Attachment 8 - Past Performance Questionnaire.pdf

Send this questionnaire to Past Performance Contract POC

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

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

Contractor’s Name: ____________________ Contractor’s Point of Contact: ________________________ Telephone Number: ____________________ Project Title and Brief Description of Work: _________________________________________________________

Contract or Written Agreement Number Provided by Offeror: ______________________ Basic Dollar Amount: __________

Period or Dates of Performance Provided by Offeror: ________________________

Contractor performed as the; Prime Contractor, Sub-Contractor, Key Personnel.

Is this contract recorded in CPARS? Yes or No

B. RESPONDENT INFORMATION:

Name of Respondent: ________________________________ Title: ____________________________

Address: ______________________________ Telephone Number: ___________________ ______________________________________ Email Address: _______________________

C. PERFORMANCE INFORMATION: choose the appropriate letter on the scale (A = Acceptable; U = Unacceptable; or N/A), or answer the Yes/No questions to most accurately describe the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF Unacceptable or NO. You may also use the remarks section for any additional details.

Place an “X” in the appropriate column and/or answer the remaining questions.

Contractor Training Past Performance: A U N/A

1. Past performance providing aircrew flight and/or simulator training that meets FAA Part 61, 141, or 142, or aircraft maintenance training that meets 14 CFR Part 147

2. Past performance providing OCONUS aircrew or OCONUS aircraft maintenance training

3. Past performance providing multiple classes with multiple students per class simultaneously

4. Past performance graduating students on time

Contractor Administration Past Performance: A U N/A

1. Past performance providing qualified management, support staff, and infrastructure to meet contract requirements

2. Past performance providing qualified aircrew instructors in accordance with FAA Part 61, 141, or 142, and/or aircraft maintenance instructors who meet 14 CFR Part 147

3. Past performance following International Traffic in Arms Regulation, foreign disclosure, and/or Third Party Transfer guidance as implemented in the Arms Export Control Act

4. Past performance managing multiple simultaneous subcontracts

Contractor Student Support Past Performance: A U N/A

1. Past performance providing international student medical support

2. Past performance providing international student meals

3. Past performance providing student lodging

4. Past performance providing student transportation

Remarks:____________________________________________________________________________________________________

**EMAIL COMPLETED SURVEY DIRECTLY TO THE CONTRACT ADMINISTRATOR**

Lori Robarge at lori.robarge@us.af.mil or scott.springer.5@us.af.mil