Attachment 02 Performance Assessment Questionnaire.docx

Performance Assessment Questionnaire – Cover Letter

Arkansas Army National Guard United States Property & Fiscal Office Purchasing and Contracting Camp Joseph T. Robinson North Little Rock, Arkansas 72199

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) W912JF23R0026

Dear Sir/Ma’am, The US Army Arkansas Army National Guard is currently conducting a competitive acquisition to evaluate offerors on the 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 the North American Industry Classification System [NAICS] 624190. 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 USPFO AR P&C Office at B7100 Camp Joseph T. Robinson, North Little Rock, Arkansas 72199, no later than 15 days after receipt of request or 13 October 2023, whichever occurs first. Submit your completed questionnaire to Michael.w.washington10.civ@army.mil.

Your cooperation is greatly appreciated. Questions may be directed to Mr.

Michael Washington at Michael.w.washington10.civ@army.mil.

Sincerely, Mark White Contracting Officer

Performance Assessment Questionnaire Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does (and/or) notify the Contracting Officer. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within the stated timeframe.

Rating Definitions:

Substantial Confidence: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. The offeror has been highly successfully in performing the required effort.

Satisfactory Confidence: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective. The offeror has successfully performed the required effort.

Limited Confidence: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective. The offeror has had little success performing the required effort.

No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed the required effort.

PART I. (To be completed by the Offeror) A.

CONTRACT

IDENTIFICATION

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:

Forecasted or Actual Contract Completion Date: Nature of the Contractual Effort or Items Purchased: Total Contract Value:

B.

IDENTIFICATION

OF

OFFEROR’S

REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent) *Note: rationale is required for each response.

A.

Compliance of

Products, Services, Documents, and

Related

Deliverables to Specification Requirements and Standards of Good Workmanship

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

· No Confidence

Rationale:

B.

Effectiveness of

Project

Management

(to include use and control of subcontractors).

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

Rationale:

C.

Timeliness of

Performance for

Services and

Product

Deliverables.

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

Rationale:

D.

Effectiveness in

Forecasting and

Controlling

Estimated

Costs

(Use this Question on Cost Reimbursement Type Contracts Only).

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

Rationale:

E.

Commitment to

Customer

Satisfaction and

Business-like

Concern for its Customers’ Interest

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

Rationale:

F.

General

Comments.

Provide any other relevant performance information.

Comments:

G.

Other

Information

Sources.

Please provide the following information:

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

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

Point of Contact (Name): Telephone Number:

H.

Respondent

Identification.

Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

E-mail Address:

PART III. RETURN INFORMATION

Please return this completed Questionnaire to the Contracting Officer identified in the cover letter.

Thank you for your assistance.