PAST_PERFORMANCE_QUESTIONNAIRE.docx

DOCX document 28 KB Posted Aug 20, 2015

Attached to: Aerial Gunnery Target System (AGTS-36 Refurbishment) Federal contract opportunity
Solicitation number: FA481915R0012
Issued by: Department of the Air Force Air Combat Command

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AGTS-36 Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to Aerial Gunnery Target System (AGTS-36 Refurbishment), newest first.
File	Type	Posted
FA4819-15-R-0012_0002.doc	DOC document	Sep 3, 2015
FA4819-15-R-0012_0001.doc	DOC document	Aug 27, 2015
PWS-AGTS_Refurb_&_Trng-20_Aug_15(1).doc	DOC document	Aug 21, 2015
QualityAssuranceSurveillancePlan-AGTS36-Refurb-6Jul15(1).doc	DOC document	Aug 21, 2015
General_Financial_Information.docx	DOCX document	Aug 20, 2015
FA4819-15-R-0012.doc	DOC document	Aug 20, 2015
SGFP_from_PDREP_May_27.pdf	PDF	Aug 20, 2015
PWS-AGTS_Refurb_ _Trng-20_Aug_15.doc	DOC document	Aug 20, 2015
Technical_Order_43E17-3-4-3.pdf	PDF	Aug 20, 2015
WD_2005-3007_Rev_17.docx	DOCX document	Aug 20, 2015

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ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

Request for Proposal: FA4819-15-R-0012

AGTS

1. Name of Contractor:

Contract or Identifying Number:

Title/Description of Contract:

2. Brief description of scope of work:

3. Annual Awarded Amount: $____________________

EVALUATION: Please rate the Contractor utilizing the Assessment Table below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

ASSESSMENT TABLE

Assessment	Definition
	Substantial Confidence (SC)
	Based on the offeror’s recent/relevant performance record, we have a high expectation that the offeror would successfully perform a similar effort in the same manner.

Satisfactory Confidence

(SAT)

Based on the offeror’s recent/relevant performance record, we have a reasonable expectation that the offeror will successfully perform a similar effort in the same manner..

Limited Confidence

(LC)

Based on the offeror’s recent/relevant performance record, we have a low expectation that the offeror will successfully perform a similar effort in the same manner.

No Confidence

(NC)

Based on the offeror’s recent/relevant performance record, we have no expectation that the offeror will successfully perform a similar effort in the same manner.

Unknown Confidence (Neutral) (UC)

No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned.

1. Did the contractor have any non-conformance issues? If so, what kind?

Assessment_Rating:______________________Brief_Comment:_________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Did the contractor have adequate resources to complete the required performance?

1. Did the contractor submit required documents on time and answer questions in a timely manner?

1. Did the contractor provide material to the Government at a fair and reasonable price in accordance with contract performance requirements? If no, please explain.

1. Did the contractor meet the Government’s required delivery dates/period of performance in accordance with contract performance requirements? If no, please explain.

1. Did the contractor provide current and accurate tracking/status in accordance with contract performance requirements? If no, please explain.

1. Did the contractor provide timely and accurate invoicing/billing in accordance with contract performance requirements? If no, please explain.

1. Did the contractor furnish all required deliverables on or ahead of schedule in accordance with contract performance requirements? If no, please explain.

1. Did the contractor demonstrate a history of reasonable and cooperative behavior? If no, please explain.

1. Did the contractor’s management provide responsive problem identification and corrective problem resolution actions? If no, please explain.

1. Was the contractor cooperative and effective in correcting identified deficiencies? If no, please explain.

1. Did contractor provide quality customer service? If no, please explain.

1. Did the contractor provide experienced managers/supervisors with technical and administrative abilities to meet contract requirements? If no, please explain.

1. Did the contractor provide adequate staffing levels with qualified personnel to meet contract requirements? If no, please explain.

CONTRACT PERFORMANCE EVALUATION

Based upon the assessment definitions above, indicate your assessment of the contractor’s performance on your contract described on Attachment 3. Your assessment should consider the contractor’s performance in accordance with the contractual requirements. Circle all that apply.

COMPLIANCE WITH ENVIRONMENTAL, SAFETY,

HEALTH AND SECURITY REQUIREMENTS

How well did the contractor comply with local, State, and Federal environmental standards?

SAT

Overall rating for compliance with environmental, safety, health, and security requirements.

SAT

Has the contractor ever violated any local, State and/or Federal environmental standards?

Yes

N/A

Did the contractor comply with reporting and responding procedures and perform all requirements for spills or releases to include accepting all liability as defined in the SOW? If no, please explain.

Yes

N/A

Did the contractor comply with all licensing, certification requirements for personnel, equipment, and vehicles? If no, please explain.

Yes

N/A

Has the contractor ever violated any security or safety standards? If yes, please explain.

Yes

N/A

Have the contractor or contractor employees ever been involved in any verbal or physical altercations on the work site? If yes, please explain.

Yes

N/A

CONTRACTOR’S NAME: __________________________

CONTRACT NO.: ___________________________

OVERALL RATING: ______________________________

BRIEF EXPLANATION OF OVERALL RATING GIVEN:

ADDITIONAL COMMENTS

Name of Person Completing Evaluation:

Base/Company: Date:

Position Title/Grade: Phone:

Email: Fax:

File details come from the government source that posted it. Updated Nov 14, 2017.