Atch 12 - Past Perf Questionairre.doc

W91260-09-R-0002

Attachment 12

THIS QUESTIONNAIRE, WHEN COMPLETED, MUST BE TREATED AS SOURCE SELECTION SENSITIVE INFORMATION IN ACCORDANCE WITH FEDERAL ACQUISITION REGULATION (FAR) 2.101 AND 3.104 AND MUST NOT BE DISCLOSED TO ANYONE OUTSIDE THE U.S. GOVERNMENT

Attachment 12 Past Performance Questionnaire

SECTION 1: CONTRACT IDENTIFICATION

Contractor: ___________________________________________________________________________________

Contract number and/or program title: _____________________________________________________________

Contract type: _________________________________________________________________________________

(firm-fixed-price, fixed-price with performance incentives, cost-plus-fixed-fee, etc.)

Period of performance: __________________________________________________________________________

Contract value at award: ________________________ Final/current value: ____________________________

Reasons for differences between initial contract value and final contract value: _____________________________

Was Contractor the prime or subcontractor on the referenced contract?_____________________________________

Past Performance Information Retrieval System Entry Made? YES ___ NO ___

SECTION 2: RESPONDENT INFORMATION

Evaluator’s name:______________________________________________________________________________

Organization and/or office symbol: ________________________________________________________________

Phone number/fax number: _______________________________________________________________________

E-mail address: _______________________________________________________________________________

Dates of involvement in program/contract:___________________________________________________________

Evaluator’s role on subject contract: _______________________________________________________________

SECTION 3: DESCRIPTION OF CONTRACT EFFORT

Description (scope and magnitude) of services provided under this contract: _______________________________

To what extent did the contractor perform or support any of the following kinds of work under cited contract (mark all that apply):

1. How relevant were contractor’s efforts involving the following SMDIS-relevant mission areas (PWS descriptions provided on request). Efforts need not be for same exact customers or systems as long as expertise/efforts were similar.

3.1 Space

3.2 Missile Defense

3.3 Information Operations

3.4 Global Strike

3.5 C4ISR

4.1 Infrastructure, Organization Analysis, and Evaluations

4.2 Intelligence Requirements

4.3 Systems Engineering and Systems Integration Analysis

4.4 Simulation and Modeling Development

4.5 Rapid Prototyping, Limited Procurement, & Fielding

4.6 Software, Network Development, and Information System Supt

4.7 Integrated Logistics Support

4.8 Emerging Technologies Analysis

4.9 Meetings & Conference Organization and Support

4.10 Staff Support

4.11 Operations Support

4.12 Organizational Analysis

2. Contractual responsibility involved the following management requirements:

· Management of subcontractor(s)

· Staffing with personnel that require TS/SCI [], TS [], and/or Secret [] clearances (check highest that applies)

· Advisory & Assistance Services

· Scientific, Engineering, and Technical Assistance Services

SECTION 4: RESPONDENT EVALUATION

For each question below, please rate the contractor’s quality of performance from unsatisfactory to exceptional (as defined below) and please provide the basis for your rating. A rating of N/A should be used if either the question is not applicable or the answer is unknown.

EXCEPTIONAL (E): Performance met contractual requirements and EXCEEDED MANY to the client’s benefit. 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 met contractual requirements and EXCEEDED SOME to the client’s benefit. 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 (S): Performance MET contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL (M): Performance DID NOT MEET SOME contractual requirements. The contractual performance of the element being assessed reflected a serious problem for which the contractor has not identified corrective actions. The contractor’s proposed actions appear or were only marginally effective or were not fully implemented.

UNSATISFACTORY (U): Performance DID NOT MEET MOST contractual requirements and recovery is not likely or was not in a timely manner. The contractual performance of the element being assessed contained serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NOT APPLICABLE (N/A): Not applicable or unknown. Did not observe performance in this area.

PART A: SPECIFIC CONTRACT ELEMENTS

1. Depth and breadth of mission area expertise related only to the areas checked in U M S VG E N/A Section 3, paragraph 1 above Basis for rating: ________________________________________________________________________________

2. Depth and breadth of management process expertise related only to the areas U M S VG E N/A checked in Section 3, paragraph 2 above Basis for rating: ________________________________________________________________________________

3. Quality of all services and deliverables U M S VG E N/A Basis for rating: ________________________________________________________________________________

4. Timeliness of all services and deliverables U M S VG E N/A Basis for rating: ________________________________________________________________________________

5. Effectiveness of corrective actions for marginal or unsatisfactory performance U M S VG E N/A Basis for rating: ________________________________________________________________________________

6. Clear, accurate, and timely written and verbal communication of technical information U M S VG E N/A Basis for rating: ________________________________________________________________________________

7. Reasonably independent execution of contract requirements and development of U M S VG E N/A technical solutions with minimum client guidance or oversight

Basis for rating: ________________________________________________________________________________

8. Overall technical, risk, schedule, cost, personnel, and subcontract management U M S VG E N/A Basis for rating: ________________________________________________________________________________

9. Recruiting and retaining personnel with the required expertise and continuity U M S VG E N/A of key personnel.

Basis for rating: ________________________________________________________________________________

10. Clear, accurate, and timely written and verbal communication of contract status U M S VG E N/A and cost reporting requirements

Basis for rating: ________________________________________________________________________________

11. Reasonable and cooperative behavior with client U M S VG E N/A Basis for rating: ________________________________________________________________________________

12. Management of contract costs U M S VG E N/A Basis for rating: ________________________________________________________________________________

PART B: OVERALL ASSESSMENT

1. Given the opportunity, would you hire this contractor again?

Definitely Would Probably Would Might or Might Not Probably Would Not Definitely Would Not

Please explain: _________________________________________________________________________________

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