PAST PERFORMANCE QUESTIONAIRE.docx

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Attached to
CST Hawaii County Exercise Support Federal contract opportunity
Solicitation number
W912J624R0002
Issued by
Department of the Army National Guard

About this file

This document is a Past Performance Questionnaire for a competitive federal contract opportunity. The United States Property & Fiscal Office (USPFO) for Hawaii Contracting Office is conducting an acquisition for non-personal services to support the Combat Support Team, Hawaii Army National Guard. The offeror has identified the recipient as a reference to validate their past performance. The questionnaire requests information such as the type of service provided, contract amount, number of Full Time Equivalents, and an assessment of the contractor's quality of service and customer relations using a rating scale. Narratives are required for any ratings other than "Satisfactory." Responses are due by April 9, 2024 at 10:00 AM (Hawaii Standard Time).

The related federal contract opportunity is Solicitation Number W912J624R0002 for "CST Hawaii County Exercise Support." The objective is to assist and execute four functional CBRN weapons of mass destruction Field Training Exercises in FY 2024 across four counties in Hawaii, including coordination of active shooter, collapsed structure, and mass CBRN/trauma casualty events. The exercises will create a Homeland Security Exercise and Evaluation Program (HSEEP) compliant Joint Training Environment to develop, exercise, and assess National Guard Mission Essential Tasks.

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File Type Posted
CST_QandA Dated 5April2024.pdf PDF
W912J624R0002 SOLICITATION.pdf PDF

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PAST PERFORMANCE QUESTIONNAIRE

The United States Property & Fiscal Office (USPFO) for Hawaii Contracting Office is conducting a competitive acquisition for non-personal services requirement of County Exercises in support of the Combat Support Team, Hawaii Army National Guard.

The offeror has identified you as a reference to validate past performance.

Please complete the following questionnaire to assist our evaluation of the contractor’s past performance, and return to clesson.k.paet.civ@army.mil and anthony.g.reyes1.civ@army.mil by 9 April 2024, 10:00 AM (Hawaii Standard Time).

Note: Clearly identify and provide the name of the Prime Contractor and Subcontractor.

Specify Prime Contractor/Subcontractor.

Name of Contractor being evaluated: ______________________________________________

Contract/Order Number: _

1. Type of service being provided?

2. Where is the location of this service?

3. What is the contract amount?

4. How many Full Time Equivalents (FTE) are on the contract?

5. Have there been any unsatisfactory performance resulting in additional contractual or administrative costs?

☐ Yes ☐ No

If “Yes,” explain: _____________________________________________________________________

The last two questions will discuss quality of service & customer relations. Please refer to the following:

Rating System:

(1) Excellent – Overall performance exceeds contractual requirements and gives extra benefits to the customer. Problems, if any, were promptly corrected without negative impact to the customer.

(2) Satisfactory – Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory

(3) Marginal - Performance does not meet some contractual requirements. The contractor’s proposed actions to correct any problems appear only marginally effective or were not fully implemented.

(4) Unsatisfactory – Performance does not meet most contractual requirements. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

IMPORTANT NOTE: NARRATIVES MUST BE PROVIDED FOR ANY RATING OTHER THAN SATISFACTORY AND MUST SUPPORT THE RATING GIVEN.

6. Quality of Service – Please rate overall compliance with the contract Performance Work Statement.

☐ Excellent ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory If other than “Satisfactory,” a narrative must be provided to explain how the overall performance exceeds or does not meet contractual requirements:

7. Business/Customer Relations – Please rate overall effective management; successfully managed services; reasonable/cooperative behavior; flexibility; business-like concern for customer’s interest.

☐ Excellent ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

If other than “Satisfactory,” a narrative must be provided to explain how the overall performance exceeds or does not meet contractual requirements:

Signature: ____________________________________Date: ____________________
Print Name: ___________________________________Agency/Unit: ___________________________________
Title/Position: _________________________________Telephone: ____________________________

Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.

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