The file's text, extracted by GovTribe without its formatting.
DEPARTMENT OF THE AIR FORCE
48TH FIGHTER WING (USAFE)
**Once completed, this is Source Selection Information – see FAR 2.101 and 3.104
ATTACHMENT 4 - PAST AND PRESENT EXPERIENCE QUESTIONNAIRE
A. GENERAL INFORMATION
Offeror’s Name: ________________________________ Telephone Number: _______________ Address: ______________________________________________________________________
Email address:__________________________________________________________________ Description of Service Provided: (Please include scope and magnitude) ____________________
Contract Name/Number:______________________ Total Value $/£ Amount:_______________ Period of Experience: ________________________________ Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel
B. CUSTOMER RESPONDENT INFORMATION:
Name of Respondent: _________________________ Title: _____________________________ Company/Organization:________________________ Telephone Number: _________________ Address: ______________________________________________________________________
Email address:__________________________________________________________________
C. E-MAIL COMPLETED SURVEY(S) FORM TO:
bobbie.dobberstein.1@us.af.mil and tawana.jackson.1@us.af.mil
D. PERFORMANCE INFORMATION:
Choose the appropriate evaluation of past performance information on the scale that most accurately describes the offeror’s performance or situation for your organization.
| Very Relevant (VR) |
| Past/present performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires. |
| Relevant (R) |
| Past/present performance effort involved similar scope and magnitude of effort and complexities this solicitation requires. |
| Somewhat Relevant (SR) |
| Past/present performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires. |
| Not Relevant (NR) |
| Past/present performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires. |
Once completed this is Source Selection Information -- See FAR 2.101 and 3.104
| QUALITY ASSESSMENT |
| DEFINITION |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| 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 appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory |
| 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. |
| Neutral |
| Performance was not observed or not applicable to the current effort being reported against. |
Place an “X” in the appropriate column using the definitions matrix above.
| The Contractor: |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 1 |
| Effective managed at least two (2) separate locations simultaneously |
| 2 |
| Serviced six (6) aircraft simultaneously |
| 3 |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and adequate project supervision at the place of performance |
| 4 |
| Implemented and maintained an effective training program |
| 5 |
| Successfully executed phase-in plan for contract/project start up |
| 6 |
| Demonstrated ability to hire, retain, and/or replace, if necessary, qualified personnel during the contract period |
| 7 |
| Passed health and sanitation inspections |
| 8 |
| Provided effective quality control and/or inspection procedures to meet contract requirements |
| 9 |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures |
| 10 |
| Displayed initiative to solve problems |
| 11 |
| Performed services in a timely manner |
| 12 |
| Was responsive to contract changes |
| 13 |
| Offeror conducted effective business relations (partnering meetings, etc.) |
| 14 |
| Compliance with invoicing requirements |
| 15 |
| Offeror’s staff were fully trained on the specific contract requirements |
| 16 |
| Fair and reasonable prices for quality of service rendered |
| 17 |
| Provided adequate number of personnel to carry out the requirements of the contract (Allowing for leave of absence, etc.) |
| 18 |
| Offeror displayed ability to adapt to new technologies and/or equipment requirements |
| 19 |
| Offeror exhibited effective performance through subcontractor teaming arrangements (if applicable) |
| 20 |
| How would you rate the offeror’s overall performance? |
Remarks: (may use additional pages if needed)________________________________________
**Once completed, this is Source Selection Information – see FAR 2.101 and 3.104