B.08 Attachment 5 - Past Performance Questionnaire.docx
DOCX document 41 KB Posted
- Attached to
- Construct VM/AGE Complex Federal contract opportunity
- Solicitation number
- W50S8W25RA003
- Issued by
- Department of the Army National Guard
About this file
This is a Past Performance Questionnaire template designed to evaluate contractor performance on federal contracts. The questionnaire includes 24 questions that assess various aspects of contractor performance using a 6-point rating scale (from Unsatisfactory/No Confidence to Exceptional/High Confidence).
The evaluation areas include management capabilities, quality control, problem-solving, schedule adherence, responsiveness, and overall performance. Key metrics include the contractor's ability to provide experienced managers, maintain qualified personnel, follow quality control procedures, resolve problems, meet schedules, pay subcontractors timely, and cooperate with government personnel. The questionnaire is to be completed by previous clients and submitted via email to christopher.davalos.1@us.af.mil and kristopher.kahle@us.af.mil. This template appears to be associated with solicitation W50S8W25RA003 for the Army National Guard's VM/AGE Complex construction project.
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Text version
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: (Please correct any information below known to be inaccurate)
Contractor’s Name:.
Address:
Telephone #:
Point of Contact:
Project Title or Brief Description of Work:
Contract Number and Dollar Amount Provided by Offeror:
Contract Period or Dates of Performance Provided by Offeror:
Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.
B. RESPONDENT INFORMATION:
Name of Respondent: Title:
C. Email COMPLETED SURVEY FORM TO THE GOVERNMENT AT: christopher.davalos.1@us.af.mil and kristopher.kahle@us.af.mil
D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.
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| UNSATISFACTORY/ NO CONFIDENCE |
| MARGINAL/ LITTLE CONFIDNENCE |
| SATISFACTOR Y/SATISFACTO RY |
CONFIDENCE
| VERY GOOD/ SIGNIFICANT CONFIDENCE |
| EXCEPTIONAL/ HIGH CONFIDENCE |
| NEUTRAL/ UNKNOWN CONFIDENCE |
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| Performance met contractual requirements. |
There were some minor problems and corrective actions taken by the contractor were satisfactory.
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the government’s benefit. |
Problems, if any, were negligible and were resolved in a timely, highly effective manner.
No record of past performance or the record is inconclusive.i
CONTRACTOR’S NAME: CONTRACT NUMBER:
The contractor:
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| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
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| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
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| Delegated authority to project managers and supervisors commensurate with contract requirements. |
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| Home office participated in solving significant local problems. |
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| Followed approved quality control plan. |
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| Provided effective quality control and/or inspection procedures to meet contract requirements. |
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| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
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| Provided timely resolution of contract discrepancies |
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| Identified problems as they occurred. |
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| Suggested alternative approaches to problems. |
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| Displayed initiative to solve problems. |
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| Developed realistic progress schedules. |
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| Met established project schedules. |
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| Provided timely resolution of warranty defects. |
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| Was responsive to contract changes. |
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| Provided adequate project supervision. |
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| Obtained consent of surety for increases in bonding as work-in- progress increased. |
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| Paid subcontractors/suppliers in a timely manner. |
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| 19. |
| Provided accurate and complete line item cost proposals including |
all aspects of work required for each task.
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| Cooperated with Government personnel after award. |
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| How would you rate the contractor's overall performance? |
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| 22. |
| Was the contractor ever issued a cure or show cause notice under the referenced |
contract? If yes, explain outcome in “remarks.”
YES/NO
| 23. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
| YES/NO |
| 24. |
| Is the contractor rated in CPARS? |
| YES/NO |
Additional Remarks: CONTRACTOR’S NAME: CONTRACT NUMBER:
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