Attachment 15 Draft PP Questionnaire.pdf

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Attached to
96 CTG DRAFT FOPR Federal contract opportunity
Solicitation number
FA2486-20-F-DRAFT
Issued by
Department of the Air Force Materiel Command Test Center

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Draft PP Questionaire

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Text version

FA2486-20-F-1001

Attachment 15

PAST PERFORMANCE RATING FORM

PAST PERFORMANCE PROJECT IDENTIFICATION (To be filled out by the Offeror):

CONTRACTOR NAME:

CONTRACT NUMBER:

ORDER NUMBER (if applicable):

PROJECT TITLE:

TOTAL PERIOD OF PERFORMANCE,

INCLUDING OPTIONS: MM/YYYY -

MM/YYYY or MM/YYYY - Present Period of Performance for THIS INDIVIDUAL rating form: (cannot exceed 12 months)

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

NAME:

TITLE:

AGENCY or CUSTOMER:

PHONE:

E-MAIL:

SIGNATURE OF RATER: (Person who can verify the data - Government Contracting Officer, Contracting Officer Representative, Government Program Manager, Etc)

For each of the five (5) criteria listed below, the rater must choose one (1) Adjectival Rating by checking the box, as applicable. Additional text is limited to no more than 200 words.

1. QUALITY OF SERVICE

Rating Adjectival Rating Definition

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement 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 subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or subelement 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 subelement being evaluated reflects a serious problem for which the

Attachment 15 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.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

2. SCHEDULE

Rating Adjectival Rating Definition

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement 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 subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or subelement 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 subelement 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.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

Click here to enter text.

Attachment 15

3. COST CONTROL

Rating Adjectival Rating Definition

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement 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 subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or subelement 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 subelement 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.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

4. Management (or Business Relations)

Rating Adjectival Rating Definition

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement 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 subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or subelement 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 subelement 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.

Attachment 15

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.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

5. Regulatory Compliance

Rating Adjectival Rating Definition

Exceptional

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement 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 subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory

Performance meets contractual requirements. The contractual performance of the element or subelement 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 subelement 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.

Not Applicable

OPTIONAL - ADDITIONAL COMMENTS:

PAST PERFORMANCE RATING FORM
1. QUALITY OF SERVICE
2. SCHEDULE
3. COST CONTROL
4. Management (or Business Relations)
5. Regulatory Compliance
CONTRACTOR NAME:
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CONTRACT NUMBER:
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PROJECT TITLE:
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NAME:
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TITLE:
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AGENCY or CUSTOMER:
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PHONE:
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EMAIL:
C l i ck here to enter textSIGNATURE OF RATER Person who can ver i fy the data Government Contract i ng Off i cer Contract i ng Off i cer Representat i ve Government Program Manager Etc:
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