Atch 05 Past Performance Questionnaire.pdf

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Automated Target Flip Solicitation No.: FA9101-23-R-B018

Past Performance - Questionnaire

Thank you in advance for filling out this questionnaire for the U.S. Air Force (USAF). We understand that your time is very valuable and we appreciate your input. Your rating is essential in successfully evaluating your contractors past performance.

GENERAL INSTRUCTIONS:

1. This form should be completed by the Government Contracting Officer or Corporate Official for Commercial Experience.

2. The USAF requests the Government Contracting Officer or Corporate Official completes this questionnaire and submits directly to USAF by 17 Jul 2023, 13:00 p.m. MDT.

3. Provide an adjectival rating for the following questions (the adjectival rating is defined on page 2).

4. Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is checked Exceptional (E), Very Good (VG), Marginal (M), Unsatisfactory (U) or Not Applicable (N).

5. E-mail questionnaires to: brett.moore.6@us.af.mil and tyler.payne.9@us.af.mil

Source Selection Information – See FAR 2.101 and 3.104

1. Contractor:

2. Contract Number:

3. Period of Performance:

4. Total Contract Amount:

5. Describe Contract:

6. Name of Person Completing Survey:

7. Title of Person Completing Survey:

8. Phone Number:

9. Email:

10. Date:

mailto:brett.moore.6@us.af.mil mailto:tyler.payne.9@us.af.mil

1. QUALITY:

E VG S M U N

a) Quality of technical data/report preparation efforts

b) Ability to meet quality standards specified for technical performance

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is checked Exceptional (E), Very Good (VG), Marginal (M), Unsatisfactory (U) or Not Applicable (N).

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2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

b) Rate the Contractor's use of available resources to accomplish tasks identified in the contract

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

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3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project?

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

d) Overall customer satisfaction

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

4. MANAGEMENT/ PERSONNEL/LABOR:

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

b) Demonstrated ability to hire, maintain and replace qualified personnel during the contract period.

c) Government Property Control

d) Provide experienced managers and supervisors with technical and administrative abilities needed to meet contract requirements.

e) Utilization of Small Business concerns

f) Ability to simultaneously manage multiple projects with multiple disciplines

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

h) Effectiveness of overall management (including ability to effectively integrate and coordinate all activities required to execute the contract).

I) Effectively transition personnel and operations when taking over from the incumbent contractor?

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

5. COST/FINANCIAL MANAGEMENT:

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

c) If this is/was a government cost type contract, please rate the Contractor's timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

d) Is the Contractor's accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.

e) If this is/was a government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

6. SAFETY/SECURITY:

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

b) Contractor complied with all security requirements for the project and personnel security requirements.

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

7. GENERAL:

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

b) Compliance with contractual terms/ provisions (explain if specific issues)

c) Would you hire or work with this firm again?

(If no, please explain below)

d) In summary, provide an overall rating for the work performed by this contractor.

Please provide comments to substantiate the assigned rating. At a minimum, provide comments to substantiate any rating that is

Brief Narrative

Please provide additional remarks (if applicable). Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

Controlled by: USAF Controlled by: AFTC/PZI (Arnold) at Holloman AFB, NM CUI Category: General Procurement and Acquisition Distribution/Dissemination: FED ONLY POC: Brett Moore, DSN 572-1244, brett.moore.6@us.af.mil mailto:brett.moore.6@us.af.mil