DTFAAC15R01685_Attachment5.pdf

Screening Information Request/Request for Offer DTFAAC‐15‐R‐01685 Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number/Program Title:

D. Contract type:

(If multiple types (i.e. Firm‐Fixed Price with Time & Material), list percentage and dollar amount of Firm‐ Fixed Price portion)

E. Was this a competitive contract? Yes No

F. Period of performance:

G. Initial contract value: $ (Basic plus all options)

H. Current/final contract value: $ (Basic plus exercised options)

I. Reasons for differences between initial contract cost and final contract costs:

J. What is the number of labor categories supported by this contract?

K. Was this a competitive contract? Yes No

L. Did the contract support more than one main operational location? Yes No If yes, how many?

M. Did the contractor utilize subcontractors to accomplish any of the contractual requirements?

Yes No

N. Was the contractor required to hire additional personnel requiring Government security clearances prior to contract implementation? Yes No

O. Are there Contractor Performance Assessment Reports (CPAR) or other Past Performance Reports available for this contract? Yes No

P. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, etc:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Evaluator’s email:

E. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

A. Please complete this questionnaire based on the following guidance:

(1) Handwritten responses are acceptable

(2) Circle (or underline for e‐mailed responses) a “Number” or “Yes”/”No” corresponding to your rating or

“N/A” if you are unable to provide a rating for an area

(3) PLEASE PROVIDE NARRATIVE EXPLANATIONS FOR ANY MARGINAL, POOR OR “YES” RATINGS. SPACE

FOR YOUR NARRATIVE REMARKS IS PROVIDED ON THE LAST PAGE OF THE QUESTIONNAIRE. IF MORE

SPACE IS NEEDED, USE THE BACK OF THE QUESTIONNAIRE.

(4) You are urged to supplement your own knowledge of the contractor’s performance with judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, we solicit your comments on other similar programs for which your activity has contracts with this offeror.

B. Please return completed questionnaire by email to: Rob LaFollette (AAQ‐721) robert.lafollette@faa.gov

C. Completed questionnaires shall be submitted by 5:00 pm CDT, 01 Jun 2015

D. Indicate, based on the ratings below, the contractor’s performance on the identified program. Assessments should reflect only performance for which contractor is /was responsible. The following is a definition of the rating levels:

PERFORMANCE LEVEL

Rating

4 EXCELLENT: Performance meets contractual requirements and exceeds many requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

3 GOOD: Performance meets contractual requirements and exceeds some requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

2 SATISFACTORY: Performance meets contractual requirements. The contractual performance of the factors contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

1 MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the factors 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.

0 POOR: Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element or sub‐ element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

1.

How successful was the contractor in providing fully trained and skilled personnel, in a timely manner, to manage this program?

0 1 2 3 4 N/A

2.

How well did the contractor demonstrate initiative and ability to quickly identify technical, management, quality or schedule problems and provide venues to resolve them?

0 1 2 3 4 N/A

3. How effective was the contractor’s quality control program? 0 1 2 3 4 N/A

4.

How effective was the contractor in meeting new contract requirements in a timely manner?

0 1 2 3 4 N/A

5.

How responsive was the contractor to meeting equipment delivery schedules?

0 1 2 3 4 N/A

6. How timely was the contractor in submitting required data reports? 0 1 2 3 4 N/A

7. How competent were key personnel, i.e., Contract Manager and technicians? 0 1 2 3 4 N/A

8.

How successful was the contractor in submitting accurate invoices in a timely manner?

0 1 2 3 4 N/A

9.

How well did the corporate management provide support to the on‐site key personnel?

0 1 2 3 4 N/A

10.

How effective was the contractor in interfacing with Government/Company personnel?

0 1 2 3 4 N/A

11.

How would you rate the contractor’s overall management and performance of this contract?

0 1 2 3 4 N/A

12.

Have any major contract requirements been terminated or rescheduled as a result of the contractor’s inability to perform?If so, please explain?

0 1 2 3 4 N/A

13.

Were any “cure” or “show cause” notices issued?

a. If so, for what?

b. What corrective action did the contractor take to correct the situation?

14.

Was an election made not to exercise an option due to the contractor’s poor performance?

a. If so, why?

15.

How effective was the contractor in assuming total control and responsibility for the contract?

0 1 2 3 4 N/A

16. How effective was the contractor in resolving security related issues?

0 1 2 3 4 N/A

17. How positive was the contractor’s response to technical directions?

0 1 2 3 4 N/A

18. How effective was the contractor in bringing closure to contract administrative issues? 0 1 2 3 4 N/A

19. How effective was the contractor in developing and implementing controls to protect government property? 0 1 2 3 4 N/A

20. How successful did the contractor meet the scheduled milestones or the intermediate tasks? 0 1 2 3 4 N/A

21. How successful was the quality of deliverables?

E. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations:

Yes_____ Default____ Convenience_____ Pending Terminations_____

No_____

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

A. What were the contractor’s most positive aspects in the performance of the contract?

B. What was the contractor’s most negative aspect in the performance of the contract?

C. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

D. Please provide any additional comments concerning this contractor’s performance, as desired.

E. Is there anyone to whom you recommend we send this survey? If so, please provide their name, organization and telephone number.

Name

Organization

Telephone No.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!