Attachment 8 - Past Performance Survey.pdf

FOR OFFICIAL USE ONLY

PAST / PRESENT PERFORMANCE SURVEY

Past Performance Information for Solicitation FA461320R0005 Recycle Center Management. This information will be used and safe-guarded IAW FAR 2.101 and FAR 3.104.

A. GENERAL INFORMATION:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title and Brief Description of Work:

Contract Type & Number Provided by Offeror:

Dollar Amount (Including Changes & Options):

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:

RETURN COMPLETED QUESTIONNAIRE TO:

90th Contracting Squadron ATTN: SrA Jamie Meier 7505 Barnes Loop, Building 208 F.E. Warren AFB, WY 82005-2860 jaime,meier.1@us.af.mil, Phone: (307) 773-4911 troy.johnson.19@us.af.mil, Phone: (307)-773-4650

C. Contracting Officer:

Name:

Address:

Telephone Number:

Fax Number:

Email Address:

FOR OFFICIAL USE ONLY

D. Performance Evaluation:

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 rating of Marginal (M) or Unsatisfactory (U).

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets 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 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 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 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 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. Followed approved quality control plan.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

18. Paid subcontractors/suppliers in a timely manner.

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

20. Cooperated with Government personnel after award.

21. How would you rate the contractor's overall performance?

YES

NO

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

22.

23. Would you award another contract to this contractor? If not, explain in “remarks.” YES

NO

YES

NO

24. Is the contractor rated in CPARS?

CONTRACTOR’S NAME:

CONTRACT NUMBER:

Remarks: