JB-MDL_Medical_Custodial_Past_and_Present_Performance_Questionnaire.docx
DOCX document 23 KB Posted
- Attached to
- Medical Custodial Services Federal contract opportunity
- Solicitation number
- FA4484-16-R-0027
About this file
Past Performance Questionnaire
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA4484-16-R-0027-0002_Amendment.pdf | ||
| JB-MDL_Medical_Custodial_Questions_and_Answers_(final).pdf | ||
| FA4484-16-R-0027-0001_Amendment.pdf | ||
| JB-MDL_Medical_Custodial_PWS.pdf | ||
| 2016_SFS_APPENDIX.pdf | ||
| JB-MDL_Medical_Custodial_CBA_20160706.pdf | ||
| JB-MDL_Medical_Custodial_Past_and_Present_Performance_Cover_Letter.docx | DOCX document | |
| JB-MDL_Medical_Custodial_Solicitation_20160715.pdf |
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Solicitation FA4484-16-R-0027: Medical Custodial Services
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 18 May 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. SUBMIT 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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