PAST PERFORMANCE QUESTIONNAIRE.docx

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA4803-09-R-A030

Base Linen Services

1. Please complete this questionnaire. The following is an explanation of the evaluation codes: PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

CONFIDENCE

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

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

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

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

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

PAST PERFORMANCE EVALUATION

SOLICITATION NUMBER: FA4803-09-R-A030

Base Linen Services

Evaluator please complete the following:

A. Contractor: __________________________________________________________

B. Subcontractor:_____________________________________________________________

C. Contract number: ____________________________________________________________

D. Total annual contract dollar amount: _____________________________________________

E. Period of Performance: From: ____________________ To:___________________________

Exercised Option Periods: ______________________________________________________

F. Description of services being performed: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. How well did management work to resolve problems encountered throughout the performance of the contract.

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. How well did the contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How well did the home office participate in solving significant local problems?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. How well did the contractor provide effective quality control and/or inspection procedures to meet contract requirements?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. How well did the contractor comply with all USAF regulations?

CONFIDENCE

Narrative: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. How effective was the contractor’s quality control program?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Did the contractor corrected deficiencies in a timely manner and in accordance with their quality control procedures?

CONFIDENCE

Narrative: ___________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Based on your judgment of the contractor’s performance, would you award the contractor another contract?

CONFIDENCE

Narrative: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Did management personnel have sufficient experience to accomplish the requirements of the contract?

CONFIDENCE

Narrative: ___________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Please rate the contractor’s demonstrated ability on this contract in each of the following service areas (if applicable). “Satisfactory” needs no further explanation; however, if possible, please provide a short explanatory narrative for performance deemed Unknown Confidence, , No Confidence or Limited Confidence.

a. Did contractor exhibit ability to identify and correct non-compliance issues or internal concerns (i.e. management, personnel, scheduling, and quality issues)?

CONFIDENCE

Narrative: ____________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

b. How well did the contractor prevent trends in unacceptable performance?

CONFIDENCE

Narrative: __________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

c. During the course of the contract, was notification sent to contractor identifying unsatisfactory work:

[ ]Yes [ ] No

Narrative: ___________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

d. If you answered “Yes” to question 10(c); ,was immediate action taken by contractor to correct the situation?

[ ]Yes [ ] No

Narrative: ___________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

e. How well did contractor meet Air Force deadlines?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

f. How well did contractor respond to contract changes?

CONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. Please check “yes” or “no” to the following question:

Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied?

YES (Please Explain) NO

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of reviewer (print) ;_______________________________________________

Location _____________________________________________________________

Telephone Number _____________________________________________________

Source Selection Information – See FAR 2.101 and 3.1.4

WWTP Evaluation Guide

Base Linen Services Evaluation Guide