Attachment 3 - Past Performance Questionnaire (1).pdf

PDF 331 KB Posted

Attached to
Integrated Operational Support Licensed Social Worker Federal contract opportunity
Solicitation number
FA5570-22-R-0003
Issued by
Department of the Air Force United States Air Forces in Europe - Air Forces Africa

About this file

This document contains a past performance questionnaire template for a federal contract opportunity. The opportunity is for an Integrated Operational Support Licensed Social Worker to support the 501st Combat Support Wing and mission partners located at RAF Alconbury and RAF Molesworth in the United Kingdom. The performance work statement with detailed requirements for the services is in Attachment 2. Respondents are to provide information about relevant past or present contracts they have performed, including project details, value, and period of performance. Performance ratings are solicited across criteria such as project supervision, timeliness, quality control, problem solving, and overall performance. Comments and remarks may also be included. The solicitation number for this opportunity is FA5570-22-R-0003 and it is being issued by the Department of the Air Force United States Air Forces in Europe - Air Forces Africa.

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Other files for this federal contract opportunity

Other files attached to Integrated Operational Support Licensed Social Worker, newest first.
File Type Posted
Attachment 1 - Pricing Sheet.pdf PDF
FA5570.docx DOCX document
Atch 2_Performance Work Statement - clinical social worker.pdf PDF
Attachment 1 - Pricing Sheet.pdf PDF
Combined Solicitation - FA557022R0003 IOSCW.pdf PDF

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Text version

FA557022R0003 Attachment 3

Past and Present Performance Questionnaire

A. GENERAL INFORMATION:

Vendor’s Name: Telephone Number:

Address: Fax Number:

Point of Contact:

Project Title and Brief Description of Work:

Contract Name/Number: $/£ Amount:

Contract Period or Project Period of Performance:

Vendor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: Title:

Company/Organization:

Address: Telephone Number:

Fax Number:

Email Address:

C. EMAIL COMPLETED SURVEY FORM TO: christina.wolf.4@us.af.mil@us.af.mil , james.downs.5.gb@us.af.mil and 501csw.rco@us.af.mil

D. PERFORMANCE INFORMATION:

Satisfactory Unsatisfactory

Performance meets contractual requirements. The contractual performance of the element or sub-element may have contained some minor problems for which corrective actions taken by the vendor were satisfactory.

Performance does not meet most contractual requirements and recovery was not made in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the vendor’s corrective actions appear or were ineffective.

mailto:lawrence.roman.gb@us.af.mil mailto:heaven.carroll@us.af.mil

Select the appropriate column using the definitions matrix above.

The contractor: Satisfactory Unsatisfactory

Not

Applicable

1. Vendor provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and provide adequate project supervision at the place of performance.

2. Vendor performed services on time.

3. Vendor’s quality control process were followed and were effective.

4. Vendor displayed initiative to solve problems or correct deficiencies and follow-up to ensure desired results were achieved.

5. How would you rate the vendor's overall performance?

REMARKS/COMMENTS:

Vendors Name:
Telephone Number:
Address:
Fax Number:
undefined:
Point of Contact:
Project Title and Brief Description of Work 1:
Project Title and Brief Description of Work 2:
Contract NameNumber:
Amount:
Contract Period or Project Period of Performance:
Vendor performed as the: Off
Prime Contractor: Off
SubContractor: Off
Name of Respondent:
Title:
CompanyOrganization 1:
CompanyOrganization 2:
Address 1:
Address 2:
Telephone Number_2:
Fax Number_2:
Email Address:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Text16:

File details come from the government source that posted it. Updated .