Past Performance Survey.doc

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Joint Service Open House Jumbo Tron Service
Solicitation number
FA4416-08-R-0018
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PAST PERFORMANCE SURVEY

IN RESPONSE TO

SOLICITATION NO.: FA4416-08-R-0018

PROJECT: ANDREWS AFB JUMBOTRON SERVICE

A. NAME OF FIRM BEING EVALUATED:_______________________________________________

The above contractor has identified you and/or your company/agency as a reference for past performance information for the above referenced solicitation. Please complete this survey, evaluating the contractor’s performance under your contract, and return it to the 316th Contracting Squadron (Attn: SSgt. Ryan Battad) no later than 12:00 p.m. EST (Eastern Standard time), 18 April 2008. Surveys can be submitted either via email at ryan.battad@us.af.mil and or via fax at tel. 301-981-1907.

B. RESPONDENT INFORMATION:

Name and Title of Respondent: ___________________________________________________________

Company/Agency Name: ________________________________________________________________

Address: _____________________

Telephone Number: ___________________

Fax Number:

Email Address:

Project Title or Brief Description of Work:

Contract Number: ____________________

Total Contract Dollar Amount: $ __________________*

Contract Completion Period (exact dates): __________________________*

*Note: If contractor holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.

C. SOLICITATION-SPECIFIC QUESTIONS (check all applicable boxes):

1. The location where the contract above was performed in a (please specify):

· Department of Defense installation: _____________________________

· Public entity location (i.e. federal, state, county, school districts, etc.): __________________

· Commercial entity location:______________________________

2. The work was completed within the original period of performance:

· Yes

· No (if the period of performance was extended/changed, please explain why below):

C. PERFORMANCE INFORMATION: Choose, by circling, the number on the scale of 1-5 or N, that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

RATING
DEFINITION
N
NEUTRAL
Contractor’s performance cannot be rated.
1
UNSATISFACTORY
Contractor’s performance did not meet most contractual requirements and recovery is unlikely in a timely manner. The contractual performance contained serious problem(s) for which the contractor’s corrective actions appeared or, if implemented,were ineffective.
2
MARGINAL
Contractor’s performance did not meet some contractual requirements. The contractual performance reflected a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appeared to be only marginally effective and/or were not fully implemented
3
SATISFACTORY
Contractor’s performance met contractual requirements. The contractual performance contained some minor problems, but the corrective actions taken by the contractor appeared, or were, satisfactory.
4
VERY GOOD
Contractor’s performance met contractual requirements and exceeded some requirements to the Government’s benefit. The contractual performance was accomplished with some minor problems, but the corrective actions taken by the contractor were effective.
5
EXCELLENT
Contractor’s performance met contractual requirements and exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with little, or had few, minor problems, and the corrective actions take by the contractor were highly effective.

How would you rate the contractor's overall performance for this contract?

Remarks:

5
4
3
2
1
N
The contractor:
RATING
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements
5
4
3
2
1
N
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
5
4
3
2
1
N
3.
Delegated authority to project managers and supervisors commensurate with contract requirements.
5
4
3
2
1
N
4.
Home office participated in solving significant local problems.
5
4
3
2
1
N
5.
Followed approved quality control plan.
5
4
3
2
1
N
6.
Provided effective quality control and/or inspection procedures to meet contract requirements.
5
4
3
2
1
N
7.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
5
4
3
2
1
N
8.
Provided timely resolution of contract discrepancies.
5
4
3
2
1
N
9.
Identified problems as they occurred.
5
4
3
2
1
N
10.
Suggested alternative approaches to problems.
5
4
3
2
1
N
11.
Displayed initiative to solve problems.
5
4
3
2
1
N
12.
Developed realistic progress schedules.
5
4
3
2
1
N
13.
Met established project schedules.
5
4
3
2
1
N
14.
Provided timely resolution of warranty defects.
5
4
3
2
1
N
15.
Was responsive to contract changes.
5
4
3
2
1
N
16.
Provided adequate project supervision.
5
4
3
2
1
N
17.
Obtained consent of surety for increases in bonding as work-in-progress increased.
5
4
3
2
1
N
18.
Paid subcontractors/suppliers in a timely manner.
5
4
3
2
1
N
19.
Provided accurate and complete line item cost proposals including all aspects of work required for each task.
5
4
3
2
1
N
20.
Cooperated with Government personnel after award.
5
4
3
2
1
N
21.
Was the contractor ever issued a cure or show cause notice under the referenced contract? Remarks:

YES/NO

22.
Would you award another contract to this contractor?

YES/NO

24.
Is the contractor rated in CPARS?

YES/NO

Please provide other additional information/comments, if any: ___________________________________

PAGE

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