Atch 8 Past Performance Survey.doc

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Repair Aircraft Fire Training Facility
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FA4479-09-R-0010
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Atch 8 Past Performance Survey

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SOLICITATION FA4479-09-R-0010

PAST AND PRESENT PERFORMANCE SURVEY

FOR OFFICIAL USED ONLY (When Filled In)

A.

GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Telephone Number:

Fax Number:

Address:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number:
Dollar Amount:

Contract Period or Dates of Performance:

Type of Contract:

Contractor performed as the FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub-Contractor FORMCHECKBOX Key Personnel.

B.

EVALUTION PERFORMED BY:

Name: _____________________________ Title: _______________________________

Address:

Telephone Number:

Fax Number:

Email Address:

C. FAX OR EMAIL COMPLETED SURVEY FORM TO:

Tricia Stabenfeldt, Contract Specialist kees.negaard@mcchord.af.mil &

Terry Seaverns, Contracting Officer terry.seaverns@mcchord.af.mil Fax: 253-982-5207 D.

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2. COMMENTS ARE ALWAYS ENCOURAGED.

1
2
3
4
5
6
Unsatisfactory
Marginal
Neutral
Satisfactory
Very Good
Exceptional
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
No record of past performance or the record is inconclusive.
Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.
Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner
CONTRACTOR’S NAME:
CONTRACT NUMBER:

Construction Contracts:

1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
1
2
3
4
5
6
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
1
2
3
4
5
6
3.
Provided adequate project supervision; Delegated authority to project managers and supervisors commensurate with contract requirements.
1
2
3
4
5
6
4.
Home office participated in solving significant local problems.
1
2
3
4
5
6
5.
Provided effective quality control and/or inspection procedures to meet contract requirements in accordance with Quality Control Plan.
1
2
3
4
5
6
6.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
1
2
3
4
5
6
7.
Provided timely resolution of contract discrepancies
1
2
3
4
5
6
8.
Identified risks/problems as they occurred ; suggested alternative approaches to problems.
1
2
3
4
5
6
9.
Developed and met realistic/established progress schedules.
1
2
3
4
5
6
10.
Provided timely resolution of warranty defects.
1
2
3
4
5
6
11.
Was responsive to contract changes and provided accurate and complete line item cost proposals including all aspects of work required for each task.
1
2
3
4
5
6
12.
Paid subcontractors/suppliers in a timely manner.
1
2
3
4
5
6
13.
Demonstrated ability to obtain performance and payment bonds
1
2
3
4
5
6
14.
Were design resubmittals required because of poor A-E performance
YES
NO
15.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”
YES
NO
16.
Would you award another contract to this contractor? If not, explain in “remarks.”
YES
NO
CONTRACTOR’S NAME:
CONTRACT NUMBER:

Remarks:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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