Atch 6 Past Performance Survey 21 Mar 11.doc
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- Attached to
- Base Roof Repairs Federal contract opportunity
- Solicitation number
- FA4427-11-R-0102
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Amended Atch 6 Past Performance Survey Questionnaire
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DEPARTMENT OF THE AIR FORCE
60TH CONTRACTING SQUADRON (AMC)
21 Mar 2011 MEMORANDUM FOR (Contractor please add reference information)
FROM: 60 CONS/LGCA
350 Hangar Ave Bldg 549
Travis AFB, CA 94535-2632fillin "Enter your THREE LINE ADDRESS (Press [SHIFT] + [ENTER] to start a new line)"
SUBJECT: Request for Past Performance Questionnaire Information for FA4427-11-R-0102, Base Roof Repairs, at Travis AFB, CAfillin "Enter the SUBJECT"
1. You have been identified as a reference point of contact for past and/or present performance evaluation of the firm listed on the attached questionnaire form. This firm is currently interested in providing a proposal for Base Roof Repairs at Travis AFB, CA.
2. Please complete the attached survey questionnaire and return no later than 08 Apr 2011. Please e-mail the survey back to Nel A. Cadacio, nel.cadacio@us.af.mil and send a courtesy copy to Vallarie K. Kilkenny, vallarie.kilkenny@us.af.mil. You may fax the questionnaire to (707) 424-5189.
3. If you have any questions, please contact Nel A. Cadacio at (707) 424-7772 or Vallarie Kilkenny (707) 424-7769.
4. Your information MUST be submitted by 08 Apr 2011. Your expedient attention regarding this matter is greatly appreciated. Thank you in advance.
//signed- Vallarie V. Kilkenny//
VALLARIE V. KILKENNY
Contracting Officer
PRESENT AND PAST PERFORMANCE QUESTIONNAIRE
Solicitation Number FA4427-11-R-0102
IDC BASE ROOF REPAIR, TRAVIS AFB CA
When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104
A. GENERAL INFORMATION: Contractor please complete block A before sending to your reference.
Contractor’s Name:
Address:
Telephone Number:
Fax Number:
Point of Contact:
Project Title or Brief Description of Work:
Contract Number Provided by Offeror: 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:
Company:
Address:
Telephone Number:
Fax Number:
Email Address:
C. Email Completed Questionnaire Form Not Later Than 08 Apr 2011.
To:
Nel A. Cadacop Vallarie V. Kilkenny Email: nel.cadacio@us.af.mil ____ Email: vallarie.kilkenny@us.af.mil PERFORMANCE INFORMATION: Circle 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.
Based on the offeror’s performance record:
| 6 |
| Exceptional (E) |
| Performance meets 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. |
| 5 |
| Very Good (VG) |
| Performance meets 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. |
| 4 |
| Satisfactory (S) |
| Performance meets 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. |
| 3 |
| Marginal (M) |
| Performance does 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. |
| 2 |
| Unsatisfactory (U) |
| Performance does 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. |
| 1 |
| Neutral (N) |
| Performance was not observed or not applicable to the current effort being reported against. |
The Contractor…
N U M S
VG
E
PERFORMANCE/PROGRAM MGMT
1. Upon award the contractor was timely in
N/A fulfilling contract requirements (submitting documents, starting work, submitting materials
& acknowledgements, etc)?
2. Cooperated with owner/government personnel N/A after award.
3. Demonstrated ability to hire, maintain &
N/A replace if necessary, qualified personnel during the contract period.
4. Provided experienced employees with the N/A technical & administrative abilities to meet contract requirements.
5. Provided material submittals in accordance N/A with the contract requirements.
6. Provided payrolls in a timely manner.
N/A
7. Maintained a single point of contact to
N/A manage and resolve problems.
8. Provided adequate employee supervision.
N/A
9. Company headquarters participated in solving N/A significant local problems.
10. Corrected deficiencies in timely manner & N/A pursuant to their quality control procedures.
11. Met established turn around times
N/A for required periodic contract reports, etc.
12. Identified risks/problems as they occurred.
N/A
13. Suggested alternative approaches to problem.
N/A
14. Was responsive to contract changes.
N/A
15. Effectively managed sub-contractor
N/A efforts.
16. Do you have any reservations about
Yes ( )
No ( )
N/A ( ) having this contractor perform another contract for you? (If yes, please explain under “remarks”.)
17. Rate the contractor’s overall performance N/A under this contract.
EMPLOYEE RETENTION
1. Demonstrated ability to retain a qualified
N/A workforce.
INVOICING & PROGRESS REPORTS
1. Provided accurate and timely invoices.
N/A
2. Provided accurate and timely progress reports N/A
ORGANIZATION
1. Has demonstrated good organizational
N/A structure and accountability.
2. If there were problems with the on site supervision, Yes ( )
No ( )
N/A ( ) were you able to easily resolve those problems with the company’s management? (Please explain under “remarks”.)
3. Are you aware of any documented organizational
N/A ( ) deficiencies with the contractor?
(If yes, please explain under “remarks”.)
LEGAL
1. Are you aware of any legal problems experienced by
Yes ( )
No ( )
N/A ( ) the contractor? (Please explain under “remarks”.)
2. Are you aware of any verified ethical problems
N/A ( ) experienced by the contractor? (Please explain under “remarks”.)
GOVERNMENT CONTRACTS ONLY
1. Was the contractor ever issued a cure notice
N/A ( ) or show cause? If yes, explain outcome in “remarks”.
2. Has the contract been partially or completely terminated
Yes ( )
No ( )
N/A ( ) or is the contract pending termination?
2a. If you answered “YES” to question #2, please explain under “remarks”.
3. Has an election ever been made to not exercise an option due to contractor’s performance.
N/A ( ) If yes, explain in “remarks”.
3. Was there any specific delivery order that had problems?
(please explain under “remarks”
N/A ( )
NARRATIVE SUMMARY
1. What were the contractor’s greatest strengths in performance of the contract?
2. What were the contractor’s greatest weaknesses in performance of the contract?
Please add any additional comments concerning this contractor’s performance.
Remarks:
Please provide the Name, Organization, e-mail and phone number of the Inspector on this contract in the blocks below.
(Name) (Organization) (E-mail) (Phone Number)
PAGE
FA4427-11- R-0102 Attachment #6
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