Attachment 2.pdf

Section J, Attachment 2

PAST PERFORMANCE QUESTIONNAIRE

INFORMATION

This Attachment 2 contains the following:

- Sample Cover Letter

- Instructions to the Reference for Completing the Past Performance Questionnaire

- Past Performance Questionnaire

NOTE TO OFFERORS/RESPONDENTS: Please ensure all Past Performance information submitted includes solicitation number W91238-12-R-0023 and the prime offeror’s name.

RESPONDENTS MAY USE ADDITIONAL PAGES TO COMPLETE PAST PERFORMANCE

QUESTIONNAIRE, IF NECESSARY.

Sample Cover Letter

SAMPLE OF COVER LETTER TO BE SENT BY THE OFFORER TO ITS REFERENCES

Date

Name and Address of Reference

Dear __________________________:

The U.S. Army Corps of Engineers, Omaha District, is conducting a past performance review of (Prime Offeror’s Name) past performance as part of an upcoming source selection for solicitation number W91238-12- R-0023

Your name was given to the Government as a reference of our past performance on the following contracts with your agency/firm:

(INSERT LIST)

Please complete the attached questionnaire(s) to aid the Government in its evaluation of our past performance and FAX it directly to the U.S. Army Corps of Engineers, Sacramento District, ATTN: Caren A. Jackson, (916)-557- 9264 or e-mail caren.a.jackson@usace.army.mil. The only information in the subject line MUST be the solicitation number: W91238-12-R-0023. The Corps has requested receipt of this information by close of business _________________________, as their evaluation will commence shortly thereafter.

You are advised that it is Government policy that the identity of sources providing past performance information will not be released outside the Government.

We appreciate your efforts to help the Government fairly evaluate our past performance. Should you have any questions related to this matter, please contact the Government’s contract specialist for this project, Ms. Caren A.

Jackson, at telephone (916) 557-7716 or e-mail at caren.a.jackson@usace.army.mil.

Sincerely, (Offeror’s signature)

Attachments:

1. Instructions to the Reference for completing the Past Performance Questionnaire

2. Past Performance Questionnaire

INSTRUCTIONS TO THE REFERENCE FOR COMPLETING

THE PAST PERFORMANCE QUESTIONNAIRE

Handwritten completion of the questionnaire is acceptable, if legible.

Please include evaluation of contractor’s performance based solely on the performance for which the contractor was liable. Do not let factors beyond the control of the contractor which have resulted in performance delays or other problems bias the evaluation of the contractor’s performance.

The following is a definite of the rating system used:

CONTRACTOR RATING

1. 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.

2. In this section of the questionnaire you are asked to rate the contractor. Please indicate the rating that best applies. If you wish to elaborate on any of your answers, please provide comments on the questionnaire. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submission.

3. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. Any marginal ratings should be supplemented with an explanatory narrative in the remarks block of this survey.

4. ONCE COMPLETED, THIS SURVEY WILL BE CONSIDERED SOURCE SELECTION SENSITIVE IN

ACCORDNACE WITH FAR PART 3.104.4. The following definitions are applicable rating levels for the contractor’s performance.

Adjective Description Excellent (E) Performance meets contractual requirements and exceeds many to the Owner’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Good (G) Performance meets contractual requirements and exceeds some to the Owner’s benefit. The contractual performance of the element being assessed was accomplished with the minor problems for which corrective actions taken by the contractor were effective.

Adequate (A) Performance meets contractual requirements. The contractual performance of the area being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal (M) Performance does not meet some contractual requirements. The contractual performance of the element being assessed evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Poor (P) Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Neutral/Unknown (N) No performance record identifiable.

In completing the questionnaire, please circle a letter corresponding to your rating, or “N/A” if you are unable to provide an evaluation for any area.

Please provide clear and concise narrative explanations (both positive and negative) for your answers. This is especially important for any rating above or below “Adequate”. If more space is needed than is provided, you may use the back of the questionnaire or attach additional pages.

PAST PERFORMANCE QUESTIONNAIRE FOR SOLICITATION: W91238-12-R-0023

PART 1 – CONTRACT INFORMATION (to be completed by offeror)

A. Prime Contractor Name: __________________________________________

B. Contractor Address: _____________________________________________

C. Contract Number: _______________________________________________

D. Description/Location of Project/Contract: ______________________________________

E. Status: Active _________ Completed _________

F. Type of Contract (i.e. Firm Fixed Price, Cost Plus Fixed Fee): _____________________

G. Owner: Federal / State / Local Government / Private / Commercial: ________________

H. Original Contract Amount: $____________ Number of Modifications: _________

I. Contract Amount at Completion (or current amount if not complete): $_______________

J. Period of Performance: ____________________________________________________

PART II – EVALUATOR IDENTIFICATION (Not to be released outside Government channels)

A. Name: ___________________________________

B. Company/Organization: __________________________________

C. Position and/or Title in Reference to the Contract: _____________________________________

D. Phone Number: _________________________________________

E. Address: ______________________________________________

F. E-mail: _______________________________________________

G. Length of Involvement in Contract: _________________________

H. Date questionnaire was completed: _________________________

PAST PERFORMANCE QUESTIONNAIRE (continued)

CONTRACATOR’S RESPONSIVENESS

1. Rate the contractor’s ability to meet specific response times and completion dates.

E G A M P N

2, Rate the timeliness of contractor’s response to emergency situations/requirements.

E G A M P N

3. To what extent did the contractor provide reliable, supportable cost estimates?

E G A M P N

QUALITY CONTROL AND WORKMANSHIP

1. Rate the contractor’s overall responsiveness in terms of quality and workmanship.

E G A M P N

CUSTOMER SATISFACTION

1. To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

E G A M P N

CONTRACTOR MANAGEMENT

1. Rate the working relationship between the contractor, your company and your designated representative (to include inspection personnel).

E G A M P N

2. Rate the contractor’s ability to meet staffing/manning levels with qualified personnel.

E G A M P N

3. How effective was the on-site management, including management of subcontractors?

E G A M P N

4. How knowledgeable were key personnel of the contract requirements? E G A M P N

5. Rate the contractor’s ability to identify and correct, and prevent potential contractual problems early, and advise before the problem becomes a delay or life-threatening situation.

E G A M P N

COMPLIANCE WITH ENVIRONMENTAL/SAFETY AND SECURITY

1. Rate the contractor’s compliance with environmental, safety, and security requirements.

E G A M P N

CONTRACTUAL OBLIGATIONS

1. Has a cure notice or s how cause notice ever been issued?

Yes or No (explain)

2. To what extent did the contractor submit required reports and documentation timely and accurate?

E G A M P N

3. Would you hire this contractor again?

Highly Likely (HL), Likely (L), Unlikely (U), Highly Unlikely (HU)

HL L U HU

ADDITIONAL COMMENTS – Please provide any objective comments/additional information for t his contract or any other contract(s) performed by the contractor that may be of interest.

PART III – Return Information Please return this Past Performance Questionnaire via e-mail to caren.a.jackson@usace.army.mil