Attachment7-PastPerformanceQuestionnaire.doc

Solicitation No.: FA4460-06-R-0007

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE

IAW FAR 2.101 AND 3.104

RFP: FA4460-06-R-0007

Contractor:__________________________________________________

I. Background

The purpose of this questionnaire is to obtain past performance information relative to contracts that have previously been completed within the past five years or are currently being performed by the contractor identified above. This company is a potential source for performing a Firm Fixed Priced contact.

II. Instructions

Please complete the questionnaire based on the following guidance:

A.

Handwritten responses are sufficient.

B.

Indicate, based on the description below, the contractor’s performance on the identified program in the assessment area. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:

CODE

PERFORMANCE LEVEL

High Confidence

Based on the offeror's performance record, there is high confidence the offeror will successfully perform the required effort.

Significant Confidence

Based on the offeror's performance record, there is significant confidence the offeror will successfully perform the required effort.

Satisfactory Confidence

Based on the offeror's performance record, there is confidence the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems.

Unknown Confidence

No performance record is identifiable.

Little Confidence

Based on the offeror's performance record, substantial doubt exists that the offeror will successfully perform the required effort.

No Confidence

Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Circle the word corresponding to your rating

C. Please provide comments for all questions in which a "No Confidence", "Little Confidence", or "Satisfactory Confidence" rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.

D.

You are urged to supplement your own knowledge of the offeror’s performance with the judgement of others in your organization. In addition to completing the attached questionnaire for the program, we solicit your comments on other similar programs for which your office has contracts with this offeror.

E. PLEASE FAX YOUR COMPLETED QUESTIONNAIRE WITHIN 7 DAYS AFTER RECEIPT , BUT NOT LATER THAN 10:00 a.m., 2 October 2006, TO:

314 CONS/LGCA 1

Attention: Rick Edens, Contract Specialist

Commercial FAX:

501-987-8119

DSN FAX:

731-8119

Commercial Voice:

501-987-3379

DSN Voice:

731-3379

YOUR ASSISTANCE IN EVALUATING THE CONTRACTOR’S PAST PERFORMANCE IS APPRECIATED. OUR GOAL IS TO SELECT THE BEST VALUE TO THE GOVERNMENT. YOUR PAST PERFORMANCE EVALUATION IS A CONSIDERATION IN DETERMINING THE BEST VALUE.

III. Program Identification:

Evaluator please compete.

A. Contractor:

B. Contract number:

C. Estimated contract dollar amount:

D. Period of Performance:

E. Describe product acquired:

F. Contract type:

IV. Past Performance Evaluation:

1. How would you rate the contractor's overall performance in planning and managing the project?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. If the contractor was responsible for the design, did the contractor work effectively with the user during the design phase?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. If the contractor was responsible for the design, did the design meet all of the project design criteria

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. If the contractor was responsible for design, did the completed work match the design?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THE CONTRACTOR:

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

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Effectively managed subcontractors (if used)?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Corrected deficiencies in a timely manner and pursuant to their quality control procedures?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:_____________________________________________________________________________________________________________________________________________________________________________

8. Displayed initiative to solve problems?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Developed realistic progress schedules?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Met established project schedules?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. Cooperated with Government personnel after award?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

12. Was responsive to contract changes?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence

Unknown Confidence

Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Put an X next to the most applicable answer:

Knowing what I know about this contractor.

____I would not enter into another contract with this contractor.

____I might enter into another contract with this contractor.

____I would enter into another contract with this contractor.

V. Respondent Information:

The following information will assist in the analysis of the data, and will be kept confidential.

A. Name of Evaluator:_____________________________________________

B. Office Symbol/Location:_________________________________________

C. Phone (Commercial/DSN):_______________________________________

D. Position Title/Grade: ___________________________________________

E. Length of Time on Program/Contract:_______________________________

F. Date Questionnaire Completed:_____________________________________

Attachment 7