FA3022-15-R-0005_Attachment_3_PPQ.pdf

FA3022-15-R-0005 – Attachment #3

CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

The contractor identified below is being considered for award of a contract for Base Custodial Services at Columbus AFB, MS. A primary consideration in our selection process is the contractor’s history of performance regarding similar efforts. Please fax or e-mail this completed questionnaire directly to:

14 CONS/LGCA

ATTN: Mr. Holliman / Mr. Gable Fax: 662-434-3049 Email: david.holliman@us.af.mil AND robert.gable.3@columbus.af.mil

A. GENERAL INFORMATION

Contractor Name and Address:

B. RESPONDENT INFORMATION

Name and Title: _________________________________________ Organization: ___________________________________________ Address: _______________________________________________ Telephone/Fax: __________________________________________ Email: _________________________________________________

C. CONTRACT INFORMATION

Contract Number and Title: ________________________________ Period of Performance: ____________________________________ Contract Amount: ________________________________________

D. SERVICES PROVIDED:

E. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A

NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1 2 3 4 5 6 Unsatisfactory Marginal None Satisfactory Very Good Exceptional Performance did not meet most contractual requirements.

There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

No record of past performance or the record is inconclusive

Performance met contract requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the Government’s benefit. There were a few minor problems that the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the Government’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner

How well did the contractor: U M N S VG E

1. Provide experienced/qualified personnel with the technical and administrative abilities needed to meet contract requirements?

1 2 3 4 5 6 N/A

2. Demonstrate ability to hire, maintain, and replace in a timely manner if necessary, qualified personnel during the contract period that meet the requirements of the Performance Work Statement?

3. Maintain a workforce capable of providing surge requirement support without compromising other work center activities?

4. Handle disputes, grievances, and issues with employees? 1 2 3 4 5 6 N/A

5. Display initiative and technical skills by actively identifying risks/problems and providing valid approaches and solutions?

6. Provide effective quality control, inspection procedures and documentation that met contract requirements?

7. Correct deficiencies in timely manner and pursuant to its Quality Control procedures?

8. Expeditiously and fairly respond to contract modifications? 1 2 3 4 5 6 N/A

9. Meet all reasonable project schedules, task deadlines and downward directed program/directive implementations?

10. Respond to extended hour requirements levied because of contingencies? 1 2 3 4 5 6 6 N/A

11. Adapt to changing requirements and understand new ideas/policies?

1 2 3 4 5 6 6 N/A

12. Effectively interact with Government Contracting Officer Representatives? 1 2 3 4 5 6 6 N/A

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in Remarks section below.

Yes No

** Would you award another contract to this contractor? If not, please explain in Remarks section below.

Yes No

Remarks: