Attachment 4 Past Performance Questionnaire.pdf

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code: Contractor UEI:

C. Contract Number:

E. Contract Title:

F. Period of Performance (include exercised options):

H. Description of work performed:

J. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor

If a subcontractor, what percentage of the work did you preform?

Section 2: Customer or Agency Identification

Name:

Office:

Email Address:

Telephone Number:

Section 3: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Technical Performance E V S M U N/A

T1. How well did the contractor perform in planning and scheduling operations and maintenance work? Have they demonstrated a high degree of responsiveness to changing mission requirements and schedules?

SUPPORTING INFORMATION:

T2. How well did the contractor perform scheduled and unscheduled maintenance of mission systems? Did the contractor demonstrate a systematic approach to troubleshooting, repair, and reverification? Did the contractor demonstrate an ability to clearly and timely report status to the Government?

T3. How well did the contractor perform in managing logistics to maintain a high operational availability of mission systems? Did they demonstrate process discipline to have working spares ready and accessible when needed? Did they demonstrate an ability to source unique or hard to find parts and spares?

T4. How well did the contractor perform in collecting, analyzing, and applying maintenance and system performance data? Did they demonstrate a process that adjusted maintenance requirements based on system condition or other techniques that led to enhanced mission availability or reduced life cycle cost?

T5. How well has the contractor demonstrated skill in operations, maintenance of equipment (ex. Cooling Towers)

Program Management E V S M U N/A

P1. How effective was the contractor leadership team? Did the contractor assign leaders who were highly qualified for this contract, fully committed to this contract, and not subject to frequent transfer or replacement? Did the contractor leadership demonstrate a full understanding and awareness of contractor capabilities and performance, and did they exercise effective control of contractor resources?

P2. How effective was the contractor communication with the Government? Did the contractor keep the Government fully informed of contract status and issues? Were the contractors’ reports timely, clear, and accurate? Did the contractor respond to Government inquiries in a timely manner, and did they always have qualified representatives participate in meetings?

P3. How effective was the contractor’s organization structure and was it well matched to the contract performance responsibilities with an appropriate span of control? Was contractor decision making and informational authorities clear and consistent? Did contractor personnel exhibit a clear understanding of their duties and responsibilities and were they responsive to Government requests?

INFORMATION:

Program Management E V S M U N/A

P4. How well did the contractor meet contract delivery/completion schedules including any significant intermediate milestones? Did the contractor exercise good schedule management with few or small variances?

P5. How effective was the contractor’s quality management system?

Did the contractor exhibit strong process discipline in performing standard work with few process escapes? Were corrective and preventive actions well researched and effective? Did the contractor demonstrate a continuous improvement culture?

P6. How effective was the contractor’s safety culture? Did the contractor exhibit a low and incident rate consistent with the nature of the work performed? Were incident investigations prompt, objective, and widely communicated? Were contractor personnel performing hazardous work properly trained and supervised and used appropriate PPE?

P7. How effective was the contractor’s security culture? Did the contractor properly identify and safeguard classified materials? Were contractor personnel properly trained and supervised to manage classified material? Did contractor personnel consistently exhibit good computer hygiene with few if any security violations?

P8. How well did the contractor interact with other contractors, subcontractors, and the Government in a team environment?

P9. How well did the contractor manage training and certifications of required positions to meet regulations, AFI’s, etc. identified within the contract?

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I [ click and select an item ] award to him today given that I had a choice.

REMARKS:

Please provide any additional comments concerning this contractor’s performance, as desired.

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email Instructions:

ATTN: Jenna Jacobson

E-Mail to: jenna.jacobson@us.af.mil and denina.hudson@us.af.mil mailto:jenna.jacobson@us.af.mil mailto:denina.hudson@us.af.mil