Attachment_1_-_Past_Performance_Questionnaire_Packet.docx

SAMPLE TRANSMITTAL LETTER

(Offeror should delete the instructions above before sending out Transmittal Letter)

Offeror Company Letterhead

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the MICC Fort Hood Contracting Office, Texas. In accordance with the Federal Acquisition Regulation (FAR), they will evaluate our firm’s past performance. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306(e)(4) prohibits the release of names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

Please email your completed questionnaire to the following to arrive NOT LATER THAN April 28, 2017. Do not return them to our company.

Email: sharon.v.jones.civ@mail.mil and delainena.m.martinez.civ@mail.mil.

The subject line should read Past Performance – W91151-17-R- 0004

If you have questions regarding the attached questionnaire, or require assistance, please contact Ms. Delainena Martinez via email at delainena.m.martinez.civ@mail.mil.

Thank-you for your assistance Signature and Title

PAST PERFORMANCE QUESTIONNAIRE:

1. The individual knowledgeable of the Contractor’s day-to-day operations and overall conditions of services being rendered should complete the survey. However, that individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.

2. Handwritten responses are acceptable. If response is handwritten, please print legibly.

3. The following qualitative descriptions shall be used as guidance in providing element ratings (assessments should reflect only contract liable performance).

PAST PERFORMANCE RATINGS

4. For any Marginal/Unsatisfactory rating, please provide explanatory narratives in the remarks block. These narratives need not be lengthy, just detailed. Space for narrative comments is included on the last page of the survey. If more space is needed, use the back of the survey or attach additional pages.

5. As this survey relates to an ongoing source selection for the services identified in the cover letter, request that all information provided within the survey be safeguarded against unauthorized disclosure. In accordance with Source Selection procedures, identify of persons providing past performance information will be kept confidential and is not releasable.

6. Your time and effort in providing this vital and important information is greatly appreciated.

Please email your completed questionnaire to the following email address:

The subject line should read Past Performance – W91151-17-R-0004

RESPONDENT IDENTIFICATION AND RATINGS

PART 1 – Project Information (Contractor submitting proposal fill-in)

Reference is provided for (Company Name):

Contract Number or Project Title:

Date of Award/Performance Period:

Location:

Dollar Amount:

Brief description of work and your role in the referenced contract:

PART 2 – Reference Company Information (Person providing information fill-in)

Reference Provided By:

Company/Agency:

Business Address:

Telephone Number:

Email Address:

Relationship to Contract:

If information in Part 1 is not accurate, please indicate

PART 3 – QUESTIONS

Please answer the following questions in accordance with the qualitative description specified in paragraph 3 above and on a YES/NO basis. When responding to the RATING type questions, choose the narrative option which most accurately describes the Contractor’s performance or situation. If the question is not applicable, circle “UC”. Any marginal or unsatisfactory rating should be supplemented with an explanatory narrative in the remarks block of this survey. The ratings correspond with the following qualitative values:

E Exceptional

VG

Very Good S Satisfactory

UC

Unknown M Marginal U Unsatisfactory

A. Customer Satisfaction

1. Rate the Contractor’s overall performance and level of customer satisfaction.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

2. The Contractor is flexible is satisfying the requirements of the customer.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

3. Contractor’s responsiveness/timeliness to settling customer complaints.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

4. Contractor displays positive behavior when resolving customer complaints

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

B. Quality of Service

1. The Contractor develops a quality control plan that adequately ensures conformance to contract requirements.

] E

] VG

] S

] UC

] M

] U

2. The Contractor performs quality inspections and documents findings to ensure repeat failures don’t occur.

3. The customer corrects errors through re- performance and puts policies in place to avoid reoccurrence.

4. A Cure Notice or Show Cause has been issued? (If yes, please explain in the comments section)

[ ] Yes [ ] No

C. Management Effectiveness

1. Contract management is experienced with technical and administrative abilities needed to meet contractual requirements.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

2. Supervisors and staff meet technical qualifications and have experience necessary to meet contract requirements.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

3. The Contractor develops quality business relationships with customers.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

4. Staffing is adequate to meet contract requirements.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

5. Contractor complies with the requirements of the statement of work, resulting in low incidences of deficiencies.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

D. Timeliness of Performance

1. The Contractor is in compliance with contract requirements regarding time sensitive tasks.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

2. The Contractor ensures customer satisfaction through efficient services.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

3. The Contractor submits accurate reports in a timely manner.

[ ] E

[ ] VG

[ ] S

[ ] UC

[ ] M

[ ] U

E. Remarks:

Your Name:

Date: ___________

Contractor Name for Identification: