Attachment L5 Past Performance Customer Questionnaire.pdf
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- Solicitation number
- FA282322R0014
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This document contains a past performance questionnaire and details of a federal contract opportunity. The past performance questionnaire requests a contractor's name, contract number, project description, and seeks ratings and narratives on the contractor's performance in areas such as conformance issues, resource adequacy, subcontractor management, and timeliness. It defines ratings of substantial confidence, satisfactory confidence, limited confidence, no confidence, and unknown confidence.
The federal contract opportunity involves upgrading the emergency power system at Building 104 at Eglin Air Force Base in Florida. The project includes providing a new emergency power system to consolidate all critical electrical loads, replacing distribution panels and transformers, installing a new generator and fuel storage, and updating emergency distribution. The work must comply with DOD, Air Force, and base standards. The estimated value is between $1,000,000 and $5,000,000. This opportunity is a small business set-aside using best value selection and is issued by the Department of the Air Force Materiel Command Test Center.
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ATTACHMENT L5
PAST PERFORMANCE QUESTIONNAIRE
Request for Proposal: FA2823-22-R-0014 Upgrade Emergency Power System Bldg 104, Eglin AFB, FL 32542 FTFA 21-VP05
1. Name of Contractor:
Contract or Identifying Number:
Title/Description of Contract:
2. Brief description of scope of work:
EVALUATION: Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
A. Did the contractor have any non-conformance issues? If so, what kind?
B. Did the contractor have adequate resources to complete the required performance?
C. Were there issues with the subcontractor’s testing lab and/or material suppliers?
D. Did the contractor submit required documents on time and answer questions in a timely manner?
FA2823-22-R-0014 FTFA 21-VP05
Assessment Definition Substantial Confidence
(SC)
Based on the Offeror’s recent/relevant performance record, this customer has a high expectation that the Offeror will successfully perform the required effort for us again.
Satisfactory Confidence
(SAT)
Based on the Offeror’s recent/relevant performance record, this customer has a reasonable expectation that the Offeror will successfully perform the required effort for us again.
Limited Confidence
(LC)
Based on the Offeror’s recent/relevant performance record, this customer has a low expectation that the Offeror will successfully perform the required effort for us again.
No Confidence
(NC)
Based on the Offeror’s recent/relevant performance record, this customer has no expectation that the Offeror will successfully perform the required effort for us again.
Unknown Confidence (Neutral) (UC)
No recent/relevant performance record is available or the Offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned.
Based upon the assessment definitions above, indicate your assessment of the contractor’s performance on your contract described on Attachment A. Your assessment should consider the contractor’s performance in accordance with the contractual requirements. Circle all that apply.
CONTRACTOR’S NAME: __________________________ CONTRACT NO.: _______________________
01 Contractor developed realistic progress schedules & completed the project within the established schedule.
SC SAT LC NC UC
02 Contractor provided submittals in a timely manner. Submittals were well researched and clearly identified the proposed item.
SC SAT LC NC UC
03 Contractor provided timely and accurate payrolls with no known labor violations (Davis-Bacon Act) or labor claims.
SC SAT LC NC UC
04 Contractor provided experienced managers and supervisors, with the technical and administrative abilities needed to meet contract requirements.
SC SAT LC NC UC
05 Contractor hired quality subcontractors and effectively managed them.
SC SAT LC NC UC
06 Contractor identified problems as they occurred. Suggested approaches to problems. Displayed initiative and cooperation to solve problems. Provided adequate information and pricing for change orders and negotiated them in good faith.
SC SAT LC NC UC
07 Contractor provided effective quality control, which resulted in a quality-finished product.
SC SAT LC NC UC
08 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain in comments section, SC SAT LC NC UC
09 Would you hire this contractor again? If no, explain in comments section
SC SAT LC NC UC
OVERALL RATING: ______________________________
BRIEF EXPLANATION OF OVERALL RATING GIVEN:
ADDITIONAL COMMENTS
Name of Person Completing Evaluation:
Base/Company: Date:
Position Title/Grade: Phone:
Email: Fax:
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