2. Attachment 2_Past Performance Survey.pdf

MUNITIONS PAST PERFORMANCE SURVEY

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Address: __________________________ Telephone Number: ____________________ __________________________ Fax Number: ____________________ __________________________ Point of Contact: ____________________

Project Title or Brief Description of Work: ___________________________________________

Contract Number Provided by Offeror: ____________________ Dollar Amount: $

Contract Period or Dates of Performance Provided by Offeror:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number:_____________________ _____________________________ Email Address:_____________________

C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY

RATINGS OF 1 OR 2.

1 2 3 4 5 6

NO CONFIDENCE LITTLE

CONFIDENCE

SATISFACTORY

CONFIDENCE

SIGNIFICANT

CONFIDENCE

HIGH

CONFIDENCE

UNKNOWN

CONFIDENCE

Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort.

Based on the offeror’s performance record, the government has confidence the offeror will successfully perform the required effort.

Normal contractor emphasis should preclude any problems.

Based on the offeror’s performance record, the government has significant confidence the offeror will successfully perform the required effort. i

Based on the offeror’s performance record, the government has high confidence the offeror will successfully perform the required effort.ii

No performance record is identifiable.iii

CONTRACTOR’S NAME:

CONTRACT NUMBER

The contractor:

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

1 2 3 4 5 6

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

1 2 3 4 5 6

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

1 2 3 4 5 6

4. Home office participated in solving significant local problems. 1 2 3 4 5 6

5. Followed approved quality control plan. 1 2 3 4 5 6

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 6

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

1 2 3 4 5 6

8. Provided timely resolution of contract discrepancies. 1 2 3 4 5 6

9. Identified problems as they occurred. 1 2 3 4 5 6

10. Suggested alternative approaches to problems. 1 2 3 4 5 6

11. Displayed initiative to solve problems. 1 2 3 4 5 6

12. Was responsive to contract changes. 1 2 3 4 5 6

13. Provided adequate project supervision. 1 2 3 4 5 6

14. Obtained consent of surety for increases in bonding as work-in-progress increased.

1 2 3 4 5 6

15. Paid subcontractors/suppliers in a timely manner. 1 2 3 4 5 6

16. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

1 2 3 4 5 6

17. Cooperated with Government personnel after award. 1 2 3 4 5 6

18. How would you rate the contractor's overall performance? 1 2 3 4 5 6

19. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

20. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

21. Is the contractor rated in CPARS? YES/NO

Remarks: