Attachment_4_PPQ_r1.pdf

DEPARTMENT OF THE ARMY

410TH CONTRACTING SUPPORT BRIGADE

2450 STANLEY ROAD, SUITE 320

FORT SAM HOUSTON, TX 78234-6102

REPLY TO

ATTENTION OF:

CCEC – AMF

March 6, 2017

Mr. Mark Chase

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) Number

W912CL-17-R-0100

Dear Sir/Ma’am;

The US Army Expeditionary Contracting Command, 410th Contracting Support Brigade is currently conducting a competitive source selection to evaluate offerors on subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on same or similar federal, state or local government or commercial contracts as compared to North American Industry Classification System (NAICS) 541614. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the

410th CSB/RCC Americas CCEC-AMF, Jan’nel Gray 4075 Gorgas Circle, Bldg 1026 Fort Sam Houston, Texas 78234-2662 no later than 15 days after receipt of request or March 22, 2017,, whichever occurs first. Your questionnaire may be submitted electronically to jannel.k.gray.civ@mail.mil and mark.r.chase.civ@mail.mil.

Your cooperation is greatly appreciated. Questions may be directed to POC or the undersigned at 210-295-6679

Sincerely, MARK CHASE

Contracting Officer

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

PART I. (To be completed by the Offeror)

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:

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 five 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).

(S) Satisfactory; (M) Marginal; (US) Unsatisfactory; (NA) Not Applicable

A. Technical Performance S M US NA

T1. Quality & sustainability of operations & maintenance

T2. Quality of technical system testing and certification efforts

T3. Quality/integrity of technical data/report preparation efforts

T4. Adequacy/effectiveness of quality control program and

A. CONTRACT IDENTIFICATION

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

adherence to contract quality assurance requirements

T5. Ability to implement current standard practices for computer hardware design, operation, maintenance, upgrades and configuration control

T6. Adequacy/effectiveness of environmental safety procedures

T7. Overall rating of contractor’s technical performance

B. Program Management S M US NA

P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

P2. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

P3. Understand/complied with customer objectives and technical requirements

P4. Successfully responded to emergency and/or surge situations

P5. Quality/effectiveness of sub-contracted efforts

P6. Effectiveness of material management (including Government Furnished Property or Material)

P7. Effectiveness of acquisition management

P8. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

P9. Contractor implemented responsive/flexible processes to improve quality and timeliness of support

P10. Overall rating of contractor’s program management

C. Business Relations S M US NA

B1. Contractor’s responsiveness to questions and concerns presented by the customer, contracting officer or the contracting officer’s representative

B2. Contractor's ability to identify problems and potential problems and promptly notify the Contracting Officer

B3. Contractor's willingness to improve and correct noncompliance issues or concerns

B4. Extent to which the contractor has demonstrated reasonable and cooperative behavior

B5. Contractor's ability to use effective approaches and provide

C. Business Relations S M US NA technical expertise and resources to solve contract problems

B6. Contractor's working relationship with the contracting officer, quality assurance personnel and customers

B7. Contractor's flexibility in satisfying the requirements of its customers

B8. Overall rating of contractor’s business relations

D. Quality of Service S M US NA

Q1. Contractor's compliance with contractual terms and conditions

Q2. Quality of contractor furnished reports/deliverables

Q3. Overall rating of contractor's standard of workmanship

Q4. Contractor’s ability to meet standards specified for performance

Q5. Overall rating of contractor's quality of service

E. Schedule/Timeliness of Service S M US NA

S1. Contractor’s ability to meet suspenses for deliverable materials such as progress reports, technical submissions, after action reports, etc.

S2. Contractor's ability to meet specific response times and scheduled time frames for completion of specific tasks

S3. Contractor's timeliness in responding to emergency service requirements

S4. Overall rating of contractor's responsiveness/timeliness

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

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

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

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

Organization:

Name:

Title:

Date:

Telephone Number

Address:

E-mail Address:

H. Respondent Identification. Please provide the following information: