Attachment_L-08__Performance_Eval_Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE

FA2521-13-R-0008

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 AND FAR 3.104

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 AND FAR 3.104

E. Was this a competitive contract? Yes

No

F. Period of performance:

G. Initial contract cost: $

H. Current/final contract cost: $

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

J. 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, other Commands:

SECTION 3. EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Evaluator’s E-mail address

E. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

B BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

P PURPLE/VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

G GREEN/SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor were satisfactory.

Y YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

R RED/UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score.

Program/Inventory Management Performance

1. Quality/effectiveness of sub-contracted efforts

2. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

3. Successfully responded to emergency and/or surge situations

4. Ability to hire/apply and a qualified workforce to this effort.

5. Ability to retain a qualified workforce on this effort.

6. Ability to identify high risk areas and apply mitigations to minimize risk.

7. Ability to smoothly transition resources and personnel.

8. Effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

9. Contractor implemented responsive/flexible processes that reduced cost, improved maintainability or other factors that benefited the customer

10. Adequacy/effectiveness of quality control program and adherence to contract

11. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

12. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

13. Quality of depot support functions to include inventory management, filling of requisitions, and stock replenishment

Overhauls

14. Quality of Overhauls performed

15. Adherence to schedule

System Modifications

16. Quality of Designs, fabrication, installation, and testing of system mods

17. Responsiveness to discrepancies found post acceptance on system mod mods

18. Adherence to schedule

Engineering

19. Quality of Technical Investigations

20. Quality of control, scheduling and monitoring of engineering tasks

21. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

22. Ability to solve obsolescence issues

23. Adherence to schedule

Logistics Support

24. Effectiveness in material management

25. Quality of relationship with vendors

26. Effective identification of appropriate parts and equipment stock levels

27. Quality of Component Remanufacture/Fabrication and Form Fit Function

28. Effectiveness of transportation of materials to receiving points

29. Adherence to schedule

Cost Performance

30. Accuracy in forecasting contract costs

31. Ability to meet forecasted costs and perform within contract costs

32. Ability to alert Government of unforeseen costs before they occur

33. Sufficiency and timeliness of cost reporting

2. Please discuss each response for which you indicated the contractor has performed exceptionally well or unsatisfactory in response to the questions above (use additional sheets, if necessary).

3. 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

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

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

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

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

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address: 45CONS/LGCZR Attn: Mr. Michael Janosz

Or email to: Michael.Janosz@us.af.mil