Atch_6_Past_and_Present_Performance_Questionnaire.docx
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- Attached to
- 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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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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