Attch_21_Past_Performance_Questionnaire.doc
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- Attached to
- Simplified Acquisition of Base Engineering Requirements (SABER) Federal contract opportunity
- Solicitation number
- FA2823-15-R-4002
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Attachment 21 Past Performance Questionnaire
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ATTACHMENT 21
PAST PERFORMANCE QUESTIONNAIRE
Request for Proposal: FA2823-15-R-4002 SABER Indefinite Delivery Indefinite Quantity (IDIQ), Eglin AFB, FL 32542
PART I:
1. Name of Contractor:
Contract or Identifying Number:
Title/Description of Contract:
Based upon the definitions below, indicate your assessment of the contractor’s performance on your contract, such as Job Ordering Contracts (JOC), Single Award Task Order Contracts (SATOC), Multiple Award Task Order Contracts (MATOC), Task Order Contracts (TOC) and Simplified Acquisition Base Engineering Requirement (SABER), described on Appendix A. Your assessment should consider the contractor’s performance in accordance with the contractual requirements.
2. Brief description of scope of work:
3. Did the Contractor adequately follow their safety plan in accordance with the contract terms and conditions?
4. Did the Contractor have any major mishaps during the contract period of performance?_____________________
If so, please explain. ___________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name of Person Completing Part I:
Base/Company:
Date:
Position Title/Grade:
Phone:
Email:
Fax:
PART II:
EVALUATION: Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed. If a CPARS/CCASS was performed, the customer may provide those reports in lieu of completing the evaluation below.
CONTRACTOR’S NAME: ________________________ CONTRACT #: _______________________
Assessment Definition
| Substantial Confidence (SC) |
| Based on the offeror’s recent/relevant performance record, we have a high expectation that the offeror will successfully perform the required effort again. |
Satisfactory Confidence
(SAT)
Based on the offeror’s recent/relevant performance record, we have a reasonable expectation that the offeror will successfully perform the required effort again.
Limited Confidence
(LC)
Based on the offeror’s recent/relevant performance record, we have a low expectation that the offeror will successfully perform the required effort again.
No Confidence
(NC)
Based on the offeror’s recent/relevant performance record, we have no expectation that the offeror will successfully perform the required effort again.
| Unknown Confidence (Neutral) (UC) |
| No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. |
| 01 |
| Contractor developed realistic progress schedules & completed the project within the established schedule. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 02 |
| Contractor provided submittals in a timely manner. Submittals were well researched and clearly identified the proposed item. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 03 |
| Contractor provided timely and accurate payrolls with no known labor violations (Davis-Bacon Act) or labor claims. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 04 |
| Contractor provided experienced managers and supervisors, with the technical and administrative abilities needed to meet contract requirements. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 05 |
| Contractor hired quality subcontractors and effectively managed them. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 06 |
| Contractor identified problems as they occurred. Suggested approaches to problems. Displayed initiative and cooperation to solve problems. Provided adequate information and pricing for change orders and negotiated them in good faith. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 07 |
| Contractor provided effective quality control, which resulted in a quality-finished product. |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 08 |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain in comments section, |
| SC |
| SAT |
| LC |
| NC |
| UC |
| 09 |
| Would you hire this contractor again? If no, explain in comments section |
| SC |
| SAT |
| LC |
| NC |
| UC |
OVERALL RATING: ______________________________
BRIEF EXPLANATION OF OVERALL RATING GIVEN:
ADDITIONAL COMMENTS
Name of Person Completing Part II:
Base/Company:
Date:
Position Title/Grade:
Phone:
Email:
Fax:
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