Attachment 4 - Past Performance Questionnaire.pdf

FA557023Q0005 Attachment 4

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: lawrence.roman.gb@us.af.mil and joshua.largent@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: