Attachment_3_-_Past_Performance_Questionnaire.docx

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

1. Contractor: _______________________________________________________________________________

1. Cage Code: _________________________________

1. Contract number: _______________________________________

1. Contract type: ______________________________

1. Was this a competitive contract? Yes _____ No _____

1. Period of performance: ________________________________________________

1. Initial contract cost: $____________________________

1. Current/final contract cost: $_______________________________

1. Reasons for differences between initial contract cost and final contract costs:

1. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

1. Customer or agency name: ___________________________________________________________________

1. Customer or agency description (if applicable): ___________________________________________________________________

1. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

1. Evaluator's name: ___________________________________________________________________

1. Evaluator's title: ___________________________________________________________________

1. Evaluator's phone/fax number: ___________________________________________________________________

1. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

US UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NA NOT APPLICABLE - Unable to provide a score.

The questions shown below should be tailored to the Factors/Subfactors of the instant acquisition.

Q1. How would you rate the contractor’s overall performance as it relates to conforming to the Performance Work Statement?

Q2. How would you rate the quality of key personnel and their experience level?

Q3. How would you rate the contractor’s ability to meet established objectives?

Q4. How would you rate the courseware developed by the contractor?

Q5. How would you rate the contractor’s experience with design and development for interactive multimedia instruction using SCORM 2004 3rd edition and xAPI? If less than satisfactory, explain why?

Q6. How well did the contractor manage multiple task orders, variable workload levels, and changing priorities?

S1. How well does the contractor respond to meeting the required period of performance start date(s)? How well did they respond to technical direction?

S2. How well did the contractor’s adapt to changes (in schedule, required format, methodology, etc.) or to specific requirements?

S3. Does the contractor have a good personnel recruitment plan? If not, why not?

S4. How well did the contractor recruit and retain personnel throughout the life of the contract?

S5. How well did the contractor conform to the contract schedule? Were deliverables provided timely?

S6. How timely was the Program Manager in handling adverse situations? Were these situations handled to the customer’s satisfaction?

C1. To what degree are the recipients of the services satisfied with those services; to what degree are customer complaints avoided or resolved?

C2. Was the contractor responsive to customer complaints? Were issues resolved at the lowest level? Was the contractors quality control plan effective in catching things before they turned into problems?

C3. Were there any contract discrepancy reports (CDRs) or cure notices issued? If so, what for? Was there any adverse past performance entered into CPARs or PPIRs database? If so, what was the adverse performance and when was it entered?

C4. If the contract type was an IDIQ did the contractor actively compete on requirements? If not please explain why.

C5. How well was the contractor’s overall program management?

C6. How would you characterize the contractor’s overall level of performance? If less than satisfactory, please explain.

1. Please discuss each and every response for which you indicated M (Marginal) or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

Mission and Installation Contracting Command (MICC) – Fort Eustis Attn: Mrs. Rhoda C. Harrison-Spence Solicitation No.: W911S0-17-R-0011 705 Washington Blvd, Suite 126 (West Wing) Fort Eustis, VA 23604