Past_and_Present_Performance_Questionnaire.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: _________________________________________________________

Address: _________________________________________________________________

Phone Number: ____________________________________________________________

Project Title and Brief Description of Work: Laundry and dry cleaning services

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.

B. RESPONDENT INFORMATION:

Name of Respondent: _________________________________________

Title: ______________________________________________________

Address: __________________________________________

Telephone Number: ________________________

Fax Number: _____________________________

Email Address: ___________________________

C. FAX COMPLETED SURVEY FORM TO:

60th Contracting Squadron Attn: Mindy Franks Fax: (707) 424-5189 or email to mindy.franks.3@us.af.mil mailto:mindy.franks.3@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate number on the scale (1, 2, 3, 4, and 5) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 4 or 5.

1 2 3 4 5 Substantial Confidence

Satisfactory Confidence

Limited Confidence

No Confidence Unknown Confidence

Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort.

Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.

Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort

Based on the offeror’s performance record, the government has no expectation that the offeror will successfully perform the required effort

No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

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

The contractor: 1 2 3 4 5

1. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

2. Provided effective quality control and/or inspection procedures to meet contract requirements.

3. Provided timely resolution of contract discrepancies.

4. Identified problems as they occurred.

5. Suggested alternative approaches to problems.

6. Was responsive to contract changes.

7. How would you rate the contractor's overall performance?

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

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

Remarks:______________________________________________________________________