Att._5_-_PP_Questionnaire.pdf

FA462018QA075

FOAM FIRE SUPPRESSION

INSPECTION, TESTING, & MAINTENANCE

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

TO:

RETURN TO: 92 CONS/PKA

Contracting Officer 110 W. Ent St Fairchild AFB WA 99011

SUBJECT: Present/Past Performance:

Contract # __________________________ Contractor:________________________________________

1. Your assistance is respectfully requested in providing information on the attached performance questionnaire. The importance of your opinion cannot be overstated. This survey measures the present/past performance of a prospective offeror for providing Preventative/Corrective Maintenance Services on High- Expansion Foam Systems, Associated Alarm Panels, and Fire Pumps at Fairchild AFB, WA.

2. INSTRUCTIONS FOR COMPLETION: Please fill this questionnaire in by hand or type, and please email the results to the Contracting Officer(s), Zachery W. Ray at zachery.ray.2@us.af.mil, and to the Contract Administrator, Jackson Woods at jackson.woods@us.af.mil . Email submissions are preferred.

You can also return by mail to the address listed above. Please direct questions to Jackson Woods (509)247- 5767. Your participation is greatly appreciated.

Explanation of codes:

Code PERFORMANCE LEVEL

RATING DEFINITION

5 Substantial Confidence

Based on the offeror’s performance record, the respondent has a high expectation that the offeror will successfully perform the required effort.

4 Satisfactory Confidence

Based on the offeror’s performance record, the respondent has an expectation that the offeror will successfully perform the required effort.

3 Limited Confidence Based on the offeror’s performance record, the respondent has a low expectation that the offeror will successfully perform the required effort.

2 No Confidence Based on the offeror’s performance record, the respondent has no expectation that the offeror will be able to successfully perform the required effort.

1 Unknown Confidence

No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

Place an “X” next to the appropriate number for each item on the questionnaire. If the contractor has no record of past performance relevant to a particular question, select “1” for “Unknown Confidence” and provide narrative justification.

PLEASE RETURN NO LATER THAN: 05 September 2018 at 2:00 PM (Pacific Time) mailto:zachery.ray.2@us.af.mil mailto:jackson.woods@us.af.mil

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT INFORMATION: Complete the following information on:

a. Contractor (Company/Name/address):

b. Contract:

1. Number: ___________________________________________________

2. Period of Performance: From: __________________________________

3. Total Contract Amount: $______________________________________

4. What duties/responsibilities did this job entail?:

II. RESPONDENT IDENTIFICATION: Complete the following information on your company. You may be contacted for additional information pertaining to the past/present performance of the contractor identified in section I above. (The following information will assist in the analysis of the data. Information will be kept confidential)

a. Name: ____________________________________________

b. Position and Title: __________________________________

c. Phone Number: _____________________________________

d. Address:

CONTRACTOR PRESENT/PAST PERFORMANCE EVALUATION

1. How effective was the contractor’s recruitment plan for filling the required positions and providing replacements for personnel that discontinued employment under this contract?

5. 4. ____3. ____2. ____1.

COMMENTS/REMARKS:

2. How well did contract personnel perform assigned duties?

3. Were the contract employees knowledgeable and experienced in their position?

4. How well did the contractor correct deficiencies and valid customer complaints in a timely manner and pursuant to their quality control procedures?

5. Was the contractor responsive to contract changes?

6. How effective was the contractor in maintaining professional business relationships with government personnel and in resolving contract issues?

7. How well did the contractor demonstrate the ability to employ, maintain, and replace, if necessary, qualified personnel during the contract period? Please explain.

8. How would you rate the contractor's overall performance?

9. Did contract personnel possess all required training and certificates prior to starting? Yes/No ____

10. Were Contract Discrepancy Reports (CDR) issued, Yes/No ____ Were they addressed appropriately? Yes/No ______ If so, how?

11. Was the contractor ever issued a cure or show cause notice under the referenced contract? Yes/No ___

12. Would you award another contract to this contractor? Yes/No ____ Please explain in "remarks”.

REMARKS: