Past_Performance_Questionnaire.pdf

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Attached to
U. S. Army Manufacturing Technology (MANTECH) Program Support Federal contract opportunity
Solicitation number
W911SR-17-R-0008
Issued by
Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

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Revised Attachment 05 Past Performance Questionnaire

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ATTACHMENT 05 PAST PERFORMANCE

30 May 2017

US Army Contracting Command (US-ACC) Aberdeen Proving Ground (APG) Edgewood Contracting Division (ECD) E4215 Austin Road

APG, MD 21010-5401

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) Number W911SR-17-R-0008

Dear Sir/Ma’am:

The US Army Contracting Command, Aberdeen Proving Ground (APG), Edgewood Contracting Division (ACC-APG, ECD) is currently conducting a competitive source selection to evaluate Offerors on the subject RFP. 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 as compared to North American Industry Classification System (NAICS) code 541330. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosed/attached questionnaire and return to the US-ACC-APG, ECD, E4215 Austin Road, APG, MD 21010-5401, no later than 15 days after receipt of request or 13 July 2017, whichever occurs first. Your questionnaire may be submitted electronically to shantice.m.wright.civ@mail.mil and gregory.faulcon.civ@mail.mil.

Your cooperation is greatly appreciated. Questions may be directed to Shantice M.

Wright, Contract Specialist, at (410) 417-2803 or the undersigned at (410) 417-0964.

Sincerely, Gregory Faulcon Contracting Officer

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within 3 days.

Adjectival Rating Definitions:

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)

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)

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)

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)

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 Shantice Wright, Contract Specialist at shantice.m.wright.civ@mail.mil.

Thank you for your assistance.

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