Attch 5 PPQ.pdf

PRESENT / PAST PERFORMANCE EVALUATION QUESTIONNAIRE

FAIRCHILD AUXILIARY CATHOLIC PRIEST SERVICES

FAIRCHILD AFB, WA

SOLICITATION NO: FA462019QAXXX

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 prospective offerors for providing Auxiliary Catholic Priest Services at Fairchild

AFB, WA.

2. INSTRUCTIONS FORM 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 Specialist, Jessica Boyles at jessica.boyles@us.af.mil. Email submissions are preferred.

You can also return by mail to the following address:

92 CONS/PKA

Contracting Officer Attn: Zachery Ray 110 W. Ent St Fairchild AFB WA 99011

3. Please direct questions to Zachery Ray (509) 247-2608. Your Participation is greatly appreciated.

4. PLEASE RETURN NO LATER THAN: 16 March 2020, at 2:00 PM (Pacific Time)

Section A: Contractor Information.

Contractor’s name and address:

a. Point of Contact:

b. Phone #:

c. Contract Number:

d. Project Title:

e. Period of Performance:

SECTION B: RESPONDENT INFORMATION

a. Respondent’s name and address: Organization: _

Address:

City: _ State: _ Zip: _ mailto:zachery.ray.2@us.af.mil

b. Respondent’s Name and Title:

Signature:

c. Commercial Phone #: DSN Phone #:

Fax #: E-Mail:

d. Contract Type:

e. Award Amount: $ Final Amount: $

f. What was the job title for this project?:

What were the scope and major functions performed under this contract?

If you have questions regarding this questionnaire, please call Zachery Ray @ 509-247-2608.

For any ratings less than satisfactory rating, please provide explanation in Remarks section below.

1 2 3 4 Unsatisfactory Marginal Satisfactory Very Good

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 does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

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 appear or were satisfactory

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

MANAGEMENT PERFORMANCE:

1. How effective was the priest at meeting the needs of his parishioners? 1 2 3 4 N/A

2. Did the priest complete required reports and send them to superiors for review in a timely manner?

1 2 3 4 N/A

3. Was the priest normally present for priestly duties as required? 1 2 3 4 N/A

TECHNICAL PERFORMANCE

1. How effective was the priest as a counselor? 1 2 3 4 NA

2. How well did the priest perform daily work including performing the Blessed Sacraments?

1 2 3 4 N/A

3. Did the priest submit reports in an accurate and timely manner?

1 2 3 4 NA

4. How well did the priest work with colleagues and ministry peers. 1 2 3 4 N/A

CORRECTIVE ACTION HISTORY:

1. Have there been any show cause or cure notices issued or legal actions taken? (circle one)

YES NO

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

2. If Contract Discrepancy Reports (CDR) were issued, were they addressed appropriately? If so, how? (circle one)

YES NO N/A

If yes, explain and indicate the status.

EVALUATION SUMMARY:

1. Overall evaluation of the contractor. (Circle one and explain.) 1 2 3 4

2. Would you enter into another contract with this contractor? (circle one)

YES NO N/A

If no, please explain.

Additional Remarks: