Atch_11_PP_Questionnaire.xlsx
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- Attached to
- Tyndall AFB FL CE Base Operations Support (BOS) Federal contract opportunity
- Solicitation number
- FA4819-16-R-6001
About this file
Atch 11 Past Performance Questionnaire
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PS Form
| Offeror: Complete Section 1 and send a questionnaire to the primary customer point of contact (POC) who is identified as the most familiar with the performance on this contract. |
| 1. The contractor identified in Section 1 of this questionnaire is being considered in a Source Selection by the 325th Contracting Squadron at Tyndall Air Force Base, FL. You have received this questionnaire because you are a source of Past Performance Information for that offeror. |
2. Please complete the attached questionnaire for the contractor and send the completed questionnaire via email to bobbie.davis@us.af.mil or britney.petrina.1@us.af.mil. Begin the subject line of the email with “SOURCE SELECTION SENSITIVE INFORMATION (SEE FAR 2.101 & 3.104).”
3. Based upon your knowledge and experience with the contractor’s performance, assign a rating consistent with the rating/description criteria below. Limit your assessment to the particular program referenced in Section 1. Place an “X” in the appropriate column using the definition matrix below.
DO NOT SEND THE COMPLETED
QUESTIONNAIRE BACK TO THE CONTRACTOR
WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE
| 3. Based on your knowledge and experience with this contractor's performance, assign a rating consistent with the rating/description criteria below. Limit your assessment to the particular program referenced in Section 1. Place an "X" in the appropriate column using the definition matrix in Section 3 below. | |
| Past Performance Being Evaluated: To Be Completed by Offeror | |
| Section 1: Contractor Identification | |
| A. Program title: | |
| B. Contractor name: | |
| C. Contract number: | |
| D. CAGE code: | |
| E. Contract type (e.g., FFP, FPIF, CPFF): | |
| F. Competitively awarded: | Yes: No: |
| G. Period of performance: | |
| H. Contractor performed as: | Prime: Sub: Other: |
| I. If subcontractor, identify prime: | |
| J. Initial contract cost: | |
| K. Current/final contract cost: | |
| L. Reason for difference between initial/final: | |
| M. Description of services: |
| Past Performance: To Be Completed by Evaluator | ||||||
| Section 2: Evaluator Identification | ||||||
| Evaluator's Agency Name: | ||||||
| Evaluator's Name: | ||||||
| Evaluator's Position or Title: | ||||||
| Evaluator's Phone Number: | ||||||
| Evaluator's E-mail Address: | ||||||
| Please confirm that your evaluation is consistent with the service provided in Section 1, paragraph M, Description of Services. Indicate your level of satisfaction with each of the areas below. Please note that contractors will be given an opportunity to respond to any ratings less than Satisfactory and any negative comments. The following is a definition of the rating levels: | ||||||
| Section 3: Rating Definition | ||||||
| Exceptional (E): Performance meets/met contractual requirements with many exceeded to the government’s/customer’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. | ||||||
| Very Good (VG): Performance meets/met contractual requirements with some exceeded to the Government’s/customer’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. | ||||||
| Satisfactory (S): Performance meets/met 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. | ||||||
| Marginal (M): Performance does not meet/did 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. | ||||||
| Unsatisfactory (U): Performance does not meet/did 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. | ||||||
| Not Applicable (N/A): Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. | ||||||
| Section 4: Past Performance Questions | ||||||
| Mobilization | E | VG | S | M | U | N/A |
| How well did the contractor perform mobilization so contract performance could begin on the first day? (e.g., effectively recruit, train, qualify/certify personnel; timely delivery of materials, equipment and vehicles; timely transfer of government furnished equipment, tools and facilities, etc.) | ||||||
| How effectively did the contractor implement and manage a training program that ensured a trained, qualified, and certified workforce throughout the life of the contract? (e.g. formal classroom training, on-the-job training, or cross-utilization training; procedures for certification/recertification of all employees, etc.) | ||||||
| How effectively did the contractor manage Government Furnished Property/Equipment (GFP/GFE)? (e.g. accurate accountability and documentation of GFP/GFE throughout the life of the contract; effective implementation and management of tools, etc.) | ||||||
| Did the contractor provide correct type and quantity of vehicles (fleet/specialized) and heavy equipment at contract start date? | ||||||
| Overall Mobilization Rating | ||||||
| Quality of Service | E | VG | S | M | U | N/A |
| Did the contractor provide service that conformed to contract requirements, specifications, and standards of good workmanship? | ||||||
| Did the contractor follow an approved quality control plan? | ||||||
| Did the contractor provide effective quality control and/or inspection procedures to meet contract requirements? | ||||||
| Did the contractor corrected deficiencies in timely manner and pursuant to their quality control procedures? | ||||||
| Did the contractor ensure all work was accomplished to industry standard or better? | ||||||
| If applicable, how well did the contractor re-perform the work? If not applicable, indicate N/A in this block. | ||||||
| How would you rate the contractor's willingness to improve and correct non-compliance issues? | ||||||
| How well did the contractor perform to support operations for each functional area? | ||||||
| How well did the contractor adapt to new and/or changing requirements and workload? | ||||||
| How well did the contractor prioritize and execute the varying work requirements? | ||||||
| Did the contractor consistently provide equipment and materials that were appropriate to the effort performed? | ||||||
| Did the contractor identify problems as they occurred? | ||||||
| Did the contractor display initiative to solve problems? | ||||||
| Overall Quality of Service Rating | ||||||
| Schedule | E | VG | S | M | U | N/A |
| Did the contractor provide deliverables on time? | ||||||
| Did the contractor perform services in a timely manner? | ||||||
| Did the contractor submit timely proposals for contract modifications? | ||||||
| Overall Schedule Rating | ||||||
| Cost | E | VG | S | M | U | N/A |
| How effective is the contractor’s accounting and financial tracking, documentation and accuracy? | ||||||
| Did the contractor provide an adequate purchasing system? | ||||||
| Did the contractor provide adequate documentation to the government to validate invoices? | ||||||
| Did the contractor invoice for services in a timely manner? | ||||||
| Overall Cost Rating | ||||||
| Management | E | VG | S | M | U | N/A |
| How well did the contractor do with workforce staffing to support all Performance Work Statement (PWS) requirements? | ||||||
| How well did the contractor’s staffing skill mix support PWS requirements? | ||||||
| How effectively did the contractor sustain trained, qualified, and certified personnel to meet the requirement throughout the life of contract? | ||||||
| Did the contractor have control of the work site and his subcontractor at all times? | ||||||
| Did the contractor's site manager ensure all tasks were well managed and met government standards? | ||||||
| Did the contractor's site manager address issues in a timely manner? | ||||||
| Was the contractor cooperative in addressing issues and work well with the government, subcontractors, other contractors not under his/her control, and customers? | ||||||
| Did the contractor provide timely resolution of contract discrepancies? | ||||||
| How would you rate the contractor's timeliness and effectiveness in problem resolution without extensive customer guidance and time? | ||||||
| Did the contractor hire quality subcontractors and effectively manage and coordinate their work?. | ||||||
| Overall Management Rating | ||||||
| Environmental/Safety | E | VG | S | M | U | N/A |
| Did the contractor ensure work was conducted in accordance with all environmental laws and regulations? | ||||||
| Did the contractor carefully follow all safety regulations? | ||||||
| Did the contractor keep a clean and organized work site? | ||||||
| How well did the contractor ensure compliance to environmental, safety, and security standards? | ||||||
| Overall Environmental/Safety Rating | ||||||
| Overall Project Execution Rating | ||||||
| ADDITIONAL COMMENTS | YES/NO | YES/NO |
| Was the contractor ever issued a cure or show notice under the referenced contract? If yes, explain outcome in the "remarks" section below |
| Would you award another contract to this contractor? If not, please explain in "remarks" section below. |
| Is the contractor rated in CPARS? |
| Remarks: |
&"Arial Black,Regular"&14
PAST PERFORMANCE QUESTIONNAIRE
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