Attachment_3(c)_ETSC_CGR_Questionnaire_20160712.pdf

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

SOURCE SELECTION SENSITIVE INFORMATION – PROTECT IAW FAR 2.101 & 3.104

COGNIZANT GOVERNMENT REPRESENTATIVE (CGR) QUESTIONNAIRE (CGRQ)

Upon completion of the Past Performance Self-Assessment (PPSA) submissions, which included 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 CGRQs shall be completed to verify performance of the PPSA contract executions claimed. The Offeror shall complete a CGRQ for each PPSA submitted.

Section L.5 of the Solicitation should be read in its entirety before completing these CGRQs.

PART A INSTRUCTIONS

The Offeror shall complete only Part A of the CGRQs, which include the identification of CGRs. Notes may be included to explain the CGR’s relationship to the Offeror during the effort to assist in establishing communications with the CGR on the past performance. One hard copy of the CGRQ (with Part A completed and Part B left blank) shall be submitted with the proposal. The Offeror shall email the same CGRQ (with Part A completed and Part B left blank) to the CGR identified within each CGRQ.

- SAMPLE OF DESIRED SUBMISSION: ABC Corp, ATTN: Mr. 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

The Offeror shall request that each CGR electronically complete Part B of the CGRQ.

The Offeror shall request that the CGR e-mail the complete CGRQ to the Government points of contact specified at the end of the CGRQ not later than the 30th day after the Final RFP release date. Any CGRQ(s) received after the Government has begun Past Performance proposal evaluation will not be reviewed or considered. The Offeror shall advise the CGR that the completed CGRQ is to be considered source selection sensitive IAW FAR 3.104. Any CGRQ(s) submitted by other than the identified CGR specified in Part A of the CGRQ submitted by the Offeror in their proposal will not be considered.

DRAFT

COGNIZANT GOVERNMENT REPRESENTATIVE QUESTIONNAIRE

PART A (To be completed by the Offeror and reviewed by the Cognizant Government Representative)

Date of Request:

Contractor Name:

Contract Name:

Contract Number:

DO/TO or Subcontract Number:

Offeror’s Representative Name:

Title:

Telephone #:

Email:

Notes regarding CGRs relationship to Offeror during the effort (optional):

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.

PART B (To be completed by the Cognizant Government Representative for the PPSA 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:

Outstanding Good Acceptable Marginal Unacceptable

(Explanation must be provided in Comments field below)

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

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

Organization:

Name:

Title:

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

Email Address:

Signature of Cognizant Government Representative Date (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