Attachment_12_-_Past_Performance_Questionnaire_01_Aug_2017_.docx

Past Performance Evaluation Cover Letter and Questionnaire Form

CCAP-SCE

SUBJECT: Offeror Past Performance Assessment in Support of Solicitation Number W911SR-17-R-0005, XM12 AVCAD

To Whom it May Concern:

The Army Contracting Command – Aberdeen Proving Ground (ACC-APG) is currently conducting a competitive source selection to evaluate proposals received in response to the subject solicitation. As part of this evaluation we have requested that the Offerors provide information about their past performance on same or similar federal, state, or local Government or commercial contracts. You have been identified as the point of contact cited on the enclosed Past Performance Questionnaire.

Your assessment of the Offeror’s performance is extremely valuable to our evaluation. Please complete the enclosure and return it via email to Mr. Jemel Hogan, Contract Specialist, jemel.m.hogan.civ@mail.mil no later than 15 calendar days after receipt of this notice.

Your cooperation is greatly appreciated. Questions may be directed to the above point of contact or the undersigned at 410-436-8426.

Sincerely, Jonita L. Joyner Contracting Officer

Contractor: ____________________ Contract No.: ____________________________ Subcontract No. (if applicable): _________________________________ POC: ________________________ Title: ___________________________________ (Name) (e.g., PCO/ACO/TM) (Agency, Telephone No., E-mail Address, and Fax Number)

The following questions pertain to the contractor’s record of past (within the past five years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Outstanding: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division: _____________________________ Address: ____________________________________________________ Program Identification/Title: ____________________________________ Contract Number: ____________________________________________ Contract Type: _______________________________________________ Prime Contractor Name (if different from the contractor name cited above): ___________________________________________________________ Contract Award Date: _________________________________________ Forecasted or Actual Contract Completion Date: ____________________ Nature of the Contractual Effort or Items Purchased: _________________

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name: __________________________________ Title: ___________________________________ Date: ___________________________________ Telephone Number: _______________________ Address: ________________________________ E-mail Address: __________________________

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

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

B. Effectiveness of Project Management (to include use and control of subcontractors).

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables.

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

F. General Comments. Provide any other relevant performance information.

G. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this company?

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

H. Respondent Identification. Please provide the following information:

Organization: _______________________________ Name: _______________________________ Title: _______________________________ Date: _______________________________ Telephone Number _______________________________ Address: _______________________________ E-mail Address: _______________________________

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the PCO identified in the cover letter.

Thank you for your assistance.

Typed or Printed Name