JOC_Attachment_5_Past_Performance_Questionnaire.pdf

ATTACHMENT 5 – PAST PERFORMANCE QUESTIONNAIRE

To maintain the integrity of the past performance evaluation process, do not send completed questionnaires to the requesting contractor.

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

1. The contractor listed below is being considered in a Source Selection by the Mission and Installation Contracting Command – Fort Knox, KY. This questionnaire will be used to evaluate past performance for the contractor and contracting action identified below. Candid feedback is important to the evaluation effort and may affect award outcome. Please indicate “NA” in any area which is not applicable to work performed on your contract.

2. Please complete the attached questionnaire for the contractor and contract identified below. Email the completed questionnaire to robert.l.woolsey2.civ@mail.mil. Do not send the questionnaire to the contractor. Any questions or concerns pertaining to this survey or any of the requested information may be directed to Mr. Robert Woolsey at the email address above or by phone at 502-624-4014. Thank you for your time and effort in completing this questionnaire.

3. Indicate a rating, based on the description below, for the contractor’s performance on the identified contract.

Underline the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels.

4. Please provide narrative explanation to support your ratings particularly for high or low ratings. Space for your remarks is provided after each area.

5. In addition to completing the questionnaire for the identified program, please provide comments on any other programs for which your agency has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

Exceptional

EX

Performance meets and exceeds many contractual requirements. 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.

Very Good

VG

Performance meets and exceeds some contractual requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

SAT

Performance meets contractual requirements.

The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal

MAR

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

mailto:robert.l.woolsey2.civ@mail.mil

Unsatisfactory

UNSAT

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.

Not Applicable

NA

Performance in this is not applicable to the effort assessed.

PAST PERFORMANCE QUESTIONNAIRE

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

1. CONTRACTOR NAME AND ADDRESS:

2. PROGRAM IDENTIFICATION/TITLE

3. CONTRACT NUMBER

4. CONTRACT TYPE (Cost, Firm-Fixed Price, etc.)

5. PRIME CONTRACTOR NAME (if different from the contractor name cited above):

6. CONTRACT VALUE (Annual and Total)

7. CONTRACT START/END DATES:

8. BRIEF DESCRIPTION OF WORK:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

1. NAME:

2. TITLE:

3. DATE:

4. TELEPHONE NUMBER:

5. FAX NUMBER:

6. ADDRESS:

7. EMAIL ADDRESS:

PART II. EVALUATION (TO BE COMPLETED BY POINT OF CONTACT-RESPONDENT)

PERFORMANCE ASSESSMENT

A. MANAGEMENT

a. Provided a dedicated and qualified management team.

EX VG SAT MAR UNSAT NA

b. Number of personnel and the amount of time dedicated to the contract

c. Demonstrated ability to manage work.

d. Communication with subcontractors and customers

e. Ability to work with subcontractors to facilitate desired outcomes

f. Effective recruiting, retention and replacement of qualified employees

g. Complied with the terms of the contract.

OVERALL RATING OF CONTRACTOR’S MANAGEMENT

h. Overall I would rate the contractor’s management as EX VG SAT MAR UNSAT NA

COMMENTS:

B. BUSINESS RELATIONSHIPS

a. Cooperated in solving problems at all levels.

b. Maintained a good working relationship with agency contracting personnel.

c. Maintained good working relationship with agency technical/project management personnel.

OVERALL RATING OF CONTRACTOR’S BUSINESS RELATIONSHIPS

d. Overall I would rate the contractor’s business relationships as

COMMENTS :

C. PROJECT MANAGEMENT

a. Planned work for timely and efficient completion of projects

b. Provided submittals and other deliverables to agency in a timely manner.

c. Ensured conformance to scope of contract without direction from agency.

OVERALL RATING OF CONTRACTOR’S PROJECT MANAGMENT

d. I would rate the contractor’s project management as

D. QUALITY

a. Effectiveness of contractor’s Quality Control Program EX VG SAT MAR UNSAT NA

b. Corrected deficiencies in timely manner and pursuant to their Quality Control Program and contract terms

c. Proactive in recognizing and reacting to problems EX VG SAT MAR UNSAT NA

d. Contractor’s tools and processes for tracking subcontractor’s quality of work

OVERALL RATING OF CONTRACTOR’S QUALITY

e. Overall I would rate the contractor’s service as EX VG SAT MAR UNSAT NA

E. COST

a. Ability to perform within contract cost EX VG SAT MAR UNSAT NA

b. Timeliness in alerting customer of unforeseen costs EX VG SAT MAR UNSAT NA

c. Accuracy and timeliness of cost reporting/invoices EX VG SAT MAR UNSAT NA

d. Effectiveness in reducing costs EX VG SAT MAR UNSAT NA

OVERALL RATING OF CONTRACTOR’S COST PERFORMANCE

e. Overall I would rate the contractor’s cost performance as EX VG SAT MAR UNSAT NA

G. OVERALL RATING OF THE CONTRACTOR’S PERFORMANCE

Complete the following statement:

“Given what I know today about the contractor’s ability to execute what they promised in their proposal, I ( ) definitely would ( ) probably would ( ) might or might not ( ) probably would not ( ) definitely would not ( ) have no opinion if I would award a contract to them given that I had a choice.”

PART III: RESPONDENT INFORMATION (TO BE COMPLETED BY POINT OF

CONTACT- RESPONDENT)

Respondent Identification. Please provide the following information

1. Name of evaluator:

2. Position title:

3. Office Address:

4. Telephone number:

5. E-mail address:

6. Length of involvement in program/contract:

7. Date questionnaire completed:

SUBCONTRACTOR/TEAMING PARTNER CONSENT FORM FOR THE RELEASE OF PAST

AND PRESENT PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR

Dear Mr. Edington, We are currently participating as a (subcontractor/teaming partner) with (prime contractor or name of entity providing proposal) in responding to the Mission and Installation Contracting Command – Fort Knox, KY request for proposal W9124D-15-R-0049 for the Lead Generation Services for the US Army Reserves.

We understand that the government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature and Title of Individual who has the authority to sign for and legally bind the company)

Company

Name:

Address: