Attachment_6_Past_Performance_Questionnaire.doc

ATTACHMENT 6

PAST PERFORMANCE QUESTIONNAIRE

When filled in this document is source selection sensitive information iaw FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _______________________________________________________________________________

B. Cage Code: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided: ______________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _______________________________________________________________________________________

B. Customer or agency description (if applicable): _______________________________________________________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name: ______________________________________________________________________________________

B. Evaluator's title: ______________________________________________________________________________________

C. Evaluator's phone/fax number: ______________________________________________________________________________________

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE

PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG

VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

US

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

NA

NOT APPLICABLE - Unable to provide a score.

T1. Contractor operated optical tracking, high-speed camera and TV instrumentation?

T2. Contractor operated high speed cameras?

T3. Contractor performed geodetic and range optical measurement functions?

T4. Contractor operated, maintained and repaired heavy weapons, tracked and heavy vehicles?

T5. Contractor provided technical and engineering services, including test officers and design engineers?

T6. Contractor operated an extensive range telecommunications infrastructure, including telephone systems?

T7. Contractor operated an extensive information management infrastructure (computer networks, servers, etc.) and services?

T8. Contractor performed data acquisition functions using electronic instrumentation (telemetry, range time, radar system, automotive)?

P1. Contractor effectively manages multiple projects with multiple disciplines?

P2. Contractor key management personnel are knowledgeable and competent?

P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

P4. Understand/complied with customer objectives and technical requirements

P5. Successfully responded to emergency and/or surge situations

P6. Quality/effectiveness of sub-contracted efforts

P7. Effectiveness of material management (including Government Furnished Property or Material)

P8. Effectiveness of acquisition management

P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

P11. Contractor had an adequate system to control Government Furnished Property?

P12. Contractor effectively maintains GFP?

P13. Contractor is responsive to Government requirements and contract changes?

P14. Contractor effectively identifies and resolves problems related to the contract, services and personnel?

P15. Contractor is cooperative and has a good working relationship with Government personnel, subcontractors, and other contractors at the installation?

P16. Contractor maintains an effective and active safety program?

P17. Contractor provided services and deliverables in a timely manner?

TR1. Contractor ability to smoothly transition resources and personnel.

TR2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

E1. Ability to hire/apply a qualified workforce to this effort.

E2. Ability to retain a qualified workforce on this effort.

E3. Effectiveness of employee compensation towards quality of work.

E4. Contractor has a stable workforce with appropriate experience and mix of skills for the services provided?

S1. Ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan

C1. Contractor’s cost accounting system effectively interfaced to the Government’s?

C2. Contractor provided timely, effective and accurate financial, workload and performance analysis reports?

C3. Contractor makes ‘good-faith’ efforts to control costs?

C4. Sufficiency and timeliness of cost reporting

1. Please discuss each and every response for which you indicated E (Exceptional), M (Marginal) or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes____ Default____ Convenience____ Pending Terminations____

No ____

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature

Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Contracting Officer: R. Colette Carrizales, Mailing Address: Mission and Installation Contracting Command (MICC)

Installation Contracting Office (ICO)

U.S. Army Yuma Proving Ground

CCMI-CHD-YP

301 C Street, Bldg 2364, Room 101

Solicitation No. W9124R-13-R-0001

Yuma, AZ 85365-9498

Or FAX/E-mail to:

928-328-6534 colette.c.carrizales.civ@mail.mil