B08_J.3_Past Performance Questionnaire.docx
DOCX document 23 KB Posted
- Attached to
- Modular Scalable Vest Federal contract opportunity
- Solicitation number
- W91CRB-20-R-0001
About this file
This document contains a past performance questionnaire template for a modular scalable vest solicitation. The Army Contracting Command at Aberdeen Proving Ground is seeking input on offerors' past performance for consideration in awarding approximately five firm fixed price IDIQ contracts for modular scalable vests. The questionnaire requests information about a reference contract's period of performance, value, type, requirements, and contracting officer information for offerors to provide. It also contains instructions for reference customers to evaluate offerors' past performance on quality, schedule, cost control, business relations, small business goals, and any issues using defined ratings. Responses are due by a specified date and should be emailed to the point of contact listed.
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Text version
W91CRB-19-R-0066
PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE
Modular Scalable Vest Recompete
SECTION I: TO BE COMPLETED BY THE OFFEROR
Company Name: _____________________________________________________ Contract Number: _____________________________________________________ Contract Period of Performance: __________________________________________ Total Contract Value: ___________________________________________________ Contract Type: ________________________________________________________ Description of Contract Requirement(s):____________________________________ Procuring Contracting Officer (PCO):
Name:
Email:
Phone: _______________________________________________________________ Contracting Officer’s Representative (COR):
Name:
Email:
Phone: ________________________________________________________________ Administrative Contracting Officer (ACO):
Name:
Email:
Phone: ________________________________________________________________
SECTION II: TO BE COMPLETED BY CUSTOMER AGENCY (Reference)
Organization Name: _____________________________________________________ Evaluator Name & Title: ___________________________________________________ Evaluator Signature: ______________________________________________________ Evaluator Phone Number & Email: ___________________________________________
SECTION III: INSTRUCTIONS FOR CUSTOMER AGENCY COMPLETION OF PAST
PERFORMANCE QUESTIONNAIRE
The Army Contracting Command at the Aberdeen Proving Ground is seeking your assistance in providing input on the past performance of the offeror identified in Section 1 of this form. Assessments will be used in the potential award of a Department of Defense contract for Modular Scalable Vests currently posted under solicitation W91CRB-19-R-0066.
Please complete the attached questionnaire by indicating the company’s performance rating for the identified contract using the evaluation ratings and definitions below. Handwritten responses are sufficient. If you do not have the appropriate knowledge of or experience with the company, please forward this questionnaire to the appropriate person at your agency.
Completed questionnaires or questionnaires regarding this request can be e-mailed to Ms. Karen Gibson at karen.gibson2.civ@mail.mil prior to XXXXXX.
THANK YOU FOR YOUR ASSISTANCE!
| RATING |
| DEFINITION |
| Exceptional |
| Performance met contractual requirements and exceeded many requirements to the Government’s benefit. Contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance met contractual requirements and exceeded some to the Government’s benefit. Contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance met contractual requirements. Contractual performance included some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal |
| Performance did not meet some contractual requirements. Contractual performance contained serious problem(s) for which the contractor’s corrective actions appeared only marginally effective or were not fully implemented. |
| Unsatisfactory |
| Performance did not meet most contractual requirements and recovery did not occur in a timely manner. Contractual performance contained serious problem(s) and corrective actions were ineffective. |
| Not Applicable (N/A) |
| Respondent has no personal knowledge. |
In Section IV, please check the box next to the appropriate rating, or mark “N/A” if you are unable to provide a rating for a factor. Please provide narrative explanations for your answers in the space marked “Comments”.
SECTION IV: PAST PERFORMANCE EVALUATION
Quality of Product – Conformance with requirements and overall quality
| Exceptional |
| Comments: |
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Schedule – Ability to meet contractual delivery schedule
| Exceptional |
| Comments: |
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Cost Control
| Exceptional |
| Comments: |
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Business Relations – Resolution of problems with minimal disruption Responsiveness to customer requests
| Exceptional |
| Comments: |
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Small Business – Ability to meet small business goals
| Exceptional |
| Comments: |
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A
Was a show cause letter or Cure Notice ever issued on this contract/order?
|_| Yes |_| No Comments:
Have you experienced special or unique problems with the referenced contractor that we should be aware of in making an award decision?
|_| Yes |_| No Comments:
Would you recommend this contractor for similar Government contracts?
|_| Yes |_| No Comments:
(Additional Question)
|_| Yes |_| No Comments:
(Additional Question)
|_| Yes |_| No Comments:
(Additional Question)
|_| Yes |_| No Comments:
Source Selection Information—See FAR 2.101 and 3.104
FOR OFFICIAL USE ONLY
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