PP_QUESTIONNAIRE.pdf

PAST PERFORMANCE QUESTIONNAIRE

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

FA3016-13-R-0004

WASHERS/DRYERS LEASING/MAINTENANCE

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. Fax or email the completed questionnaire to:

NAME: Renata A. Housley

Office: 502 CONS/LGCB

Joint Base San Antonio

2273 Reynolds Road

Fort Sam Houston TX 78234-1800

Telephone: 210-295-4929

FAX: 210-808-6143

Email renata.a.housley.civ@mail.mil

2. Explanation of codes:

CODE - PERFORMANCE LEVEL

E - 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.

V - 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.

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

M - 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 proposed actions appear only marginally effective or were not fully implemented.

U - 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.

N - NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

A. Contractor:

B. Contract number:

C. Period of Performance:

mailto:renata.a.housley.civ@mail.mil

D. Negotiated price or cost at award:

E. Current estimated contract dollar amount:

F. Describe product acquired:

Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

(1) Did the contractor’s experience demonstrate the firm’s managerial and technical capability to perform the work required?

E V S M U N

(2) . How well did the contractor plan for and achieve washer and dryer leasing/maintenance services?

E V S M U N

(3). How well did the contractor meet and improve proposed schedules?

E V S M U N

(4). Rate the contractor on timeliness and accuracy of invoices or change proposals.

E V S M U N

(5) How well did the contractor provide trained, qualified, and experienced workforce in sufficient numbers to meet the requirements in the Performance Work Statement?

E V S M U N

(6) How well did the Contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

E V S M U N

(7) In the contractor’s internal corporate structure, did the quality control person report directly to corporate office or did he/she report to the on-site management? How did this structure work for you?

E V S M U N

(8) How well did the Contractor correct deficiencies in a timely manner and pursuant to their quality control procedures. How would you rate their process/responsiveness?

E V S M U N

(9) How well did the Contractor display a cooperative attitude with company/government personnel before and after award?

E V S M U N

(10) How well did the Contractor adhere to the contract delivery schedule?

E V S M U N

(11) How well did the Contractor meet performance standards tasks specified in the Performance Work Statement?

E V S M U N

(12) How well did the contractor establish and maintain a quality program ensuring the ongoing quality of all significant processes performed in-house or by sub-contractors?

E V S M U N

(13) Overall, would you consider the contractor as being “Pro-Active” or “Re-Active” to the day-to-day tasks of performing washer and dryer leasing services?

E V S M U N

(14) Overall, how would you rate the contractor’s quality control program?

E V S M U N

(15) What is your overall rating of the contractor's performance?

E V S M U N

(16) Identify the contractor's overall strengths and weaknesses.

(17) Given the choice, would you award to this contractor again? Why?

(18) How well did the contractor provide sufficient, reliable equipment to support the task specified in the

Performance Work Statement?

(19) How well did the contractor establish and maintain requirements specified in the Performance Work Statement?

(If more comment space needed, write on back, or attach pages.)

4. Please provide the name, title, address, and phone number of the person completing this questionnaire.

Name:____________________________

Title: _____________________________

Address:___________________________

Phone:_____________________________

Fax: ______________________________

5. Thank you (in advance) for your assistance in responding to this questionnaire. If you have any questions, please call Renata A. Housley, Contract Specialist, and (210) 295-4929.

Thank You, 502d Contracting Squadron

Infrastructure Acquisition Flight

2273 Reynolds Road

Fort Sam Houston, TX 78234