Past Performance Questionnaire Atch 5.doc

Solicitation Number FA3047-09-R-0003

Multimedia Services

Attachment 5

UNITED STATES DEPARTMENT OF THE AIR FORCE

AIR EDUCATION AND TRAINING COMMAND

LACKLAND AIR FORCE BASE

Multimedia Services

ATTACHMENT 5

Past Performance Questionnaire

Feb 2009

ATTACHMENT 5: PAST PERFORMANCE QUESTIONNAIRE

Past performance information is required for each offeror and/or each team member if a subcontractor, teaming or partnering arrangement exists. The offeror shall ensure that a past performance questionnaire is completed for each project used to demonstrate relevant experience. Relevant past performance information is defined as work of a similar nature to the Lackland AFB Multi-media Services requirement of which the offeror accomplished during the past three (3) years. Questionnaires are to be completed by the contracting activity (owners, clients, prime contractors, etc.) responsible for the particular projects and furnished by the completing party directly to Gina Gipson, Contract Administrator, telephone 210-671-1770, fax 210-671-1433, email gina.gipson@lackland.af.mil. If returning by fax, please call to confirm receipt of fax.

It is requested that you complete the following information and provide your assessment.

I. BUSINESS AND PROGRAM INDENTIFICATION

1. Name of firm to be evaluated: _____________________________________________

2. Name of evaluator: _____________________________________________________

3. Title of evaluator: ______________________________________________________

4. Organization name: _____________________________________________________

5. Phone number: ______________________ Fax number: ______________________

6. Contract Number: ______________________________________________________

7. Total Contract Amount (includes modifications and options): $____________________

8. Period of Performance Including Option Years (exact dates): _____________________

9. Type of Services Provided: _______________________________________________

Please check mark any of the services listed below provided by the contractor:

______ Daily operation of still photo lab

______ Operation of computer-based graphics workcenter, utilizing both Microsoft, and MacIntosh operating systems

______ Video Teleconference (VTC) support

______ Multimedia equipment maintenance

______ Government Furnished Property Management

______ Operation of Commanders Access Television Channel

II. PERFORMANCE EVALUATION

Rating Scale:

E=Exceptional V=Very Good S=Satisfactory M=Marginal

U=Unsatisfactory N/A-Not Applicable

Using the rating scale and associated adjectives as referenced above, please circle the appropriate letter as indicated below, that best describes the contractor’s performance of your requirement. Please provide comments for ratings evaluated below satisfactory.

QUALITY

1. Flexibility in adjusting to unexpected circumstances E V S M U N/A

2. Retention of employees and key personnel

4. Effectiveness of quality control/prevention of defects E V S M U N/A

5. Conformance with industry standard practices E V S M U N/A

6. Quality of multimedia services remained consistent E V S M U N/A

7. Re-performance of multimedia services is minimal

E V S M U N/A

8. Overall quality of multimedia service

9. Daily operation of still photo lab

10. Daily operation of graphics work center

11. Operation of video tele-conference (VTC) support

E V S M U N/A

12. Execution of multi-media equipment maintenance

E V S M U N/A

13. Government furnished property management

E V S M U N/A

14. Operation of Commanders’ Access Television Channel E V S M U N/A Comments:

TIMELINESS

15. On-time multimedia services

16. Responsiveness to modification requests

17. Successfully responded to emergency/surge situations E V S M U N/A Comments:

BUSINESS RELATIONS

18. Cooperativeness in resolving problems

19. Relationship with technical personnel

20. Relationship with Contracting Officer

21. Relationship with subcontractors

22. Tenacity and innovativeness in resolving problems E V S M U N/A

23. Compliance with contract terms

E V S M U N/A

Comments:

CUSTOMER SATISFACTION

24. End user was satisfied with services performed

25. Advocacy of customer satisfaction

26. Value of services (considering price paid)

Comments:

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

WE APPRECIATE YOUR COOPERATION IN COMPLETING THIS QUESTIONNAIRE!