(24 Jun 08) Past Performance Questionnaire

ATTACHMENT 4

FA4417-08-R-0030

Past/Present Performance Questionnaire

SECTION A: CONTRACTOR INFORMATION

1. Contractor’s Name and Address:

2. Point of Contact:

3. Phone Number:

4. Contract Number:

Contract Type:

5. Project Title:

6. Period of Performance:

SECTION B: RESPONDENT INFORMATION (To Be Completed By Evaluation Respondent)

1. Respondent’s Company Name & Address:

2. Respondent’s Name:

3. Phone Number:

Fax Number:

E-Mail:

4. Contract Number:

Contract Type:

5. Award Amount:

Final Amount:

6. Project Title:

7. Period of Performance:

C. FAX or Email COMPLETED QUESTIONNAIRE FORM TO: 1st Special Operations Contracting Squadron/LGCB, 350 Tully St, Bldg 90339, Hulburt Field, FL 32544-5810, Attention: Chris Richards, FAX : (850) 884-1272. Christopher.richards@hurlburt.af.mil. THIS FORM MUST BE RETURNED NO LATER THAN: 5 Aug 2008, 4:00 PM Central Standard Time.

D. 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.

Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

1. Developed realistic progress schedules and completed the project within 1 2 3 4 5 6 N/A the established schedule.

COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

2. Provided experienced superintendent, managers, and supervisors, with 1 2 3 4 5 6 N/A the technical and administrative abilities to meet requirements.

COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

3. Adequately controlled performance of subcontractors. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

4. Provided effective quality control which resulted in a quality finished product. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

5. Provided submittals in a timely manner. Submittals were 1 2 3 4 5 6 N/A well researched and clearly identified the proposed item.

COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

6. Identified problems as they occurred. Suggested approaches to resolving problems. 1 2 3 4 5 6 N/A Displayed initiative and cooperation in solving problems. Provided adequate information and pricing for change orders and negotiated them in good faith.

COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

7. Provided timely resolution of punch list items and closeout documentation. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________

8. Was the contractor assessed liquidated damages? YES NO (If Yes, briefly explain the circumstances)

9. Based on the contractor’s overall performance, would you rehire this contractor? YES NO

OVERALL PERFORMANCE RATING ___________________________________________________

Signature of Rater: ________________________________________________________ Date: ________________