ATTACHMENT_6_-_PAST_PERFORMANCE_QUESTIONNAIRE.docx

PAST PERFORMANCE QUESTIONNAIRE

Request for Proposal: FA2823-15-R-6009 VTE, Eglin AFB, FL 32542

1. Name of Contractor:

Contract or Identifying Number:

Title/Description of Contract:

2. Brief description of scope of work:

EXAMPLE: Provide all management, tools, supplies, equipment, parts and labor necessary to maintain, repair, and inspect the real property Vertical Transportation Equipment (VTE) at Eglin AFB in a manner that will ensure continuous and safe operation.

3. Annual Awarded Amount: $____________________

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.

1. Did the contractor have any non-conformance issues? If so, what kind? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Did the contractor have adequate resources to complete the required performance? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Did the contractor submit required documents on time and answer questions in a timely manner? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Did the contractor provide material to the Government at a fair and reasonable price in accordance with contract performance requirements? If no, please explain.

1. Did the contractor meet the Government’s material purchase order required delivery dates in accordance with contract performance requirements? If no, please explain.

1. Did the contractor provide current and accurate tracking/status of all material purchased in accordance with contract performance requirements? If no, please explain.

1. Did the contractor provide timely and accurate material sales invoicing/billing in accordance with contract performance requirements? If no, please explain.

1. Did the contractor set up/maintain an adequate store stock inventory of high use items and maintain adequate store stock levels for immediate material purchase in accordance with contract performance requirements? If no, please explain.

1. Did the contractor order, receive, store, issue, inventory and/or deliver hazardous material in accordance with contract performance requirements? If no, please explain.

1. Did the contractor properly identify/purchase hazardous material and provide safety data information in accordance with contract requirements? If no, please explain.

1. Did the contractor provide quality logistics support to receive, warehouse, issue, inventory and/or deliver material in timely and safe manner in accordance with contract performance requirements? If no, please explain.

1. Did the contractor furnish all required deliverables on or ahead of schedule in accordance with contract performance requirements? If no, please explain.

1. Did the contractor demonstrate a history of reasonable and cooperative behavior? If no, please explain.

1. Did the contractor’s management provide responsive problem identification and corrective problem resolution actions? If no, please explain.

1. Was the contractor cooperative and effective in correcting identified deficiencies? If no, please explain.

1. Did contractor provide quality customer service? If no, please explain.

1. Did the contractor provide experienced managers/supervisors with technical and administrative abilities to meet contract requirements? If no, please explain.

1. Did the contractor provide adequate staffing levels with qualified personnel to meet contract requirements? If no, please explain.

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.

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.

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.

Based upon the assessment definitions above, indicate your assessment of the contractor’s performance on your contract described on Attachment 4. Your assessment should consider the contractor’s performance in accordance with the contractual requirements. Circle all that apply.

CONTRACTOR’S NAME: __________________________

CONTRACT NO.: ___________________________

CONTRACT PERFORMANCE EVALUATION

COMPLIANCE WITH ENVIRONMENTAL, SAFETY,

HEALTH AND SECURITY REQUIREMENTS

OVERALL RATING: ______________________________

BRIEF EXPLANATION OF OVERALL RATING GIVEN:

ADDITIONAL COMMENTS

Name of Person Completing Evaluation:

Base/Company: Date:

Position Title/Grade: Phone:

Email: Fax: