Performance Questionnaire

Solicitation: F4690 -08-R-0023

Attachment 1-1 Questionnaire on Contractor's Present and Past Performance

Request you provide the following information on the subject contractor's present and past performance by placing an X in the space provided by the most appropriate response. If you wish to elaborate on your answer, please provide comments on the lines provided after each question. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submittal to the 28th Contracting Squadron. You are asked to provide frank, concise comments regarding your overall assessment of the contractor's performance on the contract identified. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor's performance on the identified program.

Performance Confidence Assessment Exceptional/ High Confidence

Very Good/ Significant Confidence

Satisfactory/ Confidence

Neutral/

Unknown Confidence

Marginal/

Little Confidence

Unsatisfactory/ No Confidence

Based on the offeror's performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Based on the offeror's performance record, little doubt exists that the offeror will successfully perform the required effort.

Based on the offeror's performance record, some doubt exists that the offeror will successfully perform the required effort.

No performance record identifiable.

Based on the offeror's performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror's existing processes may be necessary in order to achieve contract requirements.

Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Individual's Name, Title and Phone Number Completing Questionnaire:

Company's Name:

Contractor's Name:

Contract Number Contract Title:

Period of Performance (Including Options)

Contract Amount (Including Options)

Contract Type: Firm Price Cost Reimbursement Other (Specify)

Attachment 1-2 Management:

1. Rate the contractor on their ability to provide adequate manning and equipment to respond surge requirements, contingencies, emergencies, and weather delays without falling behind the regular schedule.

Exceptional Very Good Satisfactory Neutral Marginal Unsatisfactory

Comments:

Quality of Service:

2. Rate the contractor on their ability to provide effective quality control and/or inspection procedures to meet contract requirements and their ability to take appropriate action to correct deficiencies when identified. Does the contractor conform to the government accepted quality control plan? Does the contractor provide effective quality control and/or inspection procedures to meet contractual requirements?

Exceptional Very Good Satisfactory Neutral

Comments:

3. Rate the contractor's ability to proactively recognize and resolve unanticipated difficulties. Does the contractor display initiative to solve problems? Does the contractor identify risks/problems as they occur?

Exceptional Very Good Satisfactory Neutral

Comments:

Solicitation: F4690 -08-R-0023

Attachment 1-3 Timeliness of Performance:

4. Rate the contractor on their ability to provide a sufficient number of qualified personnel to ensure all contract requirements were successfully completed in an expedient manner. Does the contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

Exceptional Very Good Satisfactory Neutral

Comments:

Customer Satisfaction:

5. Rate the working relationship between the contractor and your company and your designated representatives. (Includes inspection personnel)

Exceptional Very Good Satisfactory Neutral Marginal Unsatisfactory

Comments:

6. Rate the contractor on their environmental awareness. (Includes environmental compliance and environmental initiatives, such as affirmative procurement).

Exceptional Very Good Satisfactory Neutral Marginal Unsatisfactory

Comments:

7. Has the contractor ever been given a Cure Notice, Show Cause Notice, Letter of Concern, or had payment withheld for services not rendered?

Number of Cure Notice:

Number of Show Cause Notice:

Number of Letter of Concerns:

Number of times payment withheld for services not rendered:

Attachment 1-4 Comments:

Summary:

8. Would you hire this contractor again? Highly Likely Likely Unlikely Highly Unlikely