Past_and_Present_Performance_Questionnaire.docx

DOCX document 29 KB Posted

Attached to
Washers and Dryers Leasing Federal contract opportunity
Solicitation number
FA4484-16-R-0015
Issued by
Department of the Air Force Air Mobility Command

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Past and Present Performance Questionnaire - FA4484-16-R-0015

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Questions_and_Answers.pdf PDF
Site_Visit_Minutes.pdf PDF
FA4484-16-R-0015_-_Solicitation.pdf PDF
Quality_Assurance_Surveillance_Plan.pdf PDF
Performance_Work_Statement.pdf PDF
Past_and_Present_Performance_Cover_Letter.pdf PDF
Wage_Determinations.pdf PDF

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Solicitation FA4484-16-R-0015: Rental of Washers and Dryers

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 09 February 2016

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

Contractor’s Name

Telephone #

Address

Fax #

Point of Contact

Project Title

Brief Description of Work

Contract Number Provided by Offeror

Annual Dollar Amount

Total Dollar Amount

Contract Period/Dates of Performance Prodived by Offeror

Start Date

End Date

Check One Box

Contractor performed as the

Prime Contractor

Sub-Conrtactor

Key Personnel

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent

Title

Address

Telephone #

Fax #

Email Address

C. FAX COMPLETED SURVEY FORM TO: SSgt Nakeisha Maroney via electronic mail at nakeisha.maroney@us.af.mil.

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

E
G
S
M
U
N
Exceptional
Good
Satisfactory
Marginal
Unsatisfactory
Neutral

Performance meets/met contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets/met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.
Performance meets/met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.
Performance does not meet/did 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 or the contractor’s proposed actions appear only marginally effective or were not fully implemented.
Performance does not meet/did 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.

Performance was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME

CONTRACT NUMBER

CONTRACTOR’S NAME

CONTRACT NUMBER

Place an “X” in the appropriate column using the definitions matrix above.

The contractor:
E
G
S
M
U
N
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2.
Demonstrated 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.
Home office participated in solving significant local problems.
5.
Followed approved quality control plan.
6.
Provided effective quality control and/or inspection procedures to meet contract requirements.
7.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
8.
Provided timely resolution of contract discrepancies.
9.
Identified problems as they occurred.
10.
Suggested alternative approaches to problems.
11.
Displayed initiative to solve problems.
12.
Developed realistic progress schedules.
13.
Met established project schedules. Explain in “remarks” how the contractor complied with schedules.
14.
Provided timely resolution of warranty defects.
15.
Was responsive to contract changes.
16.
Provided adequate project supervision.
17.
Obtained consent of surety for increases in bonding as work-in-progress increased.
18.
Paid subcontractors/suppliers in a timely manner.
19.
Provided accurate and complete line item cost proposals including all aspects of work required for each task.
20.
Cooperated with Government personnel after award.
21.
How would you rate the contractor's overall performance on this contract?
22.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

23.
Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Remarks

CONTRACTOR’S NAME

CONTRACT NUMBER

A6

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