Attachment_5_PastPerfQuestionnaire_NETCM_PGS_W900KK-17-R-0003_Atch.pdf

ATTACHMENT 5

W900KK-17-R-0003

Nuclear Effects Test Capability Modernization (NETCM) Prompt Gamma Simulator

(PGS)

Past Performance Questionnaire

PART I: Contract Information

Contractor:

Contract Number:

Title of Program:

Period of Performance:

Type of Contract:

PART II: Questions

1. Please describe the contractor's performance in meeting all contractual requirements including quality assurance in regards to the contract referenced above.

2. Did the contractor meet the schedule requirements of the contract referenced above? Would you award a new contract to this contractor where schedule is critical? Please explain answer.

3. Was the contractor efficient and effective in controlling and meeting cost requirements?

Please explain.

4. Throughout the contract and at completion of the contract was the contractor committed to customer satisfaction. Please explain.

5. Please provide an assessment of the contractor in terms of quality assurance, schedule, cost control, and customer satisfaction using the ratings below.

Qualitative Assessment Ratings

The ratings reflect the responder’s assessment of contractor past performance.

RATING DEFINITION AND CRITERIA

Very Low Risk Essentially no doubt exists, based on the Offeror’s performance and systemic improvement record, that the Offeror will successfully perform the required effort.

Low Risk Little doubt exists, based on the Offeror’s performance and systemic improvement record, that the Offeror will successfully perform the required effort.

Moderate Risk Some doubt exists, based on the Offeror’s performance and systemic improvement record, that the Offeror will successfully perform the required effort.

High Risk Significant doubt exists, based on the Offeror’s performance and systemic improvement record, that the Offeror will successfully perform the required effort.

Unknown Risk Little or no relevant performance record identifiable; equates to an unknown risk rating having no positive or negative evaluation significance.

Requirements/QA: Schedule:

Customer Satisfaction: Cost Control:

5. a. Did the contractor have sufficient manufacturing capability, floor space, tools, personnel, processes, and quality assurance activities in place to fulfill the execution of the contract referenced above? Did the manufactured items meet the contract/user quality and reliability requirements?

5. b. Did the contractor have sufficient management processes, technical expertise and personnel, risk management, and communication in place to fulfill the installation and integration efforts during the execution of the contract referenced above? Were the installation and integration efforts conducted in a quality manner? Were integration issues resolved quickly and forthwith? Did the contractor maintain open communication on status and issues?

5.c. Did the contractor meet or exceed the Small Business Participation Goals and/or the Small

Business Subcontracting Plan goals identified in the contract?

6. On a scale of 1 to 5 (where 1 is definitely would not and 5 is definitely would), would you hire this contractor again?

PART III: Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone:

Email Address:

Please return completed questionnaire to via e-mail to contracting personnel at usarmy.orlando.peo-stri.list.netcmpgs@mail.mil.

Thank you for your participation.