W91CRB20R0009 Attachment J-8 Past Performance Questionnaire.docx

W91CRB-20-R-0009

PAST PERFORMANCE QUESTIONNAIRE

SUBJECT: Past Performance Questionnaire

MEMORANDUM FOR:

1. The Project Manager, Close Combat Squad, Fort Belvoir, VA, through its contracting agency, US Army Contracting Command - Aberdeen Proving Ground, APG, MD, is acquiring Conformal Wearable Batteries in support of the Nett Warrior and IVAS system to fulfill its mission.

2. Offeror’s interested in proposing on this work have been requested to send the attached Past Performance Questionnaire to points of contact on past and present contracts, which the Offeror deems relevant to this effort. In this regard, the US Army is conducting a past performance assessment in anticipation of a possible contract award.

3. We are requesting your assistance in completing this questionnaire so that we may evaluate the Offeror’s in the areas of experience and past performance. The attached questionnaire has been developed for ease of electronic completion. Please provide your comments regarding the overall assessment of the contractor’s performance on the contract identified. Any additional information, which your organization deems relevant or important, will be welcome by our evaluation team. If a question on the questionnaire is not applicable, please so indicate.

4. Please complete and submit the questionnaire within five (5) days of receipt via E- mail to labinot.shabani.civ@mail.mil. If you have any questions relative to the enclosed questionnaire, please contact me.

4. Thank you in advance for your assistance.

Sincerely, Samantha L. Degele Contracting Officer COMPETITION SENSITIVE SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 For Official Use Only C-2

Questionnaire Page 2 of 3

Conformal Wearable Battery (CWB) Past Performance Questionnaire Please provide your candid response to the following questions. The information that you provide will be used in the awarding of federal contracts. Therefore it is important that your information be as factual and accurate as possible. If you do not have the appropriate knowledge of or experience with the company in question, please forward this questionnaire to the person who does. Please return within 5 days. Thank you.

PART I.(To be Completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Prime Contractor Name (if different from the contractor name cited above): Contract Award Date:

Forecasted or Actual Contract Completion:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

PART II. EVALUATION (To be Completed by Point of Contact – Respondent) A. Technical Quality of Products, Documents, Presentations, and Related Deliverables

Excellent (Significantly Exceeds Expectations) Good (Exceeds Expectations) Adequate (Meets Expectations) Poor (Significantly Below Expectation, Provide comment in field below) Unknown (N/A) Comments:

COMPETITION SENSITIVE SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 For Official Use Only C-3

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B. Effectiveness of Project Management (to include use and control of subcontractors).

Excellent (Significantly Exceeds Expectations) Good (Exceeds Expectations) Adequate (Meets Expectations) Poor (Significantly Below Expectation, Provide comment in field below) Unknown (N/A) Comments:

C. Timeliness of Performance for Services and Product Deliverables.

Excellent (Significantly Exceeds Expectations) Good (Exceeds Expectations) Adequate (Meets Expectations) Poor (Significantly Below Expectation, Provide comment in field below) Unknown (N/A) Comments:

D. Overall Satisfaction.

Excellent (Significantly Exceeds Expectations) Good (Exceeds Expectations) Adequate (Meets Expectations) Poor (Significantly Below Expectation, Provide comment in field below) Unknown (N/A) Comments:

E. General Comments.

F. Other Information Sources:

G. Are you aware of other relevant past efforts by this company with your agency/company?

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

COMPETITION SENSITIVE SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 For Official Use Only C-4

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H. Respondent Identification: Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

Fax Number:

E-mail Address:

PART III. Return Information Please return this completed questionnaire via e-mail to Name: Lab Shabani.

Email address: labinot.shabani.civ@mail.mil Telephone Number: (410) 278-3876

Thank you for your assistance.