Atch 6 - Past and Present Performance Questionnaire.docx
DOCX document 97 KB Posted
- Attached to
- Eagle Hardware (Contractor Operated Hardware Store) Federal contract opportunity
- Solicitation number
- FA527020Q0044
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Text version
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
FOR
SOLICITATION NO. FA5270-20-Q-0044
Eagle Hardware – Contractor Operated Hardware Store (COHS), Kadena AB, Okinawa, Japan
FA5270-20-Q-0044
Attachment 7 Past and Present Performance Questionnaire
PAST PERFORMANCE QUESTIONAIRE FOR
SOLICITATION NO. FA5270-20-Q-0044
The government is placing increased emphasis in its acquisitions on “past performance” as an evaluation factor. You have been provided as a reference in response to the subject solicitation for Eagle Hardware – Contractor Operated Hardware Store (COHS), Kadena AB, Okinawa, Japan. In order for the government to evaluate the past performance of the firm providing you as a reference please provide frank, concise comments regarding your assessment of the contractor’s performance regarding this project. In accordance with FAR 15.306(e)(4), the name of individuals providing reference information about an offeror’s past performance shall not be disclosed.
Upon completion of this survey, please send it by e-mail to the address shown below no later than 4:00 pm, 14 August 20 (Japan Standard Time).
18th Contracting Squadron/PKA Attn: 2d Lt Lucas Villanueva
DSN: 634-1481
Bldg. 99, Kadena AB, Okinawa E-mail address: lucas.villanueva.3@us.af.mil
The individual knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgment of others within their organization, as applicable.
In the event of inconsistency between English language and translation thereof into Japanese language, the English language meaning shall control.
If you have any questions concerning this survey, please call 2d Lt Lucas Villanueva at 634-1481 (DSN) or send e-mail lucas.villanueva.3@us.af.mil. Your time and effort in providing this vitally important information are greatly appreciated.
PAST/PRESENT PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A. Contractor:
B. Cage Code of contractor contract was awarded to:
C. Contract number:
D. Contract type:
E. Was this a competitive contract? Yes No
F. Period of performance:
G. Initial contract cost: $
H. Current/final contract cost: $
I. Reasons for differences between initial contract cost and final contract costs:
J. Description of service provided:
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
A. Customer or agency name:
B. Customer or agency description (if applicable):
C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3: EVALUATOR IDENTIFICATION
A. Evaluator's name:
B. Evaluator's title:
C. Evaluator's phone/fax number:
Number of years evaluator worked on subject contract:
SECTION 4: 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. This scale is defined as follows:
CODE PERFORMANCE LEVEL
E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
VG VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
M MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.
U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N NOT APPLICABLE - Unable to provide a score.
| Technical Performance |
| E |
| VG |
| S |
| M |
| U |
| N |
T1 Quality & repeatability of operations
T2 Ability to properly ensure and maintain an athesticly pleasing ground
T3 Adequacy/effectiveness of environmental safety procedures
T4 Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements
| Program Management |
| E |
| VG |
| S |
| M |
| U |
| N |
P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)
P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)
P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance
P4. Understand/complied with customer objectives and technical requirements
P5. Successfully responded to emergency and/or surge situations
P6. Quality/effectiveness of sub-contracted efforts
P7. Effectiveness of material management (including Government Furnished Property or Material)
P8. Effectiveness of acquisition management
P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer
P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.
| Transition/phase-in |
| E |
| VG |
| S |
| M |
| U |
| N |
T1. Contractor ability to smoothly transition resources and personnel.
T2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.
| Employee Retention/Attraction |
| E |
| VG |
| S |
| M |
| U |
| N |
E1. Ability to hire/apply a qualified workforce to this effort.
E2. Ability to retain a qualified workforce on this effort.
E3. Effectiveness of employee compensation towards quality of work.
| Fiscal Responsibility Performance |
| E |
| VG |
| S |
| M |
| U |
| N |
C1 Accuracy in forecasting requirements monetary value
C2 Ability to meet forecasted monetary requirements and perform within contract constraints
C3 Ability to alert Government of unforeseen fiscal anomalies before they occur
C4 Sufficiency and timeliness of reporting
2. Please discuss each and every response for which you indicated as marginal or unsatisfactory in response to the questions above (use additional sheets, if necessary).
3. Government 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).
SECTION 5: NARRATIVE SUMMARY
Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? Has election ever been made not to exercise a contract option or continue relations due to the contractor’s poor performance?
| Overall Assessment |
| E |
| VG |
| S |
| M |
| U |
| N |
What is your overall assessment of this past performance for this contractor?
Would you hire this contractor again? If not, explain.
Evaluator’s Signature Date
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
Email Address: lucas.villanueva.3@us.af.mil
File details come from the government source that posted it. Updated .