RFQ_Booster_Pump_Control_System_Attachment_3_Past_Performance_Questionaire.docx

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Attached to
Booster Pump Control Panel and VFD Federal contract opportunity
Solicitation number
FA441818Q0034
Issued by
Department of the Air Force Air Mobility Command

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Attachment 3 Past Performance

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RFQ_Booster_Pump_Control_System_Attachment_2_Price_Sheet.docx DOCX document

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Building 2409 Booster Pump Control System Past Performance Evaluation Questionnaire

FA441818Q0034

A. General Information Contractor’s Name:

Point of Contact:

Address:

Telephone Number:

Fax Number:

***Project Title or Brief Description of Work:

Contract Number Provided by Offeror:

Type of Contract:

Annual Dollar:

Total Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

***Note: If offeror 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

B. Respondent Information

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

C. References: References should complete the past performance questionnaire and send responses directly to the individual listed below no later than 27th August 2018, 4:30 PM Eastern Standard Time. Questionnaires can be faxed, emailed or mailed to Jonathan Hirsch at 843-963-5183 (fax) or jonathan.hirsch@us.af.mil or 628 CONS/PKA Attention: Jonathan Hirsch 101 E. Hill Blvd. JB CHS, SC 29404.

D. Performance Information: Complete page 2 by choosing the number on the scale of 1 to 5 (or N) which 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
N
Unsatisfactory
Marginal
Satisfactory
Very Good
Exceptional
Not Applicable
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.
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.
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.
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.
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.
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.

Contractor’s Name:

Contract Number:

The Contractor:

1
Provided timely resolution of contract discrepancies and/or warranty defects.
1
2
3
4
5
N
2
Identified risks/problems as they occurred
1
2
3
4
5
N
3
Suggested alternative approaches to problems
1
2
3
4
5
N
4
Displayed initiative to solve problems
1
2
3
4
5
N
5
Cooperated with Government personnel after award and was responsive to contract changes
1
2
3
4
5
N
6
Timeliness in completion of contract/task order/delivery schedule and meeting milestones
1
2
3
4
5
N
7
Timeliness in submitting deliverables
1
2
3
4
5
N
8
Management and Oversight of subcontractors contributed to successful project completion
1
2
3
4
5
N
9
How would you rate the contractor’s overall performance
1
2
3
4
5
N
10
Project required removal and installation or installation of system capable of meeting the water demands for fire suppression system.
Yes
No

N/A

11
Project required removal and installation or installation of system capable of meeting the water demands for domestic water system.
Yes
No

N/A

12
Project required removal and installation or installation of system capable of meeting the water demands of a combined domestic water and fire suppression system.
Yes
No

N/A

15
Contractor’s installed system provided consistent water psi at the desired levels.
Yes
No

N/A

17
Would you award another contract to this contractor? If not, explain in “remarks”
Yes
No

Remarks:

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