Attach7__BRAC_PM_LSIA__PPE_Questionnaire_.docx

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

SOLICITATION NUMBER: W9124J-17-R-0029 BRAC PM LSIA

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/Service Support: _____________________________________

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)

The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a Federal contract; therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

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.

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)

· Acceptable

· Marginal (Explanation must be provided in Comments field below)

· Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables

· Acceptable

· Marginal (Explanation must be provided in Comments field below)

· Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

D. Effectiveness in Forecasting and Controlling Estimated Costs

· Acceptable

· Marginal (Explanation must be provided in Comments field below)

· Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Businesslike Concern for Customers’ Interest(s)

· Acceptable

· Marginal (Explanation must be provided in Comments field below)

· Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

F. Offeror’s BRAC Participation Level

· Department of Defense-level Advisory and Assistance

· Department of the Army, Navy, Air Force-level Advisory and Assistance

· Installation-level Advisory and Assistance

· Installation-level Support (tracking and records keeping)

· Installation-level (caretaker operations or environmental cleanup)

· Other (indicate level of effort in comments field)

Comments:

G. General Comments. Provide any other relevant performance information.

H. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this vendor?

If yes, please provide the name and telephone number of a point of contact:

I. Respondent Identification. Please provide the following information:

Name: ___________________________________ Title: ____________________________________ Organization: _____________________________ Date: ____________________________________ Telephone Number: ________________________ Address: _________________________________ E-mail Address: _______________________________________________________________

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer identified in the cover letter.

Thank you for your assistance.