Attachment_3_-_Past_Performance_Questionnaire_VTE.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:

Vertical Transportation Equipment Services

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 60th CONS, Travis AFB. The due date for completed questionnaires is: 28 Jan 2019 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 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2 Demonstrated the 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.

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

5 Home office participated in solving significant local problems.

6 Followed approved quality control plan.

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

8 Corrected deficiencies in timely manner and pursuant to their quality control procedures.

9 Maintenance Control Plan (MCP) is accordance with ASME A17.1 delivered to the Contracting Officer in 30 days from contract award.

10 Maintained 95% Vertical Transportation Equipment Availability

11 Responded to emergency service call on-time 100% of the time

12 Repairs are high quality resulting in reduced call backs

13 Performed preventative maintenance in adherence to the MCP 100% of the time.

14 Provided Inspection in adherence to the MCP 100% of time.

15 Submit reports in a timely manner consistent with PWS 100% of time.

16 Provided timely resolution of contract discrepancies

17 Suggested alternative approaches to problems

18 Displayed initiative to solve problems

19 Met established project schedules

20 Provided timely resolutions of warranty defects

21 Was responsive to contract changes

22 Provided accurate and complete line item cost proposals including all aspects of work required for each task

23 How would you rate the contractor’s overall performance?

THE CONTRACTOR

Is the Contractor rated in CPARS?

Yes No

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

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

Additional Remarks

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE