Atch_6_Past_and_Present_Performance_Questionnaire.docx

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Weapon System Support Contract
Solicitation number
FA3002-13-R-0005
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Attachment 6 Past and Present Performance Questionnaire

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Text version

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Attachment 6

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IN ACCORDANCE WITH FAR 2.101 FAR 3.104

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror: Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the: Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: ________________Title: ________________________________
Address: __________________________Telephone Number: _____________________
Fax Number: ______________________Email Address: ________________________

C. **EMAIL/SCAN COMPLETED SURVEY DIRECTLY TO THE CONTRACTING OFFICER**

Mr. Kevin Walker at kevin.walker.3@us.af.mil 1st Lt Ryan Coker at ryan.coker.2@us.af.mil

D. PERFORMANCE INFORMATION: Choose the number on the scale of 0 to 5 that most accurately describes the contractor’s performance or situation.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS.

PERFORMANCE

RATING

DEFINITION

(5) Exceptional

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

(4) Very Good

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

(3) Satisfactory

Performance meets contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(2) Marginal

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s actions appear only marginally effective or were not fully implemented.

(1) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

(0) Not Applicable
Unable to provide a score. Performance in this area is not applicable to the effort assessed.

CONTRACTOR’S NAME: ________________________ CONTRACT NUMBER___________________

Place an “X” in the appropriate column using the definitions matrix above.

Contractor
E
VG
S
M
U
NA

Provided stable, experienced workforce to include classroom and simulator instructors

Provided effective quality control and/or inspection procedures to meet contract requirements.

Corrected deficiencies with courseware, syllabus and other training material/equipment in a timely manner and pursuant to quality control procedures

Identified training issues as they occurred and displayed initiative to solve problems with a timely resolution

Proactive with suggestions on overall course improvement

Provided status reports on student arrival/progress/well being as necessary and in a timely matter

What rating would academic ground/simulator instruction and subject matter expertise merit?

Developed/met academic training schedules

Developed/met realistic simulator training schedules

Provided End of Course Report in timely manner

Provided completed Student Critique(s) to customer in a timely manner.

Provided training management system support in a timely manner with no interruption of service.

Provided recommendations of ways to cut costs and improve training

Responded to complaints in a timely manner.

Stayed on timeline developing new courseware, revisions and corrections.

Maintained all learning networks with minimum or no downtime

Managed all security requirements as required by the contract

Responsive to contract modifications/changes

Subject matter experts provided the necessary expertise to the CWD process in order to reduce the workload of CWD personnel

Provided managers and supervisors with technical and administrative abilities to meet syllabus requirements

How would you rate the contractor's overall performance?

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Is the contractor rated in CPARS?
YES/NO

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER __________

Remarks:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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