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FA4814-10-R-0018
Transient Air Services
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________
| __________________________ |
| __________________________ |
Project Title and Brief Description of Work: _____________________________________
Contract Number Provided by Offeror: ___________________ Dollar Amount: ________
Contract Period or Dates of Performance Provided by Offeror: ______________________ Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.
B. RESPONDENT INFORMATION:
Name of Respondent: _____________________ Title: ____________________________
| Address: _____________________ | Telephone Number: ___________________ _____________________________ | Fax Number: | _____________________ |
| _____________________________ | Email Address: _____________________ | | |
C. FAX COMPLETED SURVEY FORM TO: 2 Lt Kim Swarts at 813-828-7481 or email to kim.swarts@macdill.af.mil
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.
| Exceptional |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.
Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.
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 were satisfactory.
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.
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 was not observed or not applicable to the current effort being reported against.
PAST AND PRESENT PERFORMANCE SURVEY
CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________
Place an “X” in the appropriate column using the definitions matrix above.
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
| 4. |
| Home office participated in solving significant local problems. |
| 5. |
| Followed approved quality control plan. |
| 6. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 7. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 8. |
| Provided timely resolution of contract discrepancies. |
| 9. |
| Identified problems as they occurred. |
| 10. |
| Suggested alternative approaches to problems. |
| 11. |
| Displayed initiative to solve problems. |
| 12. |
| Developed realistic progress schedules. |
| 13. |
| Met established project schedules. |
| 14. |
| Provided timely resolution of warranty defects. |
| 15. |
| Was responsive to contract changes. |
| 16. |
| Provided adequate project supervision. |
| 17. |
| Obtained consent of surety for increases in bonding as work-in-progress increased. |
| 18. |
| Paid subcontractors/suppliers in a timely manner. |
| 19. |
| Provided accurate and complete line item cost proposals including all aspects of work required for each task. |
| 20. |
| Cooperated with Government personnel after award. |
| 21. |
| Was flexible in performance of changing requirements, such as additional work during emergencies or special events. |
| 22. |
| Maintained equipment so there was no work stoppage. |
| 23. |
| Facilities were kept clean, particularly in respect to environmental and safety concerns. |
| 24. |
| Was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the government to keep all required services on schedule. |
| 25. |
| Identified problems as they occurred; suggested realistic approaches to problems; displayed initiative to solve problems; and performed as a “Team Member”. |
| 26. |
| Realigned service schedules to meet customer needs, as required, with the consent of the QA personnel and the approval of the Contracting Officer. |
| 27. |
| Responded to re-performance requirements within the timeframes specified in the contract. |
| 28. |
| Provided complete, supportable, accurate, and reasonable cost proposals that met the requirements of the contract or modification thereto. They were not over-inflated nor were they underestimated. |
| 29. |
| How would you rate the contractor's overall performance? |
| 30. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
YES/NO
| 31. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
YES/NO
CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER __________
Remarks:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ONCE COMPLETED, THIS DOCUMENT WILL BE CONSIDERED SOURCE SELECTION SENSITIVE IN ACCORDANCE WITH FAR 3.104 Attachment 1
