9_-__Industry_Past_Performance_Questionnaire.pdf

Directorate of Contracting

SUBJECT: Solicitation W911KF-16-R-0276, Past Performance Questionnaire

1. GENERAL INSTRUCTIONS:

This information, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 and shall not be disclosed to anyone outside the Government Source Selection Team.

Upon completion of this questionnaire, please forward it either (1) by electronic mail to:

heather.p.robinson.civ@mail.mil or (2) return it directly to the Government at the following address:

OUTSIDE ENVELOPE:

United States Army Contracting Command– Warren (ANAD) 7 Frankford Ave, Bldg 35 Anniston, AL 36201-4199

Exclusively for:

Heather P. Robinson Contract Specialist

INNER ENVELOPE:

RFP W911KF-16-R-0276

DEPARTMENT OF THE ARMY

UNITED STATES ARMY CONTRACTING COMMAND –

WARREN (ANAD)

7 Frankford Ave, Bldg 35 Anniston, AL 36201-4199

25 March 2014

PAST PERFORMANCE SOURCE SELECTION INFORMATION

E-MAIL: W911KF-16-R-0276

2. Contracting Officer’s Representative

2. DESCRIPTION OF THE CURRENT SOLICITATION:

The solicitation for the Technical, Engineering, Program Management and Integration Services. The successful offeror must be able to manage Technical, Engineering, Program Management and Integration Services support, as evidenced by past performance in three major types of contract efforts listed in Section L.5.1 of the solicitation:

i. Develop a military engineering change proposal (ECP)/modification instructions for military combat systems.

ii. Complete a validation/verification for military fielded equipment.

iii. Complete a verified National Maintenance Work Requirement (NMWR).

3. Instructions on Completing Questionnaire:

Offerors interested in proposing on this effort have been requested to send the provided Past Performance Questionnaire to the appropriate point(s) of contact on past and present contracts, which the offeror deems relevant to this effort as defined in the description above. In this regard, the United States Army is conducting a past performance assessment in anticipation of a possible contract award.

We are requesting your assistance in completing this questionnaire so that we may evaluate the offerors in the area of past performance. This questionnaire has been developed for ease of electronic completion. Please provide your comments regarding the overall assessment of the contractor’s performance on the contract identified. Any additional information, which your organization deems relevant or important, will be welcome by our evaluation team. If a question on the questionnaire is not applicable, please so indicate.

SUSPENSE: Please complete and submit the questionnaire as soon as possible, but no later than the Request for Proposal (RFP) closing date (See Block #9 of the SF33 cover page to the solicitation.) Thank you in advance for your assistance in making this a Best Value Procurement.

Elizabeth H. Howard Contracting Officer

Performance Risk Assessment Questionnaire Please provide your candid response to the following questions. The information that you provide will be used in the awarding of a federal contract. Therefore it is important that your information be as factual and accurate as possible. If you do not have the appropriate knowledge of or experience with the company in question, please forward this questionnaire to the person who does. Please return to the Contract Specialist via e-mail at HEATHER.P.ROBINSON.civ@mail.mil no later than the Request for Proposal (RFP) closing date (See Block #9 of the SF33 cover page to the solicitation.) Thank you.

PART I. (To be Completed by the Offeror)

A. CONTRACT IDENTIFICATION

• Contractor/Company Name/Division:

• Address:

• Program Identification/Title:

• Contract Number:

• Prime Contractor Name (if different from the contractor name cited above):

• Contract Award Date:

• Forecasted or Actual Contract Completion:

B. OFFEROR’S POINT OF CONTACT FOR RESPONDENT QUESTIONS

• Name:

• Title:

• Telephone Number:

• Address:

• E-mail Address:

• Date Questionnaire Sent to Respondent:

Rating Scale

In each of the following sections you will find questions where you are asked to rate some aspect of the past performance on a scale in the below ranges. If possible, PLEASE INCLUDE AN EXPLANATION FOR THE RATING. The criterion for each rating is described below:

• Excellent: Superior performance with inconsequential exceptions.

• Good: Outstanding performance with only rare exceptions, and the exceptions had minor consequences.

• Adequate: Generally satisfactory performance, but with occasional exceptions.

In most cases, exceptions had minor consequences.

• Marginal: Occasional unsatisfactory performance with significant consequences in some cases.

• Poor: Generally unsatisfactory performance, with significant consequences in many cases.

• Too Soon To Tell

• Not Applicable

PART II. EVALUATION (To be Completed by Point of Contact – Respondent)

TECHNICAL:

1. Execution of planning activities that included coordinating schedules, personnel, and logistics in support of Technical, Engineering, Program Management and/or Integration Services.

To what extent did the contractor satisfy the above stated past performance requirement, on an overall basis? Please check one answer and provide an explanation for your rating.

Excellent Good Adequate Marginal Poor Too soon to tell Not Applicable

Comments:

*For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

2. Execution of Technical Services.

Adequate Marginal Poor

*For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g. requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

3. Execution of Engineering Services.

Adequate Marginal Poor

*For any adverse issues give your assessment of the extent to which the contractor was at fault and your assessment of the extent to which Government actions/direction (e.g.

requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

4. Execution of Integration Services.

Adequate Marginal Poor requirements changes, unrealistic requirements, etc.) or other factors not in the control of the contractor contributed to the adverse issues.

OVERALL PROGRAM MANAGEMENT:

5. Execution and Effectiveness of Program Management (to include use and control of subcontractors).

To what extent was the contractor effective in managing the program, including its employees and subcontractors, on an overall basis? Please check one answer and provide an explanation for your rating.

Adequate Marginal Poor

6. Risk Management

To what extent was the contractor effective in managing significant risks (cost, schedule, and performance) in the performance of this contract? Please check one answer and provide an explanation for your rating.

Adequate Marginal Poor

DELIVERY:

7. Timeliness of Performance for Services and Product Deliverables:

To what extent did the contractor adhere to the delivery schedules, on an overall basis?

Please check one answer and provide an explanation for your rating.

Adequate Marginal Poor

PART III. Other Information Sources

Please provide the following information:

8. Please describe any problems or special accomplishments noted regarding the Offeror.

Are you aware of other relevant past efforts by this company with your agency/company?

If yes, please provide the name, telephone number and email of a point of contact.

PART IV. Respondent Identification

Please provide the following information:

Organization:

Name:

Title:

Telephone Number:

Address:

Fax Number:

E-mail Address:

Date of Completion & Submission: