4._Past_Performance_Questionnaire.pdf

PAST PERFORMANCE

EVALUATION QUESTIONNAIRE

Solicitation FA3020-16-R-0001

Source Selection Sensitive

SECTION 2: Respondent Information (to be completed by respondent)

EVALUATED BY:

A. Name/Title: _____________________________________________________________________________________

B. Address: _______________________________________________________________________________________

C. Phone Number (with area code): _____________________________________________________________________

D. FAX Number (with area code): _______________________________________________________________________

E. E-Mail Address: __________________________________________________________________________________

SECTION 3: Evaluation (to be completed by respondent.)

1. In this section of the questionnaire, you are asked to evaluate the contractor’s performance. If you wish to elaborate on any of your answers, please provide comments at the end of this section. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submitting it to the Contracting Office.

2. Any unacceptable or exceptional rating should be supplemented with an explanatory narrative in the remarks block of this survey.

3. ONCE COMPLETED, THIS SURVEY WILL BE CONSIDERED SOURCE SELECTION SENSITIVE IN

ACCORDANCE WITH FAR PART 3.104. The name of the respondent will not be released.

4. The following definitions are applicable rating levels for the contractor’s performance.

CODE PERFORMANCE

LEVEL

DESCRIPTION

O OUTSTANDING

Performance meets contractual requirements and exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with no problems identified for which corrective actions taken by the contractor were highly effective.

A ABOVE AVERAGE

Performance meets contractual requirements and slightly exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with little or no problems identified for which corrective actions taken by the contractor were effective.

S SATISFACTORY

Performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions were taken by the contractor and made satisfactory.

M MARGINAL

Performance barely meets contractual requirements. The contractual performance contained numerous minor problems for which corrective actions were taken by the contractor but not to the complete satisfaction of the Government.

U

UNSATISFACTOR

Y

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

N NEUTRAL

Performance was not observed or not applicable to the current effort being reported against.

Contractor Evaluation Areas… O A S M U N

1. CUSTOMER SATISFACTION

a. Overall commitment to customer satisfaction

b. Contractor was reasonable and cooperative in dealing with customer

c. Responded to customer questions concerning technical, service, and administrative issues

d. Demonstrateed professionalism and courtesy in dealing with customers

2. QUALITY O A S M U N

a. Provided effective quality control and inspection procedures

b. Developed and maintained realistic progress schedule(s) and progress reports

c. Provided well defined and clearly identifiable submittals as required

d. Completed all work in conformance with the specifications

3. TIMELINESS O A S M U N

a. Met established project schedules to complete the project on time, as scheduled

b. Performed all work without the issuance of a CURE NOTICE or a SHOW CAUSE LETTER (If a notice was issued, please describe the circumstances on a separate sheet of paper and identify if Liquidated Damages were assessed)

c. Provided resolution of contract discrepancies/issues

d. Submitted the progress schedule and progress reports as required

e. Provided material submittals as required

f. Provided accurate payrolls for both prime and subcontractors’ employees as required and within established guidelines

g. Provided resolution of punch list items within time specified

h. Paid subcontractors and suppliers within a reasonable time

4. RESPONSIVENESS O A S M U N

a. Ensured compliance with contract requirements and safety regulations

b. Was diligent to resolve problems, attended meetings as needed, and maintained written and verbal communication with the government to keep the project on schedule

c. Anticipated problems before they occurred minimizing delay; provided realistic approaches to problems before they resulted; and performed as a “Team Member”

d. Adjusted performance schedules to meet customer needs when required

e. Responded to warranty issues within the timeframes specified in the contract

5. TECHNICAL PERFORMANCE O A S M U N

a. Compiled with technical requirements and contract objectives

b. Provided post-construction documents (manuals, warranties, as-built drawings, etc.) in a timely manner

6. SUBCONTRACTS AND MANAGEMENT O A S M U N

a. Contractor provided experienced/qualified knowledgeable subcontractor personnel to meet contract requirements

b. Contractor provided experienced/qualified knowledgeable company personnel to meet contract requirements

c. Contractor demonstrated the ability to hire, maintain, and replace *(as necessary) qualified subcontractors/suppliers during the contract period

d. Contractor demonstrated the ability to hire, maintain, and replace *(as necessary) qualified company personnel during the contract period

e. Contractor delegated authority to project managers and supervisors as necessary to meet contract requirements

f. Contractor ensured the site manager was consistently present on site when work was being performed

7. COST O A S M U N

a. Contractor provided complete, supportable, accurate, and reasonable cost proposals that met the requirements of the project

b. Contractor demonstrated the ability to control costs and/or design projects within the magnitude specified

8. OVERALL RATING O A S M U N

a. How would you rate the contractor’s overall performance for this contract?

9. OVERALL RATING YES NO

b. Would you award another contract to this contractor?

c. Is the contract evaluated in CCASS?

Please address any comments regarding compliance with contract terms and conditions; or comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions:

EVALUATED BY:

(Evaluator’s Signature) (Date)

NOTE: The identity of individual(s) providing reference information shall not be disclosed

Thank you for your prompt response and assistance!

Please complete and return all pages of this questionnaire to:

Email to: willie.davis.7@us.af.mil and copy to todd.raines.3@us.af.mil or FAX to: (940) 676-3784