Attachment_6_-_Performance_Eval_BTS.pdf

FA4497-13-R-0002

Source Selection Information - See FAR 2.101 and 3.104

Attachment 6 - PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

RETURN COMPLETED SURVEY FORM NO LATER THAN 4:00 PM ON 19 AUGUST TO:

436 Contracting Squadron

Attn: 2d Lt Allison Chermel

Phone Number: 302-677-5226

Fax number: 302-677-2309 or e-mail allison.chermel.1@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:allison.chermel.1@us.af.mil

D. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

E. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5, 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

“NA”.

5 4 3 2 1

Substantial

Confidence

Satisfactory

Confidence

Limited

Confidence

No Confidence

Unknown

Confidence

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)

The Contractor:

(1) Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

1 2 3 4 5 NA

(2) Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

1 2 3 4 5 NA

(3) Delegated authority to project managers and supervisors commensurate with contract requirements.

1 2 3 4 5 NA

(4) Facilitated home office participation in solving significant local problems.

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.

(5) Provided timely resolution of contract discrepancies and/or warranty issues.

1 2 3 4 5 NA

(6) Identified risks/problems as they occurred

1 2 3 4 5 NA

(7) 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

(8) Cooperated with the Government in providing flexible, proactive, and effective solutions to critical contract issues.

1 2 3 4 5 NA

(9) Provided proactive and effective management of its subcontractors. 1 2 3 4 5 NA

(10) Suggested alternative approaches to problems. 1 2 3 4 5 NA

(11) Displayed initiative to solve problems. 1 2 3 4 5 NA

(12) Cooperated with Government personnel after award and was responsive to contract changes.

1 2 3 4 5 NA

(13) Submitted deliverables in a timely manner. 1 2 3 4 5 N/A

(14) Completed contract/task order/ delivery schedules in a timely manner.

1 2 3 4 5 NA

(15) Performed Operations and Maintenance (O&M) of the Base

Telecommunications System (BTS).

1 2 3 4 5 NA

(16) Performed Switch System O&M Services. 1 2 3 4 5 NA

(17) Performed inside plant O&M Services. 1 2 3 4 5 NA

(18) Performed outside plant O&M Services. 1 2 3 4 5 NA

(19) Performed BTS Preventative Maintenance Inspections (PMI). 1 2 3 4 5 NA

(20) Responded to system and service outages and Trouble Calls/Tickets. 1 2 3 4 5 NA

(21) Performed Emergency, Priority, and Routine Service Calls. 1 2 3 4 5 NA

(22) Performed locating, staking and marking of encased or direct buried conduits/cable.

1 2 3 4 5 NA

(23) Performed system cross-connect and disconnect services. 1 2 3 4 5 NA

(24) Operated and maintained Call Accounting System (CAS). 1 2 3 4 5 NA

(25) Provided voice mail O&M. 1 2 3 4 5 NA

(26) Provided maintenance of the Voice Protection System (VPS). 1 2 3 4 5 NA

(27) Provided O&M for the Automatic Call Distribution System (ACD). 1 2 3 4 5 NA

(28) Performed Traffic Measurement and Analysis. 1 2 3 4 5 NA

(29) Provided Technical Solutions. 1 2 3 4 5 NA

(30) Developed and maintained work center records. 1 2 3 4 5 NA

(31) Maintained maintenance and repair records. 1 2 3 4 5 NA

(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.

(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):