ATTACHMENT 3-Past Performance Questionnaire Updated.docx
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- Attached to
- Analytic Assessment Support Federal contract opportunity
- Solicitation number
- FA330024R0021
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. The questionnaire requests information on the contractor's past performance for a contract to provide Academic/Research Support Services for the Air University on Maxwell Air Force Base, AL. The contract has a Performance Work Statement and was competitively awarded. The questionnaire asks the respondent to rate the contractor's performance on various criteria such as management, quality control, schedule, responsiveness, and small business goals. It also requests information on the contract value, period of performance, and a description of the work performed. The respondent is asked to provide an overall performance rating and indicate if they would award another contract to the contractor.
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Text version
ATTACHMENT 3
RFP FA3300-24-R-0021
PAST PERFORMANCE QUESTIONNAIRE
SUBJECT: Request for Current and Past Performance Evaluation TO:
You have been identified as a point of contact for a past and/or present performance evaluation from . This firm is currently being considered for a contract with the Government for providing Academic/Research Support Services for the Air University on Maxwell Air Force Base, AL.
Please submit the attached questionnaire to both SrA Chase Flowers and Mrs. Kimberly Knott at the following email addresses. If you have any questions concerning this request, contact SrA Chase Flowers at 334-953-4745; chase.flowers@us.af.mil or Mrs. Kimberly Knott at 334-953-8552; kimberly.knott.1@us.af.mil.
Thank you, Kimberly Knott Contracting Officer 42d Contracting Squadron
PAST PERFORMANCE QUESTIONNAIRE
Section 1: Contract Identification
A. Contractor (Company/Division):
B. Contractor Cage Code:
C. Contract Number:
D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):
E. Program Title:
F. Brief Program Description:
G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):
H. Period of Performance
1. Original Schedule (assuming all options exercised):
Beginning Date _________ through ____________
2. Current Schedule (assuming all options exercised):
Beginning Date _________ through ____________
3. Reason for difference (if applicable):
I. Contract Dollar Value
1. Original maximum contract dollar value (assuming all options exercised): $
2. Current maximum contract dollar value (assuming all options exercised): $
3. Reasons for difference between original and current contract dollar value (if applicable):
J. Description of work performed:
K. Was this a competitively awarded contract? ☐ Yes ☐ No
L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel
Note: If offeror holds or has held other contracts with your agency/organization in the last three (3) years, please complete separate Past Performance Questionnaire forms for those contracts as well.
Section 2: Customer or Agency Identification
A. Customer or agency name:
B. Customer or agency description (if applicable):
C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands):
Section 3: Respondent Identification
A. Respondent’s name:
B. Respondent’s title:
C. Respondent’s phone/fax number/e-mail address:
D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:
E. Other suggested points of contact:
Section 4: Performance Information
In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:
Code Performance Rating
E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance 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 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 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 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 being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.
| The Contractor: |
| E |
| V |
| S |
| M |
| U |
| N/A |
1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
SUPPORTING INFORMATION:
2. Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
3. Delegated authority to project managers and supervisors commensurate with contract requirements.
4. Home office participated in solving significant local problems.
5. Followed approved quality control plan.
6. Provided effective quality control and/or inspection procedures to meet contract requirements.
7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.
8. Provided timely resolution of contract discrepancies.
9. Identified problems as they occurred.
10. Suggested alternative approaches to problems.
11. Displayed initiative to solve problems.
12. Developed realistic progress schedules.
13. Met established project schedules.
14. Provided timely resolution of warranty defects.
15. Was responsive to contract changes.
16. Provided adequate project supervision.
17. Obtained consent of surety for increases in bonding as work-in-progress increased.
18. Paid subcontractors/suppliers in a timely manner.
19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.
20. Cooperated with Government personnel after award.
21. Met or exceeded small business and small disadvantaged business goals set forth in the approved subcontracting plan.
22. How would you rate the contractor's overall performance on this contract?
23. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.
EXPLANATION:
☐ Yes ☐ No
24. Would you award another contract to this contractor? If not, explain.
EXPLANATION:
☐ Yes ☐ No
Additional remarks:
[click and pick the date]
Respondent’s Signature Date
Thank you for your prompt response and assistance!
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