Attachment 6 - Past Performance Questionnaire.docx
DOCX document 16 KB Posted
- Attached to
- Vertical Lift Fabric Hangar Doors Federal contract opportunity
- Solicitation number
- FA448420R0015
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment FA448420R00150001.pdf | ||
| Attachment 1 - Performance Work Statement.docx | DOCX document | |
| Attachment 5 - FAR 52.212-2 Evaluation - Commercial Items.docx | DOCX document | |
| Attachment 3 - Quality Assurance Surveillance Plan.doc | DOC document | |
| Attachment 4 - Security Forces Appendix.pdf | ||
| Attachment 2 - Wage Determination 2015-4191.pdf | ||
| Solicitation - FA448420R0015.pdf |
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Text version
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
| Contractor’s 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: ______________________* Contractor 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:
Name of Respondent: _____________________ Title: ____________________________
| Address: _____________________ | Telephone Number: ___________________ _____________________________ | Fax Number: ________________________ |
| _____________________________ | Email Address: _____________________ |
C. EMAIL COMPLETED SURVEY FORM TO: Patrick Duff at patrick.duff.5@us.af.mil.
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.
| E |
| G |
| S |
| M |
| U |
| N |
| Exceptional |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
Performance meets/met contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.
| Performance meets/met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective. |
| Performance meets/met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Performance does not meet/did 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 or the contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Performance does not meet/did 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 serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
Performance was not observed or not applicable to the current effort being reported against.
CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________
Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| E |
| G |
| S |
| M |
| U |
| N |
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4. |
| Home office participated in solving significant local problems. |
| 5. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 6. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 7. |
| Identified problems as they occurred. |
| 8. |
| Suggested alternative approaches to problems. |
| 9. |
| Displayed initiative to solve problems. |
| 10. |
| Provided adequate project supervision. |
| 11. |
| Perform repair and maintenance in a complete and professional manner |
| 12. |
| Has performed preventative maintenance and repair of electric personnel doors. |
| 13. |
| Cooperated with Government personnel after award. |
| 14. |
| How would you rate the contractor's overall performance on this contract? |
15.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”
YE
S
NO
| 16. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
YES
NO
Remarks:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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