A9-Past_Perf_Assess_Questionnaire.pdf

A-9

PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE

87th Contracting Squadron Attn: SSgt Ronald Thompson Phone Number: 609-754-5569 Fax number: 609-754-4948 or e-mail: ronald.thompson.9@us.af.mil

A. OFFEROR’S INFORMATION:

Company/Organization Name Address:

Point of Contact (POC):

Title of POC:

Telephone Number:

Fax Number:

Email

B. RESPONDENT INFORMATION:

Company/Organization Name Address:

Telephone Number:

Point of Contact (POC):

Title of POC:

Offeror Performed as (Prime Contractor or Sub-Contractor)

C. CONTRACT INFORMATION:

Contract Title:

Contract Number:

Contracting Officer:

Fax/Phone Number Status (i.e. On-going, complete):

Contract Amount: total amount of base plus any options

Type of Contract Performance Period: Include base plus any options

Place of Performance:

mailto:ronald.thompson.9@us.af.mil

D. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

E. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the Offeror’s performance or situation. If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “Unknown”.

5 4 3 2 1

Substantial Confidence

(Exceptional)

Satisfactory Confidence

(Satisfactory)

Limited Confidence (Marginal)

No Confidence

(Unsatisfactory)

Unknown Confidence (Neutral)

Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. (Risk Level: Very Low)

Performance meets contractual requirements.

(Risk Level:

Moderate)

Performance does not meet some contractual requirements.

The element being assessed reflects a serious problem for which the Contractor has not yet implemented satisfactory corrective actions. (Risk Level: High)

Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

Contractor’s corrective actions to date are ineffective. (Risk Level: Very High)

The Offeror has little/no relevant past performance upon which to base a meaningful performance risk prediction.

(Risk Level:

Unknown)

a. PERFORMANCE and SUPPORTABILITY:

(1) The Contractor provided quality service that adhered to contract requirements, specifications, and standards of professional conduct. 1 2 3 4 5 NA

(2) The Contractor provided quality personnel that met or exceeded the required qualifications 1 2 3 4 5 NA

(3) The Contractor successfully achieved fill rates established by the contract 1 2 3 4 5 NA

(4) The labor turnover in key personnel and other labor categories was minimal and did not adversely affect Contractor Performance. 1 2 3 4 5 NA

(5) The Contractor had the ability to respond effectively to contract 1 2 3 4 5 NA

F. OTHER:

(1) Would you award this firm another contract? ( ) Yes, ( ) No. If you answered “No” provide an explanation.

(2) Was the contract terminated for default? ( ) Yes, ( ) No. If you answered “Yes”, provide an explanation.

(3) Has the Contractor ever been given a cure notice, show cause notice, suspension of progress payments, etc.?

( ) Yes, ( ) No. If you answered “Yes”, provide an explanation.

performance issues.

b. MANAGEMENT:

(1) The Contractor demonstrated an overall effective and quality management effort. 1 2 3 4 5 NA

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) was apprised of technical and cost issues.

1 2 3 4 5 NA

(3) The Contractor cooperated with the Government in providing flexible, proactive, and effective solutions to critical contract issues. 1 2 3 4 5 NA

(4) The Contractor provided proactive and effective management of its subcontractors. (If applicable) 1 2 3 4 5 NA

(5) The Contractor maintained an effective ongoing Quality Control Plan to provide for monitoring, analyzing and improving quality contract performance.

1 2 3 4 5 NA

c. TIMELINESS/SCHEDULE:

(1) The Contractor consistently demonstrated an ability to quickly recruit instructors on time to meet the Government needs. 1 2 3 4 5 NA

(2) The Contractor demonstrated the ability to retain instructors to support contract/task order requirements so that work schedules would not be disrupted.

1 2 3 4 5 NA

(3) The Contractor demonstrated the ability to plan for and provide replacement candidates during the life of the contract to include pre-planned absences, unplanned illnesses, or an extended leave of absence.

1 2 3 4 5 N/A

(4) Credentialing Packages (to include current and complete information) were presented in timely fashion to the applicable facility. 1 2 3 4 5 NA

(5) The Contractor was able to resolve customer complaints quickly and effectively. 1 2 3 4 5 NA

(4) Based upon the information you provided and using the definitions provided in the evaluation criteria above, the overall performance rating you would give this Contractor is:

Exceptional ___ Satisfactory ____ Marginal ___ Unsatisfactory ____ Unknown ___

COMMENTS: (ALL Unsatisfactory, Marginal, or Exceptional Ratings require comments to support the same. Failure to provide comments will render questionnaire void and will not be accepted by the Government):