Atch_4_FA469019QA035_89th_Admin_PPQ.pdf

FA469019QA035

Attachment 1

For Official Use Only Page 1 of 3

Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description: Quoter is instructed to state the scope and description of the work before sending it to the individual rating the quality of the effort.

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

H. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands):

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Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/e-mail address:

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. The performance rating scale is defined as follows:

Performance Rating

ACCEPTABLE (A) – Contractor has performed successfully on this effort.

UNACCEPTABLE (U) – Contractor has not successfully performed on this effort.

The Contractor: A U N/A

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Demonstrated the ability to hire, maintain, and replace, if necessary, competent and qualified personnel capable of meeting contract requirements throughout the performance period of the contract. Provided timely and sufficient resources to meet contract requirements.

3. Provided effective quality control and/or inspection procedures to meet, identify, correct, and prevent initial and recurring contract discrepancies.

Followed the approved quality control plan and corrected deficiencies in a timely manner pursuant to their quality control procedures.

4. Responded and acted well on customer feedback and was responsive to contract changes.

5. Identified problems as they occurred and displayed initiative to solve problems and contract idscrepancies without extensive customer guidance.

Suggested alternative approaches to problems.

6. Provided an effective security and safety program to ensure compliance with federal, state, and local regulations.

7. Was flexible, cooperative, and reasonable in meeting mission requirements, particularly during short-notice mission changes. Successfully responded to emergency and/or surge situations.

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The Contractor: A U N/A

8. Provided quality/integrity of technical data/report preparation with little oversight from Government personnel.

9. Demonstrated a reasonable and cooperative business relationship with the Government’s Program Management and Contract Management teams. Was reasonable and cooperative when dealing with program staff (including the ability to successfully resolve disagreements/disputes).

10. Was effective with overall contract management (including ability to effectively lead, manage, control and deliver on time within the terms of the contractually agreed price).

11. How would you rate the contractor's overall performance on this contract?

12. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.

EXPLANATION:

☐ Yes

☐ No

13. Would you award another contract to this contractor? If not, explain.

EXPLANATION:

☐ Yes

☐ No

Additional remarks:

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: kathleen.green@us.af.mil and mark.salyer@us.af.mil mailto:kathleen.green@us.af.mil mailto:mark.salyer@us.af.mil

Past Performance Questionnaire