Attachment 3 - Past Performance Questionnaire.pdf

Attachment 2

Past Performance Questionnaire

For use in acquiring Caets in Jets, Jet Introduction (JETI) services by the contracting office at Maxwell AFB, AL. E-MAIL OR FAX COMPLETED SURVEY FORM TO: SrA Lance Redolosa at lance.redolosa.1@us.af.mil and Jeremy Kersey at jeremy.kersey.1@us.af.mil. Please include the contractor name and contract number at the top of each page to avoid confusion of ratings between contractors and projects.

A. CONTRACTOR INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Information

Name: Telephone Number:

Address: Fax Number:

Point of Contact:

Project Title and Brief Description of Work:

Contract Number Provided by Offeror: Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

Contract performed as the Prime Contractor Sub – Contractor Key Personnel

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Respondent’s Information

Name: Title:

Address: Telephone Number:

Fax Number:

Email Address:

CONTRACTOR NAME: CONTRACT NUMBER:

C. PERFORMANCE INFORMATION: Choose the appropriate letter from the table (A or U) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE

EXPLANATION FOR ANY RATING OR “U.”

A U Acceptable Unacceptable

Performance met or meets contractual requirements. In cases where the performance was not observed or the information is unknown (or “neutral”), the rating shall be considered “A” (acceptable).

Performance did or does not meet contractual requirements.

Place an “X” in the appropriate column using the definition matrix above.

Contractor Name: A U

1. Provided the required number of sorties on time and in accordance with schedule

2. Maintained maintenance level’s sufficient for continued operations without unforeseen delay

3. Deliverable contract deliverables complete and on time

4. Communicated effectively with the project lead

5. Displayed capability to overcome or deconflict obstacles such as weather or requested schedule changes

6. Ensured all aircraft are Federal Aviation Administration (FAA) compliant and able to support continuous orientation flight operations

7. Provided pilots that are fully certified

8. Provided proper contractor identification when conversing with Government during business meetings, over the telephone or via electronic mail

9. Provided weekly activity reports (WAR) for total summary of flight operations for the week

10. Provided adherence to all safety regulations and guidelines including aircraft conditions, regular inspection and ensuring compliance with all FAA requirements

Was the contract partially or completely terminated for default? Yes No

Explain:

Was the contractor ever issued a cure or show cause notice? Yes No

Explain:

Remarks: