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ARNG Child Youth Program Coordination Services 2018
PAST PERFORMANCE QUESTIONNAIRE
Child Youth Program Coordination Services: Solicitation Number: W9133L-18-R-0001 (Offeror shall complete item II A. and II B. prior to sending this questionnaire to the Evaluator/Reference.)
In order to assess potential vendors under the National Guard Bureau (NGB) Army National Guard (ARNG) NGB Child Youth Program Coordination Services procurement (W9133L-18-R-0001), the NGB Contracting Office is obtaining past performance information with respect to each offeror. The contract resulting from this procurement will provide the NGB with a full range of services in support of the Army National Guard Directorate’s requirements. In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a critical acquisition being conducted by the NGB and your support is sincerely appreciated. We are thanking you in advance for your time, effort, and cooperation in responding to this questionnaire. The completed Questionnaire shall be submitted directly via email to the contracting officer, MAJ Ellieth Rodriguez, ellieth.rodriguez.mil@mail.mil, and contract specialist, MAJ Scott Chandler, scott.a.chandler.mil@mail.mil, and by the due date established for receipt of offers. The “subject” line in the submission email shall clearly indicate: ARNG Child Youth Program Coordination Services: Past Performance Questionnaire Submission for Offeror (Offerors shall enter their company name here before sending to referenced individuals), and the message shall originate from the Evaluator’s corporate or Government email system.
I. GENERAL GUIDANCE
Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):
| Excellent |
| The Offeror's past performance far exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Good |
| The Offeror’s past performance exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Satisfactory |
| The Offeror's past performance met the customer's expectations and contract requirements. |
| Marginal |
| The Offeror's past performance could have been improved. The Offeror required major agency resources to ensure achievement of contract requirements. |
| Unsatisfactory |
| The Offeror's past performance did not meet customer expectations and/or contract requirements. |
II. GENERAL INFORMATION
A. AGENCY & RESPONDENT IDENTIFICATION:
B. CONTRACT IDENTIFICATION:
| 1 |
| Type of Instrument (e.g. Contract/Order/Subcontract/Other): |
| 2 |
| Contract Identification Number: |
| 3 |
| Order Number (If applicable): |
| 4 |
| Project Title and Service Description (Add rows if needed): |
| 5 |
| Type of Contract (e.g. Negotiated, Sealed Bid): |
| 6 |
| Pricing Type (e.g. fixed price, cost reimbursement, other): |
| 10 |
| Initial Contract Dollar Value (w/Options): |
| 11 |
| Final Contract Dollar Value (w/Options): |
| 12 |
| Period of Performance: |
| 13 |
| Place(s) of Performance: |
| 14 |
| Complexity of Work (e.g. difficult, routine): |
| 15 |
| Type and extent of subcontracting (add rows if needed): |
C. GENERAL INFORMATION
| 1 |
| Has the Contractor even been given a cure notice, show cause notice, suspension of progress payments, etc.? If yes, explain. |
| 2 |
| Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g. default, convenience). |
| 3 |
| If this was an award or incentive fee contract, what percentage of the available fee did the Contractor usually receive? |
| 4 |
| Changes in contract dollar amounts throughout the life of the contract are/were generally attributable to customer-issued Change Orders, Contractor-submitted claims, other Customer actions (please explain): |
III. EVALUATION: How Would You Rate This Contractor With Respect To:
A. Compliance with the SOW/PWS and specifications; conformance to standards of good workmanship, and responsiveness to technical direction:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment: ___________________________________________________________________
B. Adherence to the contract delivery schedule:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
C. Adherence to contract estimates; reasonableness of change order proposals; and completeness of billing:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
D. Working relationship with Contracting Officer, COR, and other points of contact:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
E. Relationship with and satisfaction level of agency end-user of product or service required:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
F. Rate the level of functional expertise of the contractor’s staff:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
G. Rate the level of technical expertise of the contractor’s staff:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
H. Contractor’s compliance with security requirements:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
I. Contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
J. Contractor’s ability to meet appropriate staffing levels with qualified personnel to provide required services:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
K. Contractor’s ability to effectively manage subcontractors and/or Team members:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
L. Extent to which the contractor has demonstrated reasonable and cooperative behavior with your staff and other contractors:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
In summary, if you care to, please give your overall assessment of this contractor.
Do you have additional comments to add?
Department of the Army National Guard