Attachment D-A Past_Performance_Questionnaire.pdf

80AFRC22R0002

Western Regional Center Administrative and Technical Support Services (CATSS)

Attachment D-A

I. CONTRACT IDENTIFICATION

Section 1 - Basic Contract Information - to be completed by contractor requesting evaluation:

Contract Title Contract Number Contract Prime Contractor Contract Award Date Contract Period of Performance (basic + any options)

Contract Value (including options):

Contract Type Product/Service(s) Description Unusual contract features or conditions

Section 2 – Respondent’s Identifying Information - to be completed by individual completing evaluation.

Company Name, Address

Respondent’s Name

Phone Number

Your Role in the Program/Contract

Length of involvement in this program/contract

Contracting Officer’s Name

Phone Number

E-mail address

Contracting Officer Representative, Task Monitor or Other Name

Phone Number

E-mail address

Date Questionnaire Completed

CONTRACTOR PERFORMANCE REPORT

Based on your knowledge on the contract identified above, please provide your assessment of how well the contractor performed on each of the following questions. It is very important to keep in mind that only performance in the past 5 years is relevant.

In Section II, please rate the contractor as described below in the following technical, management, and cost areas. Choose the adjective that best fits your assessment. Please provide brief comments as to why you chose the adjectives you did, especially for those answers that are other than “good”.

Exceptional - Contractor's performance meets contractual requirements and consistently exceed (or exceeded) many of them. The contractual performance of requirements being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good – Contractor's performance meets contractual requirements and consistently exceed (or exceeded) some of them. The contractual performance of requirements being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory - Contractor's performance meets (or met) contractual requirements. The contractual performance of the requirements contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal – Contractor's performance is not meeting (or did not meet) some contractual requirements. The contractual performance of the requirements 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. Customer involvement was required.

Unsatisfactory – Contractor's performance is failing (or failed) to meet most contractual requirements. The contractual performance of the requirements contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. Extensive customer oversight and involvement was required.

N/A – Not applicable.

COST PERFORMANCE

E xc ep tio na l

V er y G oo d

Sa tis fa ct or y

M ar gi na l

U ns at is fa ct or y

N /A

Ability to effectively plan efforts, provide realistic cost and schedule estimates, etc Comments:

Ability to anticipate, identify and control cost growth Comments:

III. NARRATIVE QUESTIONS:

Discuss the degree of customer’s monitoring/guidance required as it relates to contractor’s management performance in contract administration.

Briefly describe any change(s) from original contract value that occurred due to contractor underestimating customer’s requirements:

Was there a cost overrun/under-run? Yes No If yes, what was the magnitude? Please explain:

Provide details of any accidents or mishaps resulting in lost time?

Discuss any particular strong/weak points of contractor’s performance.

Has this contract been partially or completely terminated for default or convenience? ___Yes ___No If yes, please explain the reason for termination (i.e., inability to meet cost or delivery schedules, performance, etc.).

Would you select this contractor again? ___Yes ___No If “No,” please comment: