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Attachment 13
PAST PERFORMANCE QUESTIONNAIRE
Please complete the questionnaire and return it to the Government Contracting Officer. Please submit the completed questionnaire to one of the addresses listed no later than xx xxxxx 2021.
Email Address: cortney.young@us.af.mil and anthony.burns.6@us.af.mil
SECTION I: CONTRACT IDENTIFICATION
Please complete the following information on the contract in which you are involved.
Work Sample Identifier: (e.g. WS1-WS15)
Contract Type:
(Please check one box from each column)
| |_| Firm-Fixed Price | | |
| |_| Cost Plus Fixed Fee | | |_| Independent Contract | |
| |_| Labor Hour | | | |_| IDIQ Contract |
|_| Time and Materials |_| Other, Specify:
Period of Performance (inc. unexercised options)
Geographic location of performance
Provide a description of the service provided.
Describe your role on the contract (e.g. prime or subcontractor).
SECTION II: EVALUATION
Use the following ratings and descriptions as guidance in providing element ratings. Ratings should only reflect the performance of the contractor in question.
| Exceptional (E) |
| Performance meets contractual requirements and exceeds some to the Government’s (or customer’s) benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Satisfactory (S) |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal (M) |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory (U) |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Neutral (N) |
| Performance was not observed or is not applicable to the current effort being reported. |
For each question, please place an “X” in the box corresponding to the rating.
Please rate Contractor performance in the following areas:
| Performance Area |
| E |
| S |
| M |
| U |
| N |
| 1 |
| Ability of the contractor to comply with contract terms and conditions |
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| 2 |
| Quality of the contractor’s management relationship with Government (or Client) counterparts |
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| 3 |
| Timeliness in completing contract requirements. |
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| 4 |
| Accuracy of contract deliverables |
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| 5 |
| Understanding of applicable regulations and policies that needed to be complied with while performing work under the contract. |
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| 6 |
| Understanding of DoD Installation and Government computer/data systems access procedures. Understanding of Client computer/data systems access procedures. |
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| 7 |
| Ability of the contractor to respond to short-notice contract requirement changes |
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| 8 |
| Ability to identify problems as they occurred |
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| 9 |
| Ability to resolve problems once they were identified |
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| 10 |
| What is your overall rating of the contractor’s performance? |
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Please discuss all ratings except “Satisfactory” or “Neutral.” Provide a reference to the performance area number being discussed.
Government Contracts Only
1. Was the contractor ever issued a cure or show cause notice? |_|Yes |_|No If yes, please explain.
2. Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?
| |_| Yes | If yes or pending, select: | |_| Default |
| |_| No | |_| Convenience | |
| |_| Pending Termination | | |
If yes or pending, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).
SECTION III: NARRATIVE SUMMARY
1. Please provide any additional comments concerning this contractor’s performance, as desired. Please discuss all ratings except “Satisfactory” or “Neutral.” Provide a reference to the performance area number being discussed.
SECTION IV: EVALUATOR IDENTIFICATION
Please provide information for the primary individuals completing this survey.
Thank you for your prompt response and assistance!
