Attachment_3_-Past_Performance_Questionnaire_Traffic_System_r2.pdf

Attachment 1 – Past Performance Questionnaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. OFFEROR’s REFERENCE INFORMATION:

Contract Name and/or Number (Include task order number(s) if applicable:

Company (Include task order number(s) if applicable:

Address:

POC of Contact (POC):

Title of POC:

Telephone Number:

Email:

Contractor performed as: Prime Contractor Sub-Contractor

Travis AFB is in the process of soliciting offers from companies capable of providing:

Upgrade/Repair of the Traffic Signaling Systems at Multi-Intersections

In order for 60th Contracting Squadron to conduct its evaluation, we request that you complete the questionnaire below and email a PDF file to: mena.medeiros@us.af.mil, Contract Specialist, at 60 CONS, Travis AFB. The due date for completed questionnaires is: 6 Sept 2018 at 1:00 PM Pacific Time. Your completed questionnaire will become part of the official source selection records. To be considered, the Past Performance Questionnaire shall be returned to the Contract Specialist in its entirety and by the due date and time specified above.

To confirm receipt of your completed/submitted questionnaires, please contact:

Contract Specialist: Mena Medeiros by email at mena.medeiros@us.af.mil, Tel: 707-424-7729.

mailto:mena.medeiros@us.af.mil, mailto:mena.medeiros@us.af.mil

B. RESPONDENT INFORMATION: Please complete

Contracting Activity/Customer:

Address:

Telephone Number:

Email Address:

Point of Contract (POC) Title of POC:

C. CONTRACT INFORMATION: Please Complete.

Contract Name and/or Number Contract Number:

Type of Contract:

Contract Value:

Total Contract Dollar Value:

Contract Description:

Contractor performed as: Prime Contractor:

Sub-Contractor:

If subContractor: What percentage was performed by the evaluated Contractor

A. 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 (Exceptional)

Satisfactory Confidence (Satisfactory)

Limited Confidence (Marginal)

No Confidence

(Unsatisfactory)

Unknown Confidence (Neutral)

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

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

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

Based on the offer’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 The Contractor provided quality service that adhered to contract requirements.

2 The Contractor consistently responded to problems and took appropriate action to correct performance.

3 Timeliness of Performance for Services and Product Deliverables.

4 The Contractor corrected deficiencies in timely manner and pursuant to their contract requirements.

5 The Contractor demonstrated an overall effective and quality management effort.

6 Contractor cooperated with the Government in providing flexible, proactive and effective solutions to critical contract issues.

7 To what extent were the contract performance requirements met?

Consider also such things as; contract performance period requirements; provided submittals in a timely manner; timely completion of punch-list items; timely submission of close out documents, i.e., “as builts”. Were timely and satisfactory response to warranty issues after project completion provided?

8 How well were subcontractors, subconsultants, suppliers, and/or the labor force managed and coordinated? Or, if firm was a subcontractor, how well did they respond to coordination efforts and work with other subs? Were there any problems and, if so, how were they handled?

9 The Contractor’s performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated on the project.

7 How would you rate the Contractor’s overall performance

THE CONTRACTOR

Is the Contractor rated in CPARS?

Yes No

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

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

11 Did the contract involve the successful upgrading and/or repair of a traffic signaling system greater than or equal to ten (10) intersections?

Additional Remarks