Past_Performance_Questionnaire.xml

Performance Price Tradeoff Guide AFMC, AMC, AETC Joyce A. Vaughn 2 0 2013-02-20T20:05:00Z 2015-08-19T11:45:00Z 2015-08-19T11:45:00Z 3 938 5352 Air Force 44 12 6278 14 PAST PERFORMANCE QUESTIONNAIRE A. GENERAL INFORMATION : Contractor’s Name: ____________________ Telephone Number: ____________________ Address: ____________________ ______ Fax Number: ____________________ _____ __________________________ Point of Contact: ____________________ __ __________________________ __________________________ Project Title and Brief Description of Work: _____________________________________* ________________________________________________________________________ __ * Contract Number Provided by Offeror: ___________________ Dollar Amount: ________ __ * 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: _____________________ E-MAIL COMPLETED SURVEY FORM TO : Joyce Vaughn Contract Specialist 14 th and C Streets, SW Office of Acquisitions Bureau of Engraving and Printing Washington, DC 20228 E-mail: joyce.vaughn@bep.gov Please provide your timely response prior to closing date of the RFP D. PERFORMANCE INFORMATION : 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 NARRATIV E EXPLANATION FOR YOUR RATINGS . E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral Performance meets contractual requirements with many exceed ed 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 w ere 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 w ere 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 t he 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? 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 CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER __________ Remarks:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________ Page PAGE 1