06-Past Performance Questionnaire.docx

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Attached to
Talent Agencies Coordinating for Musical Guests & Artists
Solicitation number
FA3016-21-U-0001
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Text version

RFQ # FA3016-21-U-0001

ATTACHMENT—06

PERFORMANCE QUESTIONNAIRE

PAST AND PRESENT

Talent Agencies Coordinating Musical Commissions and Guest Artists

This document was created and tailored by 502 CONS for this particular requirement.

When filled, this document must be handled with Source Selection Sensitivity IAW FAR 2.101 and FAR 3.104.

a. CONTRACTOR’S INFORMATION:

Contractor’s Name:

Contact Person:

Email Address:

Telephone No. #

Project Title or Brief Description of Work:

Contract Period or Date(s) of Performance Provided by Contractor:

*NOTE: If the contractor holds or has held other contracts with your agency/organization in the last 3 years from the date of issuance of this solicitation, please list the contract(s) in the remarks section on the next page and add your comments.

Contractor performed as the:

Prime Contractor󠅝

Subcontractor

Joint Venture or Key Personnel

b. RESPONDENT INFORMATION:

Name of Respondent:

Organization:

Title/Position:

Telephone #:

Email Address:

c. EMAIL COMPLETED SURVEY FORM TO:
502 CONS/JBKCB sandra.smith.24@us.af.mil
d. PERFORMANCE INFORMATION:
Choose the number on the scale of 1 to 5 that most accurately describes

the contractor’s performance quality. Please provide a narrative explanation for any quality ratings of 1 or 2.

1
2
3
4
5
Not Applicable
Unsatisfactory
Marginal
Satisfactory
Very Good

Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

#
PERFORMANCE INFORMATION:
N/A
UNSAT
MARG
SAT
VERY GOOD
1
Provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
1
2
3
4
5
2
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
1
2
3
4
5
3
Followed approved quality control plan.
1
2
3
4
5
4
Provided effective quality control and/or inspections procedures to meet contract requirements.
1
2
3
4
5
5
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
1
2
3
4
5
6
Provided timely resolution of contract discrepancies.
1
2
3
4
5
7
Identified problems as they occurred.
1
2
3
4
5
8
Suggested alternative approaches to problems.
1
2
3
4
5
9
Displayed initiative to solve problems.
1
2
3
4
5
10
Met established project schedules.
1
2
3
4
5
11
Was responsive to contract changes.
1
2
3
4
5
12
Provided adequate project supervision.
1
2
3
4
5
13
Paid subcontractors/suppliers in a timely manner.
1
2
3
4
5
14
Cooperated with Government personnel after award.
1
2
3
4
5
15
How would you rate the contractor’s overall performance?
1
2
3
4
5
16
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”
YES
NO
17
Would you award another contract to this contractor? If not, explain in “remarks."
YES
NO

CONTRACTOR’S NAME:

CONTRACT #:

Remarks:

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