Att_14_Pst_Prsnt_Perf_Qstnr.docx
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- Attached to
- Mx & Repair Bldg 500 Federal contract opportunity
- Solicitation number
- FA4600-16-R-0012
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Attachment 14 - Past & Present Performance Questionnaire
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FA4600-16-R-0012
Attachment 14 Page | 4
ATTACHMENT 14: PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Reference Contractor’s Name:
Telephone Number:
Address:
Fax Number:
Street
Point of Contact:
City
CAGE Code:
State and Zip
The Offeror will enter this information and submit to references.
Project Title and Brief Description of Work:
Contract Number Provided by Offeror:
Dollar Amount:
Contract Period or Dates of Performance Provided by Offeror:
Contractor performed as the: Prime Contractor, Subcontractor, and/or Key Personnel?
Note: If Offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.
B. RESPONDENT INFORMATION:
Please provide the following information for the respondent completing this questionnaire:
Name:
Position / Role on Contract:
Address:
Agency:
Street:
Telephone Number:
City:
Email Address:
State:
Fax Number:
Zip:
C. IF FAXING YOUR RESPONSE, FAX COMPLETED SURVEY FORM TO: 402-294-7280. Please call 2d Lt Hedgepeth at (402) 294-2628 to advise her of the fax.
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (S, N or U) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION.
PAST PERFORMANCE QUALITY ASSESSMENT
| Quality Assessment |
| Description |
| SATISFACTORY (S) |
| During the contract period, contractor performance is substantially meeting (or substantially met) contract requirements. For any problems encountered, contractor took effective corrective action. |
| UNSATISFACTORY(U) |
| During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required. |
| NOT AVAILABLE(N) |
| Quality and/or performance information is not available. |
QUESTIONNAIRE
CONTRACTOR’S NAME:
CONTRACT NUMBER:
Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.
Place an “X” in the appropriate column using the definitions matrix above.
| Program Management |
| S |
| U |
| N/A |
| 1. |
| The offeror established and successfully executed an effective quality control system that provided all products and services required on-time and with acceptable quality. |
| 2. |
| The offeror established an effective management structure ranging from senior contract management roles to field installation site supervision. The offeror staffed these roles with qualified personnel, appropriate to the role. |
| 3. |
| The offeror effectively managed sub-contractors, coordinating schedules and/or work efforts between self-performed tasks and tasked performed via multiple sub-contractors. |
Manufacturing and Logistics
| S |
| U |
| N/A |
| 1. |
| The offeror successfully managed the logistical aspects of material purchase and delivery; products arrived without causing delay to the overall contract. |
| 2. |
| If applicable, the offeror successfully managed just-in-time delivery; avoiding stockpiles of material in public spaces (such as corridors). |
| 3. |
| The offeror successfully interfaced with key manufacturers to ensure large quantities of materials were produced at the pace required for installation. |
| Installation Capacity |
| S |
| U |
| N/A |
| 1. |
| The offeror effectively recruited, trained, and retained the labor pool required to support field installation. Adequate labor was provided such that delays were avoided. |
| 2. |
| The offeror’s estimates of installation duration were accurate. |
| 3. |
| The offeror provided all tools and material moving equipment required; delays were not incurred for lack of equipment and/or quantity of equipment. |
| 4. |
| The offeror identified constraints and resolved or mitigated issues presented by constraints. Constraints can range from loading dock capacity, inspection pit throughput, etc. |
| Submittal Process |
| S |
| U |
| N/A |
| 1. |
| The offeror effectively managed the approval process for materials/layouts/finishes etc, from sub-contractor to owner approval. Adequate time was allotted for Owner review. |
| 2. |
| The offeror effectively described impacts to overall project schedule if/when Owner review/approval was delayed. |
| 3. |
| The offeror provided minimal requests for approval that were denied for lack of information, conflicting information, and/or non-compliance with specifications. |
CONTRACTOR’S NAME:
CONTRACT NUMBER:
OVERALL
| S |
| U |
| N/A |
| 1. |
| How would you rate the contractor's overall performance? |
| YES |
| NO |
| 2. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome below. |
| 3. |
| Is the contractor rated in CPARS? |
| 4. |
| Was this a competitive contract? |
For Government Contracts Only: Has this contract been or will it be 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.)
NARRATIVE SUMMARY
CONTRACTOR’S NAME:
CONTRACT NUMBER:
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.
End of questionnaire.
File details come from the government source that posted it. Updated .