Attach 3_Past_Performance Questionaire SPACE CO review 26 Jun 23.docx
DOCX document 42 KB Posted
- Solicitation number
- FA252123SPACE
About this file
This document contains a past performance questionnaire template for a federal contractor to submit references from previous government contracts, along with a description of a related solicitation.
The past performance questionnaire is a template for contractors to provide details of up to ten previous government contracts as references, including contract details, description of work as a prime or subcontractor, completion status and dates, and points of contact. It also contains a section for the references to evaluate the contractor's performance across criteria such as customer satisfaction, quality, timeliness, responsiveness, subcontract management, and cost control. The related solicitation is for architect and civil engineering services at SpacePort facilities for the Department of the Air Force Space Command, with no further details provided.
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Text version
SPACE Past Performance Questionnaire
FA252123SPACE
PART 1: PAST PERFORMANCE DOCUMENT
(Contractor Information) To be completed by offeror and submitted with proposal.
Provide a separate form for each reference. Maximum of ten (10).
A. Offeror Name:
B. Program/Project Title/Description:
C. Contract Specifics:
1. Name of Contracting Agency or Client/Customer:
2. Contract Number:
3. Contract Type:
4. Period of Performance:
5. Original Contract Value: 6. Current Contract Value:
7. If amounts for #5 and 6 differ, provide brief explanation for the reason:
D. Brief Description of Effort as (check one) [ ] Prime or [ ] Subcontractor . Highlight portions considered most relevant to current acquisition:
E. Completion Date:
| 1. Original date: | 2. Current Schedule: |
| 3. Estimated Completion Date: | 4. How Many Times Changed: |
5. Primary Causes of Change:
F. Customer/client Points of Contact: (Contact information must be current. Evaluators will not attempt to locate or contact reference(s) with incorrect contact information.):
| Project Manager: | Name: |
| Office Name and Address: |
| Telephone: | |
| Contracting Officer: | Name: |
| Office Name and Address: |
| Telephone: | |
| Administrative: | Name: |
| Office Name and Address: |
Telephone:
PART 2: PAST PERFORMANCE DOCUMENT
(Respondent Information) To be sent to contractor provided references identified under Part 1. Once completed, respondent e-mails or faxes pages 2 - 4 to Contracting Office
Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2:
Assigned Ratings
| 5 |
| Outstanding |
| 4 |
| Excellent |
| 3 |
| Satisfactory |
| 2 |
| Marginal |
| 1 |
| Unsatisfactory |
Please circle a number or indicate “not applicable” (N/A).
1. CUSTOMER SATISFACTION:
| A |
| Customer would have no reservations in awarding another contract to the Contractor. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
2. QUALITY:
| A |
| Contractor provided effective quality control and/or inspection procedures to meet contract requirements |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| B |
| Contractor provided well researched and clearly identified submittal that matched contract requirements |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| C |
| Contractor completed all work with good workmanship and in conformance with the specifications |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| D |
| Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
3. TIMELINESS:
| A |
| Contractor met established project schedules to complete the project on time |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| B |
| Contractor provided timely cost proposals |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| C |
| Contractor submitted the progress schedule and progress reports as required |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| D |
| Contractor provided on time submittals as required |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| E |
| Contractor provided payrolls for both their employees and their subcontractors employees as required |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| F |
| Contractor provided timely resolution of all punch list items |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
4. RESPONSIVENESS
| A |
| Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and safety regulations |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| B |
| Contractor was reasonable and cooperated to resolve problems, attended meeting as needed, and maintained communication with the government to keep the project on schedule or minimize the delay |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| C |
| Contractor identified problems as they occurred; suggested approaches to the problems; displayed initiative to solve problems and performed as a Team Member |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| D |
| Contractor responded to warranty issues within the time frames specified in the contract |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
5. SUBCONTRACTS AND MANAGEMENT:
| A |
| Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| B |
| Contractor hired quality subcontractors and effectively managed and coordinated their work |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| C |
| Contractor hire, maintained and replaced as necessary, qualified personnel and subcontractors/suppliers |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| D |
| Contractor ensured the project manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| E |
| Contractor ensured site superintendent and quality control representative were consistently present on site when work was performed |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| F |
| Contractor paid employees/subcontractors/suppliers as required |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
6. CHANGE/COST CONTROL
| A |
| Contractor responsive to contract changes and provided accurate, reasonable and supportable cost proposals |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| B |
| Contractor demonstrated the ability to control costs and/or modifications within the magnitude specified |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| C |
| Contractor validated subcontractor cost proposals prior to submission to the Government |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
Narrative Summary
1. What were the contractor’s greatest strengths in the performance of the contract?
2. What were the contractor’s greatest weaknesses in the performance of the contract?
3. Please provide any additional comments concerning the contractor’s performance that you feel would help us in our evaluation.
4. Government Contracts Only. Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations? (check one) [ ] Yes [ ] No
If yes, please provide explanation:
5. Government Contracts Only. Was the contractor ever issued a cure or show cause notice under the referenced contract? (check one) [ ] Yes [ ] No
If yes, please provide explanation:
Evaluated By:
(Signature) (Date)
(Typed or Printed Name) (Address)
(Title) (Address Continued)
(Phone Number) (No. of years evaluator worked on contract)
(Project Title, Contract #, and Description)
Thank you for your prompt response and assistance.
Please return this completed questionnaire (pages 2 –4) to:
| E-mail Only | patricia.bates@spaceforce.mil and | |
| eugenia.faulkner_russell@spaceforce.mil |
File details come from the government source that posted it. Updated .