FA441821R0008 - PPQ - Rubber Removal.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 628TH AIR BASE WING (AMC)

JOINT BASE CHARLESTON, SC

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: Telephone Number:

Address: Fax Number:

Point of Contact:

Project Title and Brief Description of Work:

Contract Number Provided by Offeror: Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

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

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: ___________________ Title: ________________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number:_________________________ _____________________________ Email Address: _______________________

C. EMAIL COMPLETED SURVEY FORM TO: lisa.mitchell.11@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate rating on the scale (E,G,S,M,U and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M, U, or N.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets/met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets/met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

does not meet/did not meet some contractual requirements.

The contractual performance of the element or sub-element 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 does not meet/did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

was not observed or not applicable to the current effort being reported against.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1.

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2.

Demonstrated 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.

The contractor: E G S M U N

4.

Home office participated in solving significant local problems.

5. Quality of work/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. Displayed initiative to solve problems.

10. Developed realistic progress schedules.

11. Met established project schedules.

12. Provided timely resolution of warranty defects.

13. Was responsive to contract changes.

14. Paid subcontractors/suppliers in a timely manner.

15. Adequacy and Implementation of Safety Plan.

16. Cooperated with Government personnel after award.

17.

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

18.

Was the contractor ever issued a cure or show cause notice under the referenced contract that you are aware of? If yes, explain outcome in “remarks.”

19.

Would you award another contract to this contractor? If not, explain in “remarks.”

Remarks:____________________________________________________________________________