A3_ Past Present Perf Questionnaire.pdf

ATTACHMENT 3: PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

MALMSTROM AFB AE MAC

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

RFQ #: FA462622R0001

Architecture and Engineering Services

When completed, this document becomes Source Selection Sensitive Information

In Accordance With FAR 3.104

Note: To be completed by the references provided by firm and returned via email directly to 341 CONS by the date specified. All questionnaires must be sent to 341 CONS from the individual that answered the questionnaire only. Failure to do so may result in rejection of firm response.

This questionnaire will be used to evaluate the past and present performance for the firm and contracting action.

The questionnaire is arranged by six performance areas:

• Quality of Service and Deliverables

• Project Management

• Business Relations

• Cost Control

• Employee Qualifications and Skills

• Team Composition

Your candid response to the questions is important to our evaluation effort and may affect the award outcome. The names of individuals supplying past performance information will remain confidential.

A. CONTRACT IDENTIFICATION:

Contractor Name:

Contractor Phone Number:

Contractor Point of Contact (name, title, phone, e-mail):

Name of Engagement Partner of the Contact (name, phone, e-mail):

Contract/Project Title:

Description of Contract/Project:

Contract Number:

Contract Period or Dates of Performance:

Contract Type:

Was this a competitive contract (Yes/No):

Initial Contract Amount: $

Current/Final Contract Amount: $

Reasons for differences between initial contract cost and current/final contract cost:

Geographic Description of Services Under this Contract (local/nationwide/worldwide/others):

B. RESPONDENT IDENTIFICATION:

Respondent Name:

Respondent Title:

Respondent Agency/Company Name:

Respondent Address:

Respondent Phone Number:

Respondent E-mail:

Respondent Role in the Contract:

Number of Years Respondent Worked on Subject Contract:

C. EVALUATION:

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. Although not required, we request that you justify each of your scale with a comment. Please be specific in your comment as much as possible, especially in situations that warrant very high or very low scales. Use extra pages as necessary or expand the form electronically as needed.

Scales are defined as follows:

SCALE PERFORMANCE LEVEL

O OUTSTANDING: The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as “Excellent.”

E EXCELLENT: The contractor has substantially exceeded the contract performance requirements.

G GOOD: There are no, or very minimal issues and the contractor has met the contract requirements.

F FAIR: Overall compliance requires minor agency resources to ensure achievement of contract requirements.

P POOR: Overall compliance requires significant agency resources to ensure achievement of contract requirements.

U UNSATISFACTORY: Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

NA NOT APPLICABLE: Unable to provide a score.

Quality of Service and Deliverables

O E G F P U NA Comments

Ability to Understand Contract Objectives and Technical Requirements

Quality of Deliverables and Final Reports

Adequacy / Effectiveness of Quality Control Program

Identified Risks / Provides Effective Solutions to Problems

Compliance with Contract Requirements

Contractor Implemented Responsive / Flexible Processes to Improve Quality

Timeliness of Problem Identification and Quality of Corrective Action Plans

Project Management

O E G F P U NA

Comments

Ability to Effectively Lead, Manage, and Control the Contract

Timeliness / Effectiveness of Contract Problem Resolution Without Extensive Customer Guidance

Timeliness of Performance

Ability to Successfully Respond to Emergency Situations

Scheduling Control and Reliability

Responsive to Schedule Changes

Integration and Coordination of All Activities Needed to Execute the Contract

Business Relations

O E G F P U NA

Comments

Responsible / Responsive Attitude to Customer Needs

Contractor was Reasonable and Cooperative in Dealing with Staff

Ability to Successfully Resolve Disagreements / Disputes

Assessability of Engagement Partner and Key Personnel to the Customer

Communications with the Customer

Actively Seeking Feedback on Customer Satisfaction

Cost Control O E G F P U NA Comments Ability to Alert Government to Unforeseen Costs Before They Occur

Ability to Meet Forecasted Costs and Perform Within Contract Costs

Accuracy and Timeliness of Cost Reporting (Invoices)

Employee Qualifications and Skills

O E G F P U NA Comments

Auditing Technical Knowledge of Contractor Personnel

Information Technology (IT) Technical Knowledge of Contractor Personnel

Laws and Regulations (in Financial Statements Audit and IT) Technical Knowledge of

Knowledge in Performing an Integrated Financial Statement Audit and IT Evaluation

Contractor Written Skills

Presentation Skills

Team Composition O E G F P U NA Comments Effectiveness of Team Composition in Terms of Appropriate Mix of Experience, Knowledge, Skills, and Education to Accomplish Contract Requirements

Ability to Provide Sufficiently Experienced, Trained Personnel as Originally Proposed

Ability to Retain Experienced, Trained Personnel Over the Life of Contract

Ability to Smoothly Transition Personnel and Resources

Ability to Hire / Apply a qualified workforce to the Contract

Contracts Only: has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

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

D. NARRATIVE SUMMARY:

• Please list and explain strength(s) of contractor’s performance of the contract.

• Please list and explain weakness(es) of contractor’s performance of the contract:

• Would you hire this contractor in the future to perform one of your critical and demanding programs?

Please explain.

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

Respondent Signature: ______________________________ Date: __________________

Please email completed Questionnaire to Colleen Goad at colleen.goad.1@us.af.mil and Jillian Urick at jillian.urick@us.af.mil.

Thank you for your Prompt Response and Assistance!

Please list and explain strength(s) of contractor’s performance of the contract.