Past Perf Survey.doc

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ARSR-4 Transmitter Cooling System (TCS)
Solicitation number
697DCK-19-R-00466
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Transmitter Cooling System - Contract CD.zip ZIP file
SOW - ARSR-4TCS - Rev E - 10-03-2018.pdf PDF
697DCK-19-Q-00064.pdf PDF
697DCK-19-Q-00064.pdf PDF
Past Perf Survey.doc DOC document
SOW - ARSR-4TCS - Rev E - 10-03-2018.pdf PDF

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Contractor

Past Performance Survey

A. GENERAL INFORMATION. Please add any information below you deem appropriate and correct any information which may be inaccurate.

NAME OF RESPONDENT:

TITLE:

TELEPHONE #:

ORGANIZATION:

CONTRACTOR:

CONTRACT #:

POINT OF CONTACT:

TELEPHONE #:

TITLE:

CONTRACT START/END DATE:

AWARD AMOUNT:

PRESENT AMOUNT:

CONTRACT TYPE:

B. REQUIREMENT INFORMATION: Please provide information as to the description and location of work.

C. SPECIFIC QUESTIONS: The following questions are divided into those requiring a YES/NO response or a RATING. The YES/NO responses should be supplemented with an explanatory narrative if answered “YES”. When responding to those questions requiring a RATING, choose the number on the scale of

0 to 4, which most accurately describes the contractor’s performance or situation. If the question is not applicable, circle “N/A”. Please feel free to supplement RATING responses with with explanatory narrative as well, if necessary. The numbers 0 to 4 correspond with the following descriptive values:

Unsatisfactory Fair Satisfactory Good Excellent

Unsatisfactory Fair Satisfactory Good Excellent

QUALITY OF PRODUCT OR SERVICE

1. To what degree has the contractor demonstrated the capability to provide services which conform to contract requirements?
0
1
2
3
4
N/A
2. To what degree has the contractor demonstrated the ability to adhere to its quality control plan (QCP)?
0
1
2
3
4
N/A
3. To what degree has the contractor demonstrated the ability to achieve required Acceptable Quality Level(s) (AQL)?
0
1
2
3
4
N/A
4. To what extent has the contractor displayed initiative in meeting requirements or taking corrective action(s)?
0
1
2
3
4
N/A
5. To what degree has the contractor demonstrated technical expertise in the product or service provided?
0
1
2
3
4
N/A
6. Was a Cure Notice or Show Cause Letter ever issued to the contractor? (if YES, please explain in the “Remarks” section)
Yes
No
7. Was the contract terminated for default? (if YES, please explain in the “Remarks” section)
Yes
No

8. Was an election made to not exercise an option due to the contractor’s poor performance? (if YES, please explain in the “Remarks” section)

Yes
No

TIMELINESS OF PERFORMANCE

1. To what extent did the contractor adhere to contract delivery schedules?
0
1
2
3
4
N/A
2. To what extent did the contractor submit required reports and documenation and meet interim milestones in a timely manner?
0
1
2
3
4
N/A
3. To what extent could the contractor be relied upon to correct or remedy any missed services or delayed performance?
0
1
2
3
4
N/A
4. To what extent was the contractor responsive to technical directions?
0
1
2
3
4
N/A
5. To what extent was the contractor responsive to bringing about wrap-up or closure to contract administration issues?
0
1
2
3
4
N/A
6. Was there an occasion(s) for assessment of liquidated damages? (If YES, please explain in the “Remarks” section)
Yes
No

GOVERNMENT PROPERTY CONTROL

1. To what extent did the contractor develop and implement adequate safeguards to protect government property?
0
1
2
3
4
N/A
2. To what degree did the contractor maintain complete and accurate accountability of government furnished property?
0
1
2
3
4
N/A
3. To what extent was the contractor successful in ensuring a favorable resolution of discrepancies?
0
1
2
3
4
N/A
4. To what degree did the contractor provide physical security for the work area assigned?
0
1
2
3
4
N/A
5. To what degree did the contractor demonstrate proper treatment of government property or other items of value provided and in its possession?
0
1
2
3
4
N/A

BUSINESS RELATIONS

1. To what extent has the contractor demonstrated an ability to effectively manage the contract, its personnel, and its subcontractor(s), if any?
0
1
2
3
4
N/A
2. To what degree has the contractor demonstrated reasonable and cooperative behavior in performance of the contract?
0
1
2
3
4
N/A
3. To what degree has the contractor demonstrated flexibility in resolving contract problems?
0
1
2
3
4
N/A
4. To what extent was the contractor able to solve contract performance problems without extensive guidance from government counterparts?
0
1
2
3
4
N/A
5. To what extent did the contractor commit resources in a timely fashion to ensure requirements were met and problems solved?
0
1
2
3
4
N/A
6. To what extent was the contractor effective in interfacing with the Government’s staff?
0
1
2
3
4
N/A
7. Contractor’s overall cooperation relative to this contract?
0
1
2
3
4
N/A
8. How would you rate the contractor’s overall performance?
0
1
2
3
4
N/A
9. Would you award similar contracts to this contractor?
Yes
No

Please list any references you might know regarding the contractor’s performance:

Name

Address

Telephone Number

REMARKS:

THANK YOU!

YOUR COOPERATION REGARDING COMPLETION OF THIS SURVEY IS GREATLY APPRECIATED.

For Official Use Only

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