I-B-7_Attachment_0009_Past__Performance_Evaluation_Questionnaire.doc
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- Attached to
- CENTCOM Acquisition Support Services (CASS) Federal contract opportunity
- Solicitation number
- W9124J-17-R-0002
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PAST PERFORMANCE EVALUATION QUESTIONNAIRE
W9124J-17-R-0002 Dear Sir or Madam:
1. The Mission Installation Contracting Command (MICC)- Fort Sam Houston, will be evaluating proposals for CENTCOM Acquisition Support Services (CASS) under RFP W9124J-17-R-0002. This requirement is for the contractor to provide six (6) different labor categories: Contract Specialist, Procurement Technician, Procurement Analyst, Information Technology Specialist, Industrial Property Management Specialist, and Quality Assurance Specialist. The scope of coverage is the CENTCOM AOR; however, the primary locations to be covered are Afghanistan, Iraq, Jordan, Kuwait, and Qatar.
2. As part of the source selection process, potential offerors’ past performance is being evaluated. The Past Performance Evaluation Team (PPET) would greatly appreciate your time and effort in completing the attached questionnaire. Please return completed questionnaires to Patrick Devastey at patrick.s.devastey.civ@mail.mil AND Maria Cachola at maria.d.cachola.civ@mail.mil no later than 10 March 2017, Subject line: “CASS Contractor Past Performance.”
3. Please use the following rating system and definitions to complete the Past Performance Questionnaire.
| Rating |
| Description |
| Outstanding |
| Performance meets all contractual requirements and exceeds several contractual requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished at a very high level. The contractor may have encountered a few minor performance issues for which immediate corrective actions were taken by the contractor and was highly effective. |
| Good |
| Performance meets all contractual requirements and exceeds some contractual requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished at a noteworthy level. The contractor may have encountered a few performance issues for which corrective actions taken by the contractor were reasonably effective. |
| Acceptable |
| Performance meets all contractual requirements and exceeds some contractual requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished at the minimum acceptable level. The contractor may have encountered performance issues for which corrective actions taken by the contractor were only minimally effective. |
| Marginal |
| Performance does not meets some contractual requirements. The contractual performance of the element being assessed was accomplished at a level below the minimum acceptable level. The contractor encountered performance issues for which corrective actions taken by the contractor were not minimally effective. |
| Unacceptable |
| Performance does not meet many or most contractual requirements. The contractual performance of the element being assessed was either not accomplished or accomplished at a level far below the minimum acceptable level. The contractor encountered performance issues for which corrective actions taken by the contractor were not effective. |
4. Comment freely in the spaces below the questions or on a separate sheet of paper if necessary. Both favorable and unfavorable comments are welcome.
Thank you in advance for your assistance.
Past Performance Questionnaire
Instructions: Sections I through VII are to be completed by the assessor (Government/non-Government personnel that had experience with the Offeror on a previous relevant contract).
Message to the Assessor: Your assistance is requested by the MICC Contracting Office to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please email the completed questionnaire(s) to patrick.s.devastey.civ@mail.mil and maria.d.cachola.civ@mail.mil.
I. Solicitation Data (for the proposed effort).
| Solicitation Number: |
| W9124J-17-R-0002 |
| Project/Requirement: |
| CASS |
| Customer/Agency: |
| MICC |
II. Current or Historical Contract Information.
FILLIN \* MERGEFORMAT
CONTRACTOR
NAME & ADDRESS:
Contract No
Type of Contract
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| FORMCHECKBOX |
PRIME
SUB CONTRACTOR
Termination History (if applicable)
Convenience
Default Unknown
III. Assessor Information.
Assessor Name
Title
Organization
Phone Number
Email Address
Identify your role in the contract award or administration and the period of your involvement.
| ( |
| Role |
| Period of Involvement |
FORMCHECKBOX
Procuring Contracting Officer (PCO)
FORMCHECKBOX
Administrative Contracting Officer (ACO)
FORMCHECKBOX
Contract Specialist
FORMCHECKBOX
Contracting Officer’s Representative (COR)
FORMCHECKBOX
Technical Project Lead/Project Officer
FORMCHECKBOX
Quality Assurance Specialist
FORMCHECKBOX
Defense Contract Audit Agency (DCAA) Auditor
FORMCHECKBOX
Other (describe):
IV. Performance Evaluation.
1. What is your OVERALL assessment of the Contractor’s ability to recruit the required number of employees on time to perform the requirement?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Please provide rationale for the assigned rating:
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
2. What is your OVERALL assessment of the Contractor’s ability to recruit employees with the required technical competence?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Please provide rationale for assigned rating:
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
3. What is your OVERALL assessment of the Contractor’s ability to mobilize at least 15 employees within one (1) year into the Middle East in 60 days or less?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
4. What is your OVERALL assessment of the Contractor’s ability to manage and renew employees SECRET security clearances?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
5. What is your OVERALL assessment of the Contractor’s ability to motivate and retain employees (in efforts to reduce employee turnover)?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
6. What is your OVERALL assessment of the Contractor’s ability to coordinate/lease appropriate employee housing and vehicles on time?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute, in any way, to any of the problems identified in the above assessment? Please explain:
7. What is your OVERALL assessment of the Contractor’s ability in gaining business sponsorship and coordinating employee sponsorship in the Middle East?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Please provide rationale for the assigned rating:
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
8. What is your OVERALL assessment of the Contractor’s ability in working with, and process employees through, the CONUS Replacement Center (CRC) or equivalent center, for deploying civilian contractors?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
9. What is your OVERALL assessment of the Contractor’s conformance to the terms and conditions of its contract?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
10. What is your OVERALL assessment of the Contractor’s employees conforming to local and Government rules and regulations (i.e. International Agreements, SOFAs, and General Agreements)?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Please provide rationale for assigned rating.
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain.
11. Rate the overall effectiveness of the contractor’s quality control procedures?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
If applicable, did the Government contribute in any way to any of the problems identified in the above assessment? Please explain:
12. What is your OVERALL assessment of the Contractor’s ability to submit deliverables/CDRLs on time and in accordance with the contract?
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
VI. What is the overall rating of Contractor’s performance on the contract being assessed:
| Rating: |
| Outstanding |
| Good |
| Acceptable |
| Marginal |
| Unacceptable |
| Response: |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
VII. General Comments:
Assessor’s Signature
Date
Please address questions regarding the use of this form to patrick.s.devastey.civ@mail.mil and maria.d.cachola.civ@mail.mil. Thank you so much for taking time from your busy schedule to complete this questionnaire.
Are you aware of other references that we could contact to find additional past performance information for this firm? If so, please provide any available contact information below.
File details come from the government source that posted it. Updated .