Attachment_3_Past_Performance_Questionnaire_3-4-15.docx

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Attached to
A-E Environmental Program at Robins AFB, GA Federal contract opportunity
Solicitation number
Not on record
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Past Performance Questionnaire

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IDIQ_SOW_FINAL_2015_-2020_3-4-2015.pdf PDF

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ATTACHMENT 3 - PAST PERFORMANCE QUESTIONNAIRE

Instructions to Offeror: This questionnaire will be used in evaluating the offeror’s ability to perform the required services listed in the Statement of Work. The offeror shall provide their name, address and contract number to the current or former clients in order coordinate the completion of the Past Performance Questionnaire to be submitted by the client directly to the email address shown in instruction 2.

Instructions to Evaluator:

1. Please complete this questionnaire based on the following guidance:

a. Typed or handwritten responses to the questions and ratings in the Past Performance Questionnaire.

b. Indicate, based on the adjectival ratings below, the contractor's performance on the identified program. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:

Rating
Definition
Exceptional
Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required work.
Good
Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required work.
Satisfactory
Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required work.
Marginal
Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required work. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.
Unsatisfactory
Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required work.
Not Observed
This element was not observed.

c. For each question please circle or bold one rating. Select "Not Observed" if you are unable to provide a score for an area.

d. Please provide narrative explanations for your answers. Space for your remarks is provided after each question. If more space is needed, use the back of this questionnaire or attach additional sheets.

e. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, you may provide comments on other similar programs with which your activity has contracts with this offeror.

2. Please return completed questionnaire by 4PM, 13 MAY 2015 to: amanda.ruffin@us.af.mil.

PAST PERFORMANCE QUESTIONNAIRE

Company Information

Company Name: _______________________________________________________________________

Contract/Task Number: __________________________________________________________________

Contract/Task Information

Title of Work Performed: ________________________________________________________________

Type of Contract: Firm Fixed Price, Labor Hour, Time & Materials, Cost-Reimbursement

Date of Award: _________________________________________________________________________

Period of Performance: ___________________________________________________________________

Dollar Value of Contract: ________________________________________________________________

Description of Work Performed: ___________________________________________________________

Evaluation

Note: A narrative is requested for each question below regardless of the evaluation.

1. The contractor provided effective and efficient management controls – Responsiveness, Management of Staff, and Project Management.

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

2. The contractor met schedule compliance – Milestones, Deliverables and Contract Activities) Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

3. The contractor proactively managed the contract to successfully deliver a quality service within cost and schedule constraints. This included providing proactive leadership and effective PWS integration.

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

4. The contractor provided quality customer relations and thorough contract administration. (reasonable and cooperative behavior and commitment to customer service) Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

5. How well did the contractor communicate and respond to issues at all levels.

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

6. The contractor provided experienced executives, project manager, and supervisors with the technical and administrative qualifications required, as well as responsive staffing and effective process management.

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

7. How well did the contractor comply with contract requirements, technical excellence and accuracy of reports.

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

8. How well did the contractor manage projects at geographical separated locations:

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

9. The contractor’s overall performance on this contract is/was:

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

10. The contractor’s overall performance on transitioning of the requirements:

Exceptional Good Satisfactory Marginal Unsatisfactory Not Observed

11. Would you hire this company again? Yes No

Evaluator Information

Name of Evaluator: _____________________________________________________________________

Position/Title: _________________________________________________________________________

Organization: __________________________________________________________________________

Length of Involvement in Program/Contract: _________________________________________________

Phone Number: ________________________________________________________________________

Fax Number: __________________________________________________________________________

Email: ________________________________________________________________________________

Date Questionnaire Completed: ____________________________________________________________

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