Attachment 8 -Past Performance Questionnaire.docx
DOCX document 85 KB Posted
- Solicitation number
- FA466126Q0095
About this file
This is a Past Performance Questionnaire template designed to evaluate contractor qualifications for the Fire Extinguisher Service contract at Dyess Air Force Base. The questionnaire requests detailed information about a contractor's relevant experience performing fire extinguisher maintenance, inspection, and certification services. Respondents must provide specific past performance examples, including project descriptions, contract values, performance periods, client references with contact information, and narrative descriptions of how their experience directly relates to the requirements of the current solicitation. The template emphasizes the importance of demonstrating similar work scope, scale, and complexity to the 218 fire extinguishers requiring comprehensive maintenance at Dyess AFB.
The questionnaire evaluates key performance metrics such as quality of work, adherence to schedules, cost control, and customer satisfaction. Contractors are required to provide evidence of successfully managing similar fire protection equipment service contracts, including experience with the specific types of extinguishers mentioned in the solicitation (150LB and 5LB Halon, 150LB Novec). The response format requires contractors to clearly document their qualifications and demonstrate their ability to meet the technical and administrative requirements of the Performance Work Statement, with emphasis on reliability and compliance with federal contracting standards for the Department of the Air Force Global Strike Command.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
A. OFFEROR’S REFERENCE INFORMATION:
Contract Name and/or Number (include task order number(s) if applicable)
Company/Division Name to be evaluated
Address:
Point of Contact (POC):
Title of POC:
Telephone Number:
| Contractor performed as : |
| Prime contractor |
| Contractor performed as | : |
| Sub-Contractor | |
| Joint Venture | |
| Affiliate To/With |
B. CONTRACT INFORMATION: Please complete.
Contract Name and/or Number
Type of Contract:
Performance Period: (Base plus any options):
Total Contract Dollar Value: (base plus any options)
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Contract Description:
| Contractor performed : |
| Prime contractor |
| Contractor performed | : |
| Sub-Contractor | |
| Joint Venture | |
| Affiliate To/With |
What percentage of the contract was performed by the evaluated contractor, if available:
__%.as as
Instructions:
Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings.
| RATING |
| DEFINITION |
Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub- element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.
The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Unsatisfactory Performance does 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
| N/A |
| Not Applicable |
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N / A
A. QUALITY OF SERVICE AND PERFORMANCE
(1) The Contractor provided quality service that adhered to contract requirements, specifications, and standards of professional conduct.
Attachment 8
(2) The Contractor consistently responded to problems and took appropriate action to correct performance.
B. MANAGEMENT
(1) Contractor was able to resolve customer complaints quickly and effectively.
(2) Contractor demonstrated an overall effective and quality management effort.
C. TIMELINESS/ SCHEDULE OF PERFORMANCE/SERVICES
(1) Contractor demonstrated ability to perform on schedule?
C. OTHER:
(1) Would you award this firm another contract? ( ) Yes ( ) No If you answered “No” provide an explanation.
(2) Was the contract terminated for default or cause? ( ) Yes ( ) No If you answered “Yes”, provide an explanation.
(3) Has the Contractor been given a cure notice, show cause notice, suspension of progress payments in the last 3 years? ( ) Yes ( ) No If you answered “Yes”, provide an explanation and how many actions and if they were resolved:
(4) ADDITIONAL COMMENTS:
RESPONDENT SIGNATURE
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