Attachment_8_-_Past_Performance_Questionnaire.doc
DOC document 76 KB Posted
- Attached to
- Draft Solicitation Federal contract opportunity
- Solicitation number
- FA4608-17-R-0013
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Draft PPQ Questions
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| Attachment_2_-_Drawings.pdf | ||
| Draft_Solicitation.docx.pdf | ||
| Attachment_4_-_AF66.pdf | ||
| Attachment_5-_Insurance_Form.pdf | ||
| Attachment_6_-_Special_Contract_Requirements.pdf | ||
| Attachment_3_-_Environmental_Req'ts_(Jun_16).pdf | ||
| Attachment_7_-_PPQ_Letter.pdf | ||
| Attachment_9-_Wage_Determination.pdf | ||
| Attachment_1_-_Statement_of_Work.pdf |
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FA4608-17-R-0013
Attachment 8
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION:
Contractor’s Name: ____________________ Telephone : ____________________
Address: __________________________ Fax Number: _________________________
__________________________ Point of Contact: ______________________
Submitting Survey as Prime or Sub-Contractor (please circle one)
If submitting as Sub-Contractor, Prime Contractors Name:___________________________
Address: __________________________ Fax Number: _________________________
__________________________ Point of Contact: ______________________
Project Title and Detailed 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 ( Sub-Contractor ( Key Personnel.
B. RESPONDENT INFORMATION:
Name and Title of Evaluator: ____________________________
Company Name: ______________________________________ Address: _____________________
Telephone Number: ___________________ _____________________________
Fax Number:
Email Address: _____________________
C. SEND COMPLETED SURVEY FORM TO:
2 CONS/LGCB, 801 Kenney Ave, Suite 2301, Barksdale AFB, LA 71110
ATTN: Chris Mitchell
FAX: (318) 456-3294
EMAIL: christopher.mitchell.36@us.af.mil
DUTY PHONE: (318) 456-6739
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 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 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 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 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 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: ___________________
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.
| 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. |
| 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? |
| 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 |
| 24. |
| Is the contractor rated in CCASS or CPARS? |
| YES/NO |
CONTRACTOR’S NAME: ____________________________ CONTRACT NUMBER _________________ Remarks:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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