FA4486-10-R-0016 Attachment 5.pdf

PAST PERFORMANCE QUESTIONNAIRE

Date: 14 Dec 2010

THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

Solicitation : FA4486-10-R-0016

When addressing Present & Past Performance evaluation criteria set forth in Section M of the above referenced solicitation, the offeror shall forward a copy of the questionnaire to all references for whom the offeror has contracted similar services with the Federal, State and Local Government during the past 5 years. If the offeror does not have government references, the offeror shall provide references from private industry sources that are not prohibited from furnishing information to the government. The questionnaires must be forwarded to a verified point of contact at each of these agencies or business organizations for completion. Prior to forwarding the questionnaire to each reference, the offeror shall complete Section A, Contractor Information. Offerors may include with their proposal, information on problems encountered on the identified contracts and the offeror’s corrective actions. The Government will consider this information, as well as information obtained from any other sources, when evaluating the offeror’s past performance. Offerors are responsible for ensuring that their reference sources receive the questionnaires in time to complete and return the questionnaire to the 65 CONS/LGCC not later than 10 calendar days prior to the proposal due date.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor name and address: _________________________________________________________________

B. Cage Code of contractor contract was awarded to: ___________________ DUNNS:______________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Initial period of performance: ______________

G. Final or Current period of performance:______________

H. Initial contract cost: $____________________________

I. Current/final contract cost: $_______________________________

J. Reasons for differences between initial contract cost and final contract costs:

K. Description of serviceprovided:______________________________________________________________

L. Reasons for difference between initial and final performance period.

SECTION 2. CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _________________________________________________________________

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3. EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Number of years evaluator worked on subject contract: _____________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some

(requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NEUTRAL - Unable to provide a score.

E

V G

S

M

U

N

Quality Control 1 Quality of workmanship

2. Adequacy of the Quality Plan (QC) 3 Implementation of the QC Plan 4 Quality of the QC documentation 5 Storage of materials 6 Adequacy of materials, submittals and did it meet the specification and standards required.

7 Adequacy of Submittals

8. Adequacy of As-Builts 9 Use of specified materials 10 Identification/correction of deficient work in a timely manner.

11. Suggested solutions and displayed initiative to implement solutions

TIMELY PERFORMANCE

1. Provided submittals in a timely manner.

2. Submittals were well researched and clearly identified the proposed item.

3. Developed accurately matched contract or requirement.

4. Developed realistic progress schedules.

5. Met established progress schedules.

6. Submission of updated and revised progress schedules

7. Resolution of delays

8. Completion of punchlist items

E

V G

S

M

U

N

Management Effectiveness A. General Business Practices:

2. Contractor provided experienced managers, and supervisors with the technical and administrative abilities needed to meet contract requirements.

3. Quality & repeatability of operations & maintenance

4. Hired experienced subcontractors.

5. Paid subcontractors/suppliers in a timely manner

6. Completed all contract work prior to requesting final inspection. Left no major discrepancies.

7. The contractor cooperated to resolve problems, attending meetings (as applicable) and maintained communication to assure satisfactory resolution.

8. Contractor was reasonable and cooperative in dealing with your staff including the ability to successfully resolve disagreements/disputes)

9. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

10. Understand/complied with customer objectives and technical requirements

11. Effectiveness of material management (including Government Furnished Property of material)

12. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer.

13. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

14. Contractor provided timely and satisfactory response to warranty issues after project completion.

B. Pricing

1. The contractor submits proposals that accurately represent the work required.

2. The contractor’s supporting price/cost information for modifications is accurate, complete and reasonable (not over inflated or under estimated)

3. Ability to alert the government of unforeseen costs before they occur (i.e. due to unforeseen…)

4. How would you rate the contractor’s overall pricing performance C. Site Management/superintendent

1. Site manager ensured compliance to contract requirements and safety regulations.

2. Site manager acted promptly to resolve problems and ensure work quality.

3. Site manager had sufficient authority to make decisions or take actions during project performance.

4. Site manager consistently present on site when work was performed.

5. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

6. How would you rate the contractor’s overall Management Effectiveness performance?

Compliance with Safety Standards

1. Adequacy of safety plan

2. Implementation of safety plan

3. Based on the contractor’s overall performance, would you re-hire this contractor?

Yes No (circle one)

2. Was the contractor assessed Liquidated damages? Yes No If response is “yes” please briefly explain circumstances in comments section below)

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspect in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

65th Contracting Squadron Attn: Anthony C. Weiss

Bldg T-615 Lajes Field, Azores

Anthony.weiss@lajes.af.mil