Appendix_2_Past_Performance_Questionnaire.doc

Detainee Services Contract Appendix 2 Past Performance Questionnaire Solicitation W912CL18R0002

APPENDIX 2

past performance QUESTIONNAIRE

FOR

DETAINEE PROGRAM SERVICES

Past Performance Questionnaire

I.

CONTRACT IDENTIFICATION

1.

Customer (Agency/Company Name and Mailing Address):

2.

Contract Number: _______________________

3.

Contract Type: _________________________

4. Product/Service Description: Please check the appropriate box (es). “Significant (S)” experience means that a full range of services under the work element were provided by the contractor. “Moderate (M)” experience means that some of the services indicated under the work element were routinely provided by the contractor or that all services were provided but not on a continuous basis. “Minimal (Min)” experience means that, although some aspects of the work element were performed, such work was of limited scope or frequency. “Not Applicable (N/A)” means that the work element was not performed under your contract.

Training and seminar services

FORMCHECKBOX

S FORMCHECKBOX

M FORMCHECKBOX

Min FORMCHECKBOX N/A Library management services

M FORMCHECKBOX

Min FORMCHECKBOX

Operation in an overseas environment

M FORMCHECKBOX

Min FORMCHECKBOX

Curriculum development and implementation

M FORMCHECKBOX

Min FORMCHECKBOX

Management of personnel

M FORMCHECKBOX

Min FORMCHECKBOX N/A 5.

Please rate the Contractor as described below in the following categories. Please include a short narrative as to why you chose the adjective you did, especially for those answers that are other than ‘Meets’.

Exceeds (E): Exceeds the established performance requirements to an exceptional degree. Performance is exemplary and accomplished in a timely, efficient, and economical manner. Very minor (if any) deficiencies have no adverse effect on overall performance.

Meets (M): Meets the established performance requirements. Performance is effective and most requirements are met in a timely, efficient, and economical manner. Reportable deficiencies have little identifiable effect on overall performance.

Fails to Meet (F): Fails to meet the established performance requirement. Remedial action is required in one or more areas. Reportable deficiencies in one or more areas adversely affect overall performance.

N/A: Not applicable or rater has not observed performance in this area.

Ability to identify and resolve problems in a timely manner

FORMCHECKBOX

E FORMCHECKBOX

M FORMCHECKBOX

F

FORMCHECKBOX

N/A Ability to work effectively with customer and other contractors

FORMCHECKBOX

E FORMCHECKBOX

M FORMCHECKBOX

F

FORMCHECKBOX

Timeliness of performance

E FORMCHECKBOX

M FORMCHECKBOX

F

FORMCHECKBOX

Ability to manage workforce

M FORMCHECKBOX

F

FORMCHECKBOX

Responsiveness

M FORMCHECKBOX

F

FORMCHECKBOX

Technical Performance

M FORMCHECKBOX

F

FORMCHECKBOX

Schedule Performance

M FORMCHECKBOX

F

FORMCHECKBOX

Overall Contract Management

M FORMCHECKBOX

F

FORMCHECKBOX

N/A

6. Provide a brief narrative of the relevant work performed.

7.

Period of Performance (basic and any options): _________________________ 8.

Contract value: ______________________ 9.

Contract POC Information:

a) Name of Contracting Officer/Contract Manager: _________________________

b) Position Title: _____________________________________

c) Telephone Number: ________________________________

d) Facsimile Number: _________________________________

e) E-Mail Address: ___________________________________

II.

send the completed questionnaire to:

Velia Pier E-mail: velia.pier.civ@mail.mil