Attach 10 - Past Performance Questionnaire.docx
DOCX document 27 KB Posted
- Attached to
- Repair Fuel System Generators Federal contract opportunity
- Solicitation number
- FA442721R0012
About this file
This document contains a past performance questionnaire for evaluation of contractors. It requests evaluation of a contractor's performance on an unspecified past construction contract at Travis Air Force Base in California. Respondents are asked to provide ratings on a scale of 1 to 5 for the contractor's management, quality control, scheduling, resolution of issues, timeliness of payments to subcontractors, cost proposals, and cooperation with government personnel. Narrative explanations are requested for any ratings of 4 or 5. Respondents are also asked if they would award another contract to this contractor and why or why not.
The related federal contract opportunity is a solicitation for repair of fuel system generators. It requires the contractor to provide all materials, labor, supervision and equipment to complete the repairs per the statement of work. A mandatory site visit is scheduled for February 23, 2021 at 9:00AM PST at Travis Air Force Base. Attendees must RSVP by February 22 and will need to provide full name and date of birth to receive base access passes. Only two individuals per company may attend and all must comply with mask requirements and other COVID-19 protocols.
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Text version
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104
SUBJECT: Request for Past Performance Evaluation
You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a construction contract at Travis AFB, CA.
Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, please contact SSgt Anthony Jacobs at (707) 816-3897 or anthony.jacobs.8@us.af.mil
BRYAN ARMSTRONG Contracting Officer
Attachment:
Past and Present Performance Questionnaire
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: _________________________________________________________ Address: _________________________________________________________________ Phone Number: ____________________________________________________________
Project Title and Brief Description of Work: _____________________________________
Contract Number Provided by Offeror: ___________________
Dollar Amount: ____________________
Contract Period or Dates of Performance Provided by Offeror: ______________________
Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.
B. RESPONDENT INFORMATION:
Name of Respondent: _____________________ Title: ____________________________
| Address: _____________________ | Telephone Number: ___________________ _____________________________ | Fax Number: ___________________ | |
| _____________________________ | Email Address: ___________________ |
C. EMAIL COMPLETED SURVEY FORM TO:
60th Contracting Squadron Attn: SSgt Anthony Jacobs anthony.jacobs.8@us.af.mil
D. PERFORMANCE INFORMATION: Choose the appropriate number on the scale (1, 2, 3, 4, and 5) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 4 or 5.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| Substantial Confidence |
| Satisfactory Confidence |
| Limited Confidence |
| No Confidence |
| Unknown Confidence |
| Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort. |
| Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort. |
| Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort |
| Based on the offeror’s performance record, the government has no expectation that the offeror will successfully perform the required effort |
| No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned. |
Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2. |
| Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 5. |
| Identified problems as they occurred. |
| 6. |
| Suggested alternative approaches to problems. |
| 7. |
| How would you rate the contractor's overall performance? |
| 8. |
| Developed realistic progress schedules. |
| 9. |
| Met established project schedules. |
| 10. |
| Provided timely resolution of warranty defects. |
| 11. |
| Provided adequate project supervision. |
| 12. |
| Paid subcontractors/suppliers in a timely manner. |
| 13. |
| Provided accurate and complete line item cost proposals including all aspects of work required for each task. |
| 14. |
| Cooperated with Government personnel after award. |
15. Was the contractor ever issued a cure or show cause notice under the referenced contract?
If yes, explain.
EXPLANATION:
☐ Yes ☐ No
16. Would you award another contract to this contractor? If not, explain.
EXPLANATION:
☐ Yes ☐ No
File details come from the government source that posted it. Updated .