Attachment_3(a)_ETSC_Past_Performance_Survey_DRAFT.DOCX

W900KK-16-R-0026 Enterprise Training Services Contract (ETSC) Attachment XX

PAST PERFORMANCE SURVEY

INSTRUCTIONS - Instructions and Samples are provided to assist the Offeror in filling out this Survey and to understand what is being 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 of a conflict in information requirements, the guidance in Section L.5 of the ETSC Solicitation takes precedence.

Section 1 of this Survey is completed by the Offeror and provided as part of the Past Performance Volume.

Section 2 of this Survey shall be furnished by the Offeror to the cognizant Government Product Manager and Procuring Contracting Officer (PCO) (name, title, agency, email address, and telephone number). Note: If unavailable, then the cognizant Contracting Officer’s Representative (COR) or Technical Lead may be substituted:

All contact information identified for Government personnel shall be CURRENT and VALIDATED to allow direct contact by the ETSC evaluation team.

CONTENTS:

SECTION 1

INSTRUCTIONS FOR OFFEROR SELF EVALUATION QUESTIONNAIRE

PART A INSTRUCTIONS - CONTRACT IDENTIFICATION

1. Contractor/Company Name/Division:

- Identify the name of the commercial entity that performed the work associated with the performance example. Identify any changes in corporate identity from the date of performance to this proposal. 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 also be provided.

- 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 cognizant contractor’s firm. 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 known.

6. Contract Number:

- The contract number of the basic contract under which the performance occurred should be called out in this section to verify the number.

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

- Since nomenclatures vary across Government agencies, the Delivery Order/Task Order Number should be called out in this section to verify the number.

8. Subcontract Number (if applicable):

- For past performance involving subcontracted activities, the identification of the subcontract number should be provided, understanding that nomenclatures vary across Government agencies.

9. If a subcontractor, provide the name of prime contractor and point of contact within the prime contractor (name, current address, email, telephone number):

- For past performance involving activities where the Offeror performed work as a subcontractor under the direction of a prime contractor, the contact information for a cognizant representative at the prime contractor’s firm should be provided to enable review of past performance from the oversight or managing firm’s perspective.

- 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 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 Dated asked in #10 above.

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

14. Awarded price/cost and labor only price/cost:

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

- Both the total price and the labor price at the time of completion (whether actual or projected) should be furnished. The cost/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/cost and the final, then the Offeror shall state “No change, reference #14 above.” If there is a change between awarded and final figures, Offerors are recommended to identify the reason for the difference in subsequent parts of this Questionnaire. [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. 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. How much of the amount in question 16 went to subcontractors (in dollars)?

- 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 Questionnaire to clarify.

- SAMPLE OF DESIRED SUBMISSION: $420K.

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

- An overview of the actual work 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. Was this training tied to a delivery of equipment/materials/supplies (Yes or No)? If Yes, provide the dollar value of the training itself, minus equipment, materials and supplies:

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

- SAMPLE OF DESIRED SUBMISSION: $1.41M

PART B INSTRUCTIONS - IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Cognizant Offeror Representative’s Name, Title, Address, Telephone Number, Email Address:

- The complete and official mailing address, telephone number, and email address of the Offeror’s representative who completed and finalized the responses to Section 1 of the survey. This information will be used in the event questions need to be asked regarding the survey 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.

PART C INSTRUCTIONS - IDENTIFICATION OF COGNIZANT GOVERNMENT REPRESENTATIVES

1. 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.

2. 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.

3. 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.

PART D INSTRUCTIONS - PAST PERFORMANCE QUESTIONNAIRE

The following rating structure is offered to simplify the Offeror’s evaluation of the self-assessment related questions:

· 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.

Sample responses shall use the rating structure above:

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

- Self-assessment 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.)

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.)

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.)

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.)

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.)

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.

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 SURVEY INSTRUCTIONS**

SECTION 1

OFFEROR SELF EVALUATION QUESTIONNAIRE

(To be completed by Offeror and submitted with the Past Performance Volume)

The Offeror shall complete Section 1 in accordance with the instructions provided. The instructions should be removed prior to the submission of the completed Surveys to the Government.

SECTION 1, PART A. CONTRACT IDENTIFICATION

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 Number (if applicable):

9. If a subcontractor, also provide name of prime contractor and point of contact within the prime contractor (name, current address, email, telephone):

10. Contract Award Date:

11. Place of Performance:

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

13. Period of Performance for the Work Performed:

14. Awarded price/cost and labor only price/cost: $_________ Total; $_______ Labor

15. Final or projected price/cost and labor only price/cost: $_______ Total; $______ Labor

16. 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).

17. How much of the amount in question 16 went to subcontractors (in dollars)?

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

19. Was this training tied to a delivery of equipment/materials/supplies? ____ Yes; _____ No If Yes, provide the dollar value of the training itself, minus equipment, materials and supplies:

SECTION 1, PART B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

SECTION 1, PART C. IDENTIFICATION OF COGNIZANT GOVERNMENT REPRESENTATIVES

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

2. Current contact information for the cognizant Government Project Director (name, title, agency, email address, and telephone number). Note: If unavailable, then the cognizant Contracting Officer’s Representative or Technical Lead may be substituted:

3. Government contract administration activity and the Administrative Contracting Officer’s (ACO) name, title, agency, email address, and telephone number:

SECTION 1, PART D. SELF-RATING OF PERFORMANCE

1. COMPLIANCE OF SERVICES AND RELATED DELIVERABLES TO CUSTOMER REQUIREMENTS AND STANDARDS OF GOOD WORKMANSHIP.

· Outstanding

· Good

· Acceptable

· Marginal

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

Comments (limit response to 200 words or less):

2. EFFECTIVENESS OF PROJECT MANAGEMENT (TO INCLUDE USE, EFFICIENCY AND MANAGEMENT OF SUBCONTRACTORS).

· Acceptable

· Marginal

· Unacceptable

3. TIMELINESS OF PERFORMANCE FOR SERVICES AND PRODUCT DELIVERABLES.

· Acceptable

· Marginal

· Unacceptable

4. EFFECTIVENESS IN FORECASTING AND CONTROLLING ESTIMATED COSTS (Answer for T&M and Cost Reimbursement Type Examples Only).

· Acceptable

· Marginal

· Unacceptable

5. COMMITMENT TO CUSTOMER SATISFACTION AND PRIORITIES.

· Acceptable

· Marginal

· Unacceptable

6. HOW DID YOU HANDLE ANY ISSUES RELATED TO COST/SCHEDULE OR PERFORMANCE?

7. GENERAL COMMENTS. PROVIDE ANY OTHER RELEVANT PERFORMANCE INFORMATION.

Comments (limit response to 300 words or less):

SECTION 2

COGNIZANT GOVERNMENT OFFICIAL QUESTIONNAIRE

SECTION 2 INSTRUCTIONS

For the purpose of this Survey, the following instruction pertains to Section 2, Part A only, as this is the only Part in this Section that requires completion by the Offeror. The Offeror shall follow the instructions under ETSC Solicitation Section L.5.2 and related subsections for more detailed submission instructions.

PART A INSTRUCTIONS

Part A is completed by the Offeror and includes the pertinent data necessary for the identified cognizant Government representative to recall the relevant performance related information. Part A also provides the Offeror representative’s contact information in case clarification is required regarding the Offeror’s instructions.

- 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.

PART B INSTRUCTIONS

Part B is completed by the individual Cognizant Government Representatives as selected by the Offeror and identified in Part A. Part B will be sent to the Army Contracting Command points of contact identified on the last page of the Part B Survey via email independently of the proposal package.

SECTION 2

COGNIZANT GOVERNMENT OFFICIAL QUESTIONNAIRE

SECTION 2, PART A (To be completed by the Offeror and reviewed by the cognizant Government official)

ENTERPRISE TRAINING SERVICES CONTRACT (ETSC) PERFORMANCE SURVEY

DATE OF REQUEST:

CONTRACTOR NAME:

CONTRACT NAME:

CONTRACT NUMBER:

DO/TO or SUBCONTRACT NUMBER:

OFFEROR’S REPRESENTATIVE

To the Government representative:

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). Please include this page in your reply.

SECTION 2, PART B - COGNIZANT GOVERNMENT OFFICIAL EVALUATION

(To be completed by the Cognizant Government Representative for the Past Performance Contract Cited)

For the purpose of this questionnaire, please utilize the following rating structure to simplify response and evaluation:

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.

1. COMPLIANCE OF SERVICES AND RELATED DELIVERABLES TO CUSTOMER REQUIREMENTS AND STANDARDS OF GOOD WORKMANSHIP:

· Acceptable

· Marginal

· Unacceptable

Comments:

2. EFFECTIVENESS OF PROJECT MANAGEMENT (TO INCLUDE USE, EFFICIENCY, AND MANAGEMENT OF SUBCONTRACTORS):

· Acceptable

· Marginal

· Unacceptable

3. TIMELINESS OF PERFORMANCE FOR SERVICES AND PRODUCT DELIVERABLES:

· Acceptable

· Marginal

· Unacceptable

4. EFFECTIVENESS IN FORECASTING AND CONTROLLING ESTIMATED COSTS (USE THIS QUESTION ON T&M AND COST REIMBURSEMENT TYPE CONTRACTS ONLY):

· Acceptable

· Marginal

· Unacceptable

5. COMMITMENT TO CUSTOMER SATISFACTION AND PRIORITIES:

· Acceptable

· Marginal

· Unacceptable

6. HOW DID THE CONTRACTOR HANDLE ISSUES RELATED TO COST/SCHEDULE OR PERFORMANCE?

7. GENERAL COMMENTS. PROVIDE ANY OTHER RELEVANT PERFORMANCE INFORMATION:

8. OTHER INFORMATION SOURCES. PLEASE PROVIDE THE FOLLOWING INFORMATION:

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 and any information you wish to provide regarding the relevancy:

9. RESPONDENT IDENTIFICATION. PLEASE PROVIDE THE FOLLOWING INFORMATION:

Organization:

Name:

Title:

Role on Contract: ___ Product Manager; ___ PCO; ___ COR; ___ Other (please specify) Telephone Number Address:

Email Address:

(Digital signature preferred)

Upon completion, please email this completed questionnaire to:

Primary Matt Sanders, Contract Specialist Army Contracting Command - Orlando

W900KK-16-R-0026

12211 Science Drive Orlando, FL 32826-3224 Telephone number: 407-208-3327 Email: matthew.b.sanders22.civ@mail.mil

Alternate Michelle Burrell, Procurement Contracting Officer Army Contracting Command - Orlando

W900KK-16-R-0026

12211 Science Drive Orlando, FL 32826-3224 Telephone number: 407-384-3544 Email: michelle.r.burrell.civ@mail.mil

SOURCE SELECTION SENSITIVE INFORMATION – PROTECT IAW FAR 2.101 & 3.104