07. Attachment - Past Performance Questionnaire.pdf

PAST/PRESENT PERFORMANCE EVALUATION QUESTIONNAIRE

Section A: Contractor Information (to be completed by the contractor prior to mailing or faxing) Past Performance Questionnaires submitted by the contractor will not be considered. Only Past Performance Questionnaires submitted by their references will be considered as Past Performance Data.

a. Contractor’s Name and Address:

b. Point of Contact:

c. Phone Number:

d. Contract Number:

Contract Type:

FAX Number:

E-mail address:

e. Project Title:

f. Period of Performance:

g. Authorization is hereby granted to provide the information requested in Section B of this questionnaire:

Section B: Respondent Information (to be completed by Past/Present Performance Evaluation respondents).

a. Respondent’s Name and Address:

b. Number of years, evaluator worked on subject contract:

c. Phone Number:

E-mail Address:

FAX Number:

d. Contract Number:

Contract Type:

e. Award Amount:

Final Amount:

f. Project Title:

g. Period of Performance:

Past Performance Questionnaire

FA460824R0005

PLEASE EMAIL THE COMPLETED QUESTIONNAIRE TO BOTH:

Nicole Rondeau nicole.rondeau@us.af.mil

Sheronda Stewart sheronda.stewart.1@us.af.mil

If you have questions regarding this questionnaire, please call Nicole Rondeau at (318) 456-3729.

PERFORMANCE INFORMATION: Performance Evaluation Instructions:

1. You are urged to supplement your own knowledge of the contractor’s performance with the judgement of others in your organization. Any marginal ratings should be supplemented with an explanatory narrative in the corresponding comments block for that item. If you wish to elaborate on any of your answers, please provide additional comments at the end of this survey. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submitting it to 2 CONS/PKA.

2. When responding to the descriptive statements, select the letter on the scale that most accurately describing the contractor’s performance or situation. If the contractor has no record of past/present performance relevant to a particular question, select “N for Neutral”.

3. The letters on the scale correspond to the definitions below and are applicable rating levels for the contractor’s performance:

Exceptional (E) During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

Very Good (VG ) During the contract period, contracor is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some. Some minor problems encountered.

contractor took timely corrective action.

Satisfactory (S ) During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

Marginal (M) During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

Unsatisfactory (U) During the contract period, contractor performance is failing (or fail) to meet most contract requirements. Serious problems encountered Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

Not Appicable (N) Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

Past Performance Questionnaire

PROGRAM MANAGEMENT

E VG S M U N

1. Effectiveness of overall contract management (including ability to effectively lead, manage, and control the program)

2. Contractor was reasonable, flexible, and cooperative in dealing with your Staff (including the ability to successfully resolve disagreements/disputes)

3. Ability to successfully respond to emergency and/or surge situations

4. Adherence to contract quality assurance requirements

5. Effectiveness of material management (including Government Furnished Property or Equipment)

6. Effectiveness of acquisition/procurement management

7. Timeliness/completeness/accuracy of submission of required reports and documentation

8. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

9. Ability to work with government personnel during contract changes

10. Ability to meet the schedule and provide alternate solutions when delivery schedule is at risk

PERSONNEL

1. Adequately provide a trained and certified workforce during transition and contract start date

2. Maintained a workforce that possessed requisite technical knowledge, skills, and certifications (as required) throughout the life of the contract

3. Provided a stable work force with minimal personnel turnover that maintained project management continuity

TECHNICAL PERFORMANCE

1. Identify and implement cost savings that benefit the government

TRANSITION

1. Contractor successfully transitioned resources and personnel to assume work under new contract; continuity of services was maintained and seamless

2. Effectiveness transitioning without compromising mission support

Past Performance Questionnaire

COMPLIANCE WITH ENVIRONMENTAL LAWS/SAFETY AND SECURITY:

1. Response to notifications of violations while services were being provided

2. Compliance with environmental requirements

3. Compliance with Safety/Security Requirements

Government Contracts Only: Has/was the contractor given a cure notice or show cause letter for this contract?

Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes Default Cure Notice Show Cause No Convenience Pending Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.)

NARRATIVE SUMMARY

a. What were the contractor’s greatest strengths in the performance of the contract?

b. What were the contractor’s greatest weaknesses in the performance of the contract?

c. Has there been any security issues that may/may not have caused a security instance but raised a security concern with this contractor on this contract?

E VG S M U N

d. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

e. Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!