EFMP_Coordinator_Past_Performance_Questionnaire.docx

DOCX document 28 KB Posted

Attached to
Exceptional Family Member Program (EFMP) Coordinator Federal contract opportunity
Solicitation number
FA4686-16-R-0003
Issued by
Department of the Air Force Air Combat Command

About this file

Past Performance Questionnaire for EFMP Coordinator

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Text version

Please return this completed questionnaire as soon as possible as it is time sensitive.

CONFIDENTIAL CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

Return by E-MAIL/FAX TO: SrA Timothy Harms at timothy.harms.4@us.af.mil or FAX (530)-634-3311

Regarding Applicant:

(Company Name)

Contract Number: _________________________________ Was it Competitive? Yes No

Period of Performance: _____________________________

Initial Contract Cost: _______________________________

Final Contract Cost: ________________________________

Reason for differences between initial contract cost and final contract costs (If Applicable): ___________________

Date Completed:___________________________________

Contractor Cage Code_______________________________

Customer or agency name: _____________________________________________________________________________________

Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

Customer Point of Contact (Provide name, email, phone#, etc.): ________________________________________________________

Please briefly state the scope of Work:

Question
Rating (Y/N)
Remarks
1.
Did the contractor conform to the work required?
2.
Were required deliverables turned in within the times set forth by the contract?
3.
Were deliverables detailed/ completed correctly.
4.
Did the contractor provide an acceptable plan/ or perform effectively relating to supply of personnel, replacement of personnel, and draw down of contract employees?
5.
Was the contractor proactive in completing tasks as well as the resolution of issues that arose?
6.
Was the contractor issued a stop work or show cause letter due to poor performance?

7.

Would you hire this contractor again?

Further Remarks:

Once you have completed this form, please fax or e-mail it to the 9th Contracting Personnel listed above.

Thank you for your time and also for your help in providing this past performance information.

1 | Page

TIME SENSITIVE

PLEASE RESPOND BY: 12:00 PST on 21 August 2015

File details come from the government source that posted it. Updated .