Attach 15 Past Performance Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE

10 Aug 2020

Questionnaire on Contractor’s Present and Past Performance

Request you provide the following information on the contractor’s present and past performance by placing an X in the space provided by the most appropriate response. Please provide comments on the lines provided after each question for all ratings other than Satisfactory Confidence. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submittal to the 28th Contracting Squadron. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified program.

Performance Assessment Rating Description

Substantial Confidence Based on the Offeror’s recent/relevant performance record, the Government has a high expectation that the Offeror will successfully perform the required effort.

Satisfactory Confidence Based on the Offeror’s recent/relevant performance record, the Government has a reasonable expectation that the Offeror will successfully perform the required effort.

Neutral Confidence No recent/relevant performance record is available or the Offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. The Offeror may not be evaluated favorably or unfavorably on the factor of past performance.

Limited Confidence Based on the Offeror’s recent/relevant performance record, the Government has a low expectation that the Offeror will successfully perform the required effort.

No Confidence Based on the Offeror’s recent/relevant performance record, the Government has no expectation that the Offeror will be able to successfully perform the required effort

Solicitation: FA469020R0005 Attachment 15

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Individual’s Name, Title, and Phone Number Completing Questionnaire:

Company’s Name:

Contractor’s Name:

Contract Number: Contract Title:

Period of Performance (Including Options):

Contract Amount (Including Options):

Contract Type: Firm Price

Cost Reimbursement

Other (Specify)

MANAGEMENT

1. Rate the contractor on their ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies, and weather delays without falling behind the regular schedule.

Comments:

2. Rate the contractor on their ability to provide effective quality control and/or inspection procedures to meet contract requirements and their ability to take appropriate action to take to correct deficiencies when identified as well as their overall quality of work. (Does the contractor conform to the government accepted quality control plan? Does the contractor provide effective quality control and /or inspection procedures to meet contractual requirements? Does the contractor provide a high quality of work?)

Comments:

3. Rate the contractor’s ability to proactively recognize and resolve unanticipated difficulties. (Does contractor display initiative to solve problems? Does contractor identify risks/problems as they occur?)

Comments:

TIMELINESS OF PERFORMANCE

4. Rate the contractor on their ability to provide a sufficient number of qualified personnel to ensure all contract requirements were successfully completed in an expedient manner. (Does contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?)

Comments:

CUSTOMER SATISFACTION

5. Rate the working relationship between the contractor and your company and your designated representatives. (Includes inspection personnel)

Comments:

6. Rate the contractor on their environmental awareness. (Includes environmental compliance and environmental initiatives, such as affirmative procurement)

Comments:

7. Has the contractor ever been given a Cure Notice, Show Cause Notice, Letter of Concerns, or had payment withheld for services not rendered?

Number of Cure Notices: Number of Show Cause Notices: Number of Letter of Concerns:

Number of times payment withheld for services not rendered:

Comments:

SUMMARY

Comments: