Past_Performance_Questionnaire_C5.docx

FA4452-14-R-0007

Source Selection Information - See FAR 3.104 For Official Use Only Source Selection Sensitive When Filled In

Past Performance Questionnaire C-5M Fleet Restoration

I. CONTRACT IDENTIFICATION

A. Contractor (Company/Division): ______________________________________________________

B. Contractor Cage Code: ______________________________________________________

C. Contract Number: __________________________________________________________________

D. Contract Type (e.g., Firm Fixed Price, Fixed Price Incentive Fee, Cost Plus Incentive Fee, Cost Plus Fixed Fee): ___________________________________________________________________________

E. Program Title:

F. Brief Program Description:

G. Period of Performance:

H. Initial Contract Cost:

Current/ Final Contract Cost:

Reason(s) for difference:

II. EVALUATOR IDENTIFICATION

A. Name:

B. Phone Number(s):

C. Position (e.g., Program Manager, Procuring Contracting Officer/Administrative Contracting Officer):

D. Other suggested points of contact:

III. GENERAL COMMENTS

IV. PERFORMANCE EVALUATION

Please indicate your performance rating for the contractor’s performance by circling or place an “X” over the appropriate code using the performance evaluation scale below. Ratings are defined as follows:

CODE PERFORMANCE RATING

E BLUE/EXCEPTIONAL - Performance meets contractual requirements and exceeds many to the government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

V PURPLE/VERY GOOD - Performance meets contractual requirements and exceeds some to the government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

S GREEN/SATISFACTORY - 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 appear or were satisfactory.

M YELLOW/MARGINAL - 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. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

U RED/UNSATISFACTORY - 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.

N/A NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect, or information was not available. Do not know.

Note 1: Please explain in the remarks section for any rating of Exceptional, Marginal or Unsatisfactory that may contradict official Past Performance documentation (e.g., Contractor Performance Assessment Reports (CPARs)).

Note 2: If more space is needed, remarks may be continued on separate pages. Please identify Factor and Sub-factor and question number.

1. How would you rate the contractor’s ability to remove, fabricate, and install soundproof insulation in an aircraft?

Performance Rating: E V S M U N/A

REMARKS:

2. How would you rate the contractor’s ability to remove and replace anti-skid tape and old adhesive in an aircraft?

Performance Rating: E V S M U N/A

REMARKS:

3. How effective was overall contract management (i.e., leading, managing, controlling, and delivering quality products on time)?

Performance Rating: E V S M U N/A

REMARKS:

4. Were there any penalties for non-performance assessed against the contractor, and if so, to what extent?

Performance Rating: E V S M U N/A

REMARKS:

5. GENERAL COMMENT (Choose one of the following and explain your choice in the remarks).

If I had a choice, given what I know today about the contractor’s ability to execute what was promised in the proposal, I definitely would_____ probably would ____ might or might not _____ probably would not _____ definitely would not _____ award to this contractor.

REMARKS:

Thank you for your prompt response and assistance!

Please return this completed questionnaire by 4 pm, CT, 21 Feb 2014 to:

Leonard L. Johnson III