Enclosure3PastPerfRiskAssQuest.pdf

RFP No. W911S2-16-R-8001 Job Order Contract, Fort Drum, New York

Enclosure 3, Past Performance Risk Assessment Questionnaire

ENCLOSURE 3

PAST PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

Please provide your candid responses. If you do not have knowledge of or experience with the company in question, please forward this Past Performance Risk Assessment Questionnaire to the person who does.

Please return the completed Questionnaire to nennie.y.gargard.mil@mail.mil on or before the RFP due date.

Thank you.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Title: e-mail:

Phone Number: Fax Number:

Street: P. O. Box

City State: Zip Code:

Program Identification/Title:

Contract Number: Contract Type:

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

Contract Award Date: Forecasted/Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name: Title:

e-mail Date:

Phone Number: Fax Number:

Street: P. O. Box

City State: Zip Code:

mailto:nennie.y.gargard.mil@mail.mil

Please provide your candid responses. If you do not have knowledge of or experience with the company in question, please forward this Past Performance Risk Assessment Questionnaire to the person who does.

Please return the completed Questionnaire to nennie.y.gargard.mil@mail.mil on or before the RFP due date.

Thank you.

PART II. EVALUATION (To be completed by Reference Point of Contact)

A. CONTRACTING ORGANIZATION

Contracting Organization Name

Street: P. O. Box

City State: Zip Code:

B. CONTRACTING OFFICER/CONTRACT ADMINISTRATOR

Contracting Officer/Contract Administrator Organization Name

Street: P. O. Box

City State: Zip Code:

Name of Contracting Officer/Contract Administrator:

e-mail:

Phone Number: Fax Number:

Street: P. O. Box

City State: Zip Code:

C. COR/TECHNICAL MONITOR

COR/Technical Monitor’s Organization Name

Street: P. O. Box

City State: Zip Code:

Name of COR/Technical Monitor:

e-mail:

Phone Number: Fax Number:

Street: P. O. Box

City State: Zip Code:

D. CUSTOMER (if different from COR/TECHNICAL MONITOR)

Customer Name

Street: P. O. Box

City State: Zip Code:

Please provide your candid responses. If you do not have knowledge of or experience with the company in question, please forward this Past Performance Risk Assessment Questionnaire to the person who does.

Please return the completed Questionnaire to nennie.y.gargard.mil@mail.mil on or before the RFP due date.

Thank you.

E. Describe the nature of the contractual effort/tasks that were performed:

F. What was the period of performance (time frame when actual work was performed) of this contract?

Please include actual dates:

Period of Performance Dollar Value

Base Year $

1st Option Year $

2nd Option Year $

3rd Option Year $

4th Option Year $

Completed by (signature):

If signed by a different person than above, please provide the following information for the person that signed.

Name:

Title: e-mail:

Phone Number: Fax Number:

Street: P. O. Box

City State: Zip Code:

Name: Title:

Please provide your candid responses. If you do not have knowledge of or experience with the company in question, please forward this Past Performance Risk Assessment Questionnaire to the person who does.

Please return the completed Questionnaire to nennie.y.gargard.mil@mail.mil on or before the RFP due date.

Thank you.

Please use the following descriptors for your ratings:

Excellent (E): The Offeror's performance was superior. You would not be hesitant in doing business with the Offeror again. Complaints are negligible or unfounded.

Good (G): The Offeror's performance was very good, better than average. You would willingly do business with the Offeror again. Complaints, though perhaps well founded, are few and relatively minor.

Adequate (A): The Offeror’s performance was average. You may or may not do business with the Offeror again. Complaints are balanced by reports of good work.

Poor (P): The Offeror’s performance was unfavorable. You would have serious doubts about doing business with the Offeror again or would refuse to do so. There are many significant, serious, and well-founded complaints.

1. QUALITY OF SERVICE:

Did the Contractor comply with contract requirements (e.g., accurate reports; appropriate personnel for the work required; technical excellence; effective management; responsive to changing contract requirements; prompt in notification of problems; reasonable; cooperative, flexible; proactive; and effective Contractor-recommended solutions to problems)?

Overall quality rating? E G A P Please provide examples:

2. TIMELINESS OF PERFORMANCE:

Did the Contractor demonstrate timeliness of actions against completion of task orders, delivery schedules and administrative requirements?

Did the Contractor show the ability to avert or minimize delays due to problems with subcontractors, suppliers and material availability?

Was the Contractor responsive to technical direction, contract change orders and/or administrative requirements?

Overall quality rating? E G A P

Please provide your candid responses. If you do not have knowledge of or experience with the company in question, please forward this Past Performance Risk Assessment Questionnaire to the person who does.

Please return the completed Questionnaire to nennie.y.gargard.mil@mail.mil on or before the RFP due date.

Thank you.

Please provide examples:

3. CUSTOMER SATISFACTION:

Did the Contractor interface professionally with customers?

Was the Contractor able to minimize disruption of Customer’s operations during work and provide quality customer service (i.e., handle complaints, courteousness, resolve complaints to customer satisfaction)?

Overall quality rating? E G A P What are the Contractor’s strong points? What was the most effective/productive about them? Please elaborate.

What are the Contractor’s weak points? What was the least effective/productive about them? Please elaborate.

Would you have any reservations about recommending a future contract award to this company? Please elaborate.