Attachment_4_-_Past_Performance_Questionnaire.docx

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

The Army Contracting Command, Aberdeen Proving Ground requires past performance information as part of an evaluation process for Request for Quote W91CRB-18-R-0027. On the following pages, “Offeror” refers to the firm using your company as a reference. Handwritten responses are sufficient. Your input is important to us and responses are needed for inclusion in our evaluation. Once completed, please e-mail to sabrinna.r.cosom.civ@mail.mil and gerald.a.simmons2.civ@mail.mil.

Please return the completed Questionnaire within twenty-five (25) calendar days of the release of the RFP. Thank you.

THIS QUESTIONNAIRE, WHEN COMPLETED, MUST BE TREATED AS SOURCE SELECTION SENSITIVE INFORMATION IN ACCORDANCE WITH FEDERAL ACQUISITION REGULATION (FAR) 2.101 AND 3.104 AND MUST NOT BE DISCLOSED TO ANYONE OUTSIDE THE U.S. GOVERNMENT

Name of offeror: _________________________

PART 1: CONTRACT IDENTIFICATION

Note: Contract performance description to include period of performance, contract type, contract number, dollar value, etc shall be the detail for the contractor being evaluated. If the contract is a task order, the detail shall be for the task order since no performance is done on the basic award.

Name of Contractor:

Contract Type: Prime or Subcontractor:

Contract/Task Order Number:

Period of Performance:

Contract Value at Award: Final/current Value:

Changes in contract dollar amount throughout the life of the contract are/were attributable for the most part to:

Please elaborate: ______________________________________________________________

Program Title/Description of Contract Effort (include scope and magnitude of services provided under this contract: (Attach additional pages if necessary) ______________________________________________________________________________ If prime, how many subcontractors? ___ Please check the following which apply:

___ Management of subcontractor(s)/team members ___ Staffing with personnel that require TS/SCI clearances

PART 2: RESPONDENT INFORMATION

Evaluator’s name: _____________________________________________________ Organization and/or office symbol __________________________________________ Phone number/fax number: ________________________________________________ E-mail address: _________________________________________________________ Dates of involvement in program/contract: ____________________________________ Evaluator’s role on subject contract: _________________________________________ Contracting Point of Contact name: ________________________________________ Organization and/or office symbol: __________________________________________ Phone number/fax number: _________________________________________________ E-mail address: ____________________________________________________________ Dates of involvement in program/contract: ______________________________________ Alternate’s role on subject contract: __________________________________________

PART 3: EVALUATION

For the purposes of this survey the government will receive an overall assessment of what the contractor can perform in accordance with the solicitation, using the ratings below. In responding to the survey, please justify and explain exceptional, very good, marginal, and unsatisfactory ratings. Please include comments to explain all ratings given. Respondent may be contacted to clarify comments or ratings. An individual within your organization that is knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire.

The ratings below are to be used to evaluate the performance of the contractor identified above, NOT the offeror.

N/A - Not Applicable

5 - Exceptional- Performance meets contract requirements and significantly exceeds contract requirements to the Government’s benefit. For example, the contractor implemented innovative or business process reengineering techniques, which resulted in added value to the Government. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 - Very Good- Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 - Satisfactory- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which proposed corrective actions taken by the contractor appear satisfactory, or completed corrective actions were satisfactory.

2 - Marginal- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has submitted minimal corrective actions, if any. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

1 - Unsatisfactory- Performance does not meet contractual requirements and recovery is not likely in a timely or cost effective manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NOTE: If you have rated this contractor on this particular contract or project in CPARS or some other evaluation system accessible to the Government, you may indicate that past performance information on this contract/project is available in the appropriate system and you may include a copy of that rating in lieu of the following questionnaire.

1. Compliance with contractual terms and conditions

2. Performance extracting and analyzing data from databases and collaborative programs

3. Performance developing or drafting program and system briefings and interpreting regulations, reports and other directives

4. Performance conducting analytical studies using mathematical, statistical, and other operations research techniques

5. Performance recruiting and retaining qualified personnel with the required experience, education and certifications while maintaining continuity of critical positions during the contract period

6. Performance maintaining personnel with Top Secret/Sensitive Compartmentalized Information (TS/SCI) security clearances

7. Performance regarding prioritizing, programming, and resourcing efforts to the requiring activity’s missions and functions

8. Performance reviewing, monitoring and analyzing documents

9. Quality of Product or Service

10. Timeliness of Performance

11. Effectiveness of Management

12. Initiative in Meeting Requirements

13. Response to Technical Direction

14. Responsiveness to Performance Problems

15. Compliance with Cost Estimates

16. Customer Satisfaction

17. Overall Performance

10. Please discuss each and every response for which you indicated 5 (Exceptional) or 4 (Very Good) in response to the questions above (use additional sheets, if necessary):

11. Please discuss each and every response for which you indicated 2(Marginal) or 1 (Unsatisfactory) in response to the questions above (use additional sheets, if necessary):

12. Please identify any corporate affiliations with the offeror.

13. Given the opportunity, would you recommend award to this contractor again?

Additional Remarks:

PART III. RETURN INFORMATION

Name

Title/Organization

Date

Once completed, please e-mail to sabrinna.r.cosom.civ@mail.mil and gerald.a.simmons2.civ@mail.mil.

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104