Attachment 14 Past Performance Questonary.doc
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Attachment 14 - Past Performance Questionnaire
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Past Performance Questionnaire
FOR THE PROCUREMENT OF
TRAINING, DOCTRINE, CAPABILITY DEVELOPMENT, ANALYSIS,
INSTRUCTION, ROLE PLAYERS AND SUPPORT SERVICES
AT FORT KNOX KY, AND FORT BENNING GA
MANEUVER CENTER OF EXCELLENCE
Contractor Name: ____________________________________________________________________ Total Contract Value: _________________________________________________________________ Contract Award Date: ________________________________________________________________ Contract Completion Date: _____________________________________________________________ Respondent Point of Contact: ___________________________________________________________ Respondent Address: __________________________________________________________________ Respondent Phone Number and e-mail: ___________________________________________________ Contractor performed as:
PRIME Contractor
FORMCHECKBOX
SUB Contractor
FORMCHECKBOX
Description of Requirements (tasks, volume, scope, complexity):
Rating Scale:
Please rate (the contractor) as described below. If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “N/A”. Please add any comments you may have in the space provided after every question.
Evaluation Criteria:
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NO CONFIDENCE (NC) |
| LITTLE CONFIDENCE |
(LC)
SATISFACTORY CONFIDENCE
(SAC)
SIGNIFICANT
CONFIDENCE
(SIC)
HIGH CONFIDENCE
(HC)
UNKNOWN CONFIDENCE
(UC)
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| Performance met contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner. |
| No record of past performance or the record is inconclusive. |
Contractor’s Past Performance:
| The contractor: |
| NC |
| LC |
| SAC |
| SIC |
| HC |
| UC |
| 1. |
| Provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirement. |
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| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
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| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements |
| 1 |
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| 4. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 1 |
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| 5. |
| Complied with all federal, state and local laws and regulations to include appropriate licensing. |
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| 6 |
| 6. |
| Provided adequate oversight of teaming partners/subcontractors |
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| 7. |
| Identified problems as they occurred. |
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| 8. |
| Suggested alternative approaches to problems. |
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| 9. |
| Displayed initiative to solve problems. |
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| 10. |
| Corrected deficiencies in timely manner |
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| 11. |
| Developed realistic schedules. |
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| 12. |
| Met established project schedules |
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| 6 |
| 13. |
| Was responsive to contract changes. |
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| 14. |
| Provided adequate project supervision. |
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| 15. |
| Cooperated with Government personnel after award. |
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| 16. |
| How would you rate the contractor's overall performance? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 17. |
| Contractor met subcontracting goals |
| YES |
| NO |
| 18. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
| YES |
| NO |
| 19. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
| YES |
| NO |
| 20. |
| Is this contract rated in CPARS? |
| YES |
| NO |
Remarks:____________________________________________________________________________
SIGNED ___________________________________ DATE ________________
Please return this document to Christian Freire at the address below:
Regular Mail:
Mission and Installation Contracting Command (MICC) Center – Fort Bragg
ATTN: CCMI-RCB (Mr. Christian Freire)
2175 Reilly Road, Stop A
Fort Bragg, NC 28310-5000
Via UPS or FedEx:
Mission and Installation Contracting Command (MICC) Center – Fort Bragg
ATTN: CCMI-RCB (Mr. Christian Freire)
Bldg 2-1105 C Stack Macomb Street
Fort Bragg, NC 28310-5000
[Type text]
Attachment 14, Past Performance Questionnaire
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