanks are provided in the template to allow Offerors to fill in the two numbers.]

- SAMPLE OF DESIRED SUBMISSION: Price: $4.85M including $3.43M in total labor costs.

15. Final or Projected Price and Labor Only Price:

- Both the total price and the labor price at the time of completion (whether actual or projected) should be furnished. The price data provided should refer ONLY to the specific scope cited under #5 through #13 above. If there is no change between the awarded price and the final, then the Offeror shall state “No change, reference #14 above.” If there is a change between awarded and final figures, Offerors shall identify the reason for the difference in subsequent parts of this PPSA. [Note: Blanks are provided in the template to allow Offerors to fill in the two numbers.]

- SAMPLE OF DESIRED SUBMISSION: Price: $8.21M including $3.43M in total labor costs. The Government worked with our firm to execute a modification to the contract that expanded our activities to include work and a major procurement of computer hardware for a new installation in the Nonexistent National Park, Notown, North Africa.

The modification increased our procurement line but did not affect our total labor line as shown.

16. ETSC Base PWS Relevant Past Performance Price:

- Provide the amount (in dollars) that was awarded to your company pertaining to the relevant work of the ETSC Base PWS (do not include the value for the equipment/materials/supplies). Identify only the labor elements of the cited work that is relevant to the ETSC.

- SAMPLE OF DESIRED SUBMISSION: $2.23M.

17. Price Allocation to Subcontractors:

- Identify how much of the labor dollars were allocated as pass-through to subcontractors. If there is further explanation required, Offerors may use subsequent parts of this PPSA to clarify.

- SAMPLE OF DESIRED SUBMISSION: $420K.

18. Detailed Description of Specified Work:

- Provide a detailed description of your company’s specific work performed under this contractual effort (limit response to 100 words or less).

- Include an overview of the actual work performed. If the performance example was conducted under a Joint Venture or Mentor-Protégé arrangement, then the Offeror should only specifically address the work that its company, as a partner, performed. The description should discuss specifically the ETSC related performance.

- SAMPLE OF DESIRED SUBMISSION: The overall contract involved support of training missions to prepare local residents to survive harsh seasonal climates;

however, the Notown, North Africa elements were highly related to ETSC as they required us to create a training center in a remote area of North Africa and to train the North African National Militia in joint operations with U.S. Forces. Training centered on shared Tactics, Techniques and Procedures to overcome the heavily wooded desert terrain of North Africa and support the stilt-walking troop operations in support of joint C4ISR tasks executed by The U.S. Nonexistent Joint Combatant Command

(USNONCOM).

19. ETSC Mission Relationship to Overall Work:

- Was this ETSC related work an effort within a contract focused on delivery of a different mission type/equipment/materials/supplies (Yes or No)?

- If Yes, Identify the portion of the past performance related specifically to the ETSC related work, deleting any costs for equipment, materials, supplies, and other costs outside of actual labor costs.

- SAMPLE OF DESIRED SUBMISSION: $1.41M

20. Identification of Offeror’s Representative:

- The complete and official mailing address, telephone number, and email address of the Offeror’s representative who completed and finalized the responses to the PPSA.

This information will be used in the event questions need to be asked regarding the PPSA content or readability.

- SAMPLE OF DESIRED SUBMISSION: ABC Corp, ATTN: Alpha Rho, X-ray Division, 456 Other Road, Towncorp, DM, 54321-9876. Phone: 456-789-0123. Cell: 456-789- 3210. Email: Alpharho@xdivABC.com.

21. Government Contracting Activity Contact Information:

- Identify Government contracting activity, current address, name of cognizant PCO, title, email address, and telephone number:

- Identify the full contact information of the Procuring Contracting Officer (PCO) with knowledge of the contract/TO/DO/subcontract and work cited.

22. Government Product Manager Contact Information:

- Provide current contact information for the cognizant Government Product Manager (or equivalent) (name, title, agency, email address, and telephone numbers).

- Identify the Government representative with the most substantial knowledge of the actual tasks and quality of work performed during execution. In the event that the Government Product Manager is not available, then a knowledgeable/cognizant COR, Project Director, Technical Lead, Project Manager, Engineer, or other party may be substituted so long as they can verify the performance and quality of the work performed.

23. Government Contract Administration Contact Information:

- Provide Government contract administration activity and the Administrative Contracting Officer’s (ACO) name, title, agency, email address, and telephone numbers:

- If the contract was managed by a separate contracting activity, OR if the contract had an Administrative Contracting Officer (ACO) who was different from the Procuring Contracting Officer (PCO), then full contact information for this organization and/or ACO is requested. If not applicable, then state why not.

- SAMPLE OF DESIRED SUBMISSION: US Army Imaginary Contracting Agency, ATTN: DAAR-NICA-P, Paying Party (Administrative Contracting Officer), Bldg ZZ, Fort Base, EM 45678-3210. Phone: 456-789-9876. Email: Paying.Party343@mail.mil.

24. Self-Rating of Performance:

The following rating structure is offered to simplify the Offeror’s evaluation of the self-rating questions numbered 24-1 through 24-7:

Outstanding Good Acceptable Marginal Unacceptable

Outstanding: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

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

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

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

Responses shall use the rating structure above:

24-1. Self-Rating of Compliance of Services and Related Deliverables to Customer Requirements and Standards of Good Workmanship.

- Self-rating of the performance and delivery of the actual services and related, ancillary products that were required under the cited performance example. Identify compliance with standards, to include explaining any failures to meet these standards. Highlight any instances where the standards were exceeded. (Check appropriate block.)

24-2. Self-Rating of Effectiveness of Project Management (To Include Use, Efficiency and Management of Subcontractors).

- Identify the Offeror’s ability, based on the cited performance example, to execute project management on an effort similar in scope to the ETSC base PWS. The term project management may cover the Offeror’s internal efforts, management of subcontractors, management of narrow or broad scopes, or other operations. (Check appropriate block.)

24-3. Self-rating of Timeliness of Performance for Services and Product Deliverables.

- Identify how the Offeror handled timeliness of deliveries, addressed any adverse circumstances that impacted delivery schedules, and worked with the customer to provide timely deliveries. (Check appropriate block.)

24-4. Self-rating of Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question and T&M and Cost Reimbursement Type Contracts Only).

- Identify how effective the Offeror’s forecasts and estimates for costs were found to be as compared to the actuals. Comments space is sufficient to explain the reasons for any differences. (Check appropriate block.)

24-5. Self-rating of Commitment to Customer Satisfaction and Priorities.

- Identify how the firm addressed customer priorities and customer satisfaction. What efforts were undertaken, what procedures were adjusted, what new processes were created, or any other explanation of efforts to address customer satisfaction and priorities should be explored here. (Check appropriate block.)

24-6. Self-rating of How Did You Handle any Issues Related to Cost/Schedule or Performance?

- Cost, schedule, and performance are often seen as trade-offs that must be balanced to best suit an individual situation. This question seeks to learn how these balances were managed during execution of the prior work.

24-7. Self-rating General Comments. Provide any Other Relevant Performance Information.

- Explain in detail any issues, experiences, and concerns, or to add information above and beyond the questions that the Offeror considers important to be understood by the ETSC evaluation team.

**END OF INSTRUCTIONS**

(To be completed and submitted as specified in ETSC Solicitation L.5.1 and the instructions above)

The Offeror shall complete the PPSA in accordance with the instructions provided. The instructions should be removed prior to the submission of the completed PPSAs to the Government.

1. Contractor/Company Name/Division:

2. CAGE Code:

3. DUNS Number:

4. Address:

5. Contract Name:

6. Contract Number:

7. Delivery Order/Task Order Number (if applicable):

8. Subcontract Information (if applicable):

9. Subcontractor Verification Information:

10. Contract Award Date:

11. Place of Performance:

12. Contract Type: ___ FP; ___ CR; ___ T&M; ____ Other (specify)

13. Period of Performance (PoP) for the Work Performed:

14. Awarded Price and Labor Price: $_________ Total; $_______ Labor

15. Final or Projected Price and Labor Only Price: $_______ Total; $______ Labor

16. ETSC Base PWS Relevant Past Performance Price: $______ Labor

17. Price Allocation to Subcontractors: $______

18. Detailed Description of Specified Work (limit response to 100 words or less):

19. ETSC Mission Relationship to Overall Work: Was ETSC related work an effort within a contract with a different mission? ____ Yes; _____ No If Yes, provide the dollar value of the training itself, minus equipment, materials and supplies:

20. Identification of Offeror’s Representative:

21. Government Contracting Activity Contact Information:

22. Government Product Manager Contact Information:

23. Government Contract Administration Contact Information:

24. Self-Rating of Performance:

24-1. COMPLIANCE OF SERVICES AND RELATED DELIVERABLES TO

CUSTOMER REQUIREMENTS AND STANDARDS OF GOOD WORKMANSHIP.

Acceptable Marginal Unacceptable

(Explanation must be provided in Comments field below)

Comments (limit response to 200 words or less):

24-2. EFFECTIVENESS OF PROJECT MANAGEMENT (TO INCLUDE USE,

EFFICIENCY AND MANAGEMENT OF SUBCONTRACTORS).

Acceptable Marginal Unacceptable

24-3. TIMELINESS OF PERFORMANCE FOR SERVICES AND PRODUCT

DELIVERABLES.

Acceptable Marginal Unacceptable

24-4. EFFECTIVENESS IN FORECASTING AND CONTROLLING ESTIMATED

COSTS (Answer for T&M and Cost Reimbursement Type Examples Only).

Acceptable Marginal Unacceptable

24-5. COMMITMENT TO CUSTOMER SATISFACTION AND PRIORITIES.

Acceptable Marginal Unacceptable

24-6. HOW DID YOU HANDLE ANY ISSUES RELATED TO COST/SCHEDULE OR

PERFORMANCE?

24-7. GENERAL COMMENTS. PROVIDE ANY OTHER RELEVANT

PERFORMANCE INFORMATION.

Comments (limit response to 300 words or less):