Vid Sys Atch 4b Past and Present Performance Questionnaire.xls
XLS spreadsheet 39 KB Posted
- Attached to
- Video System Suite Federal contract opportunity
- Solicitation number
- FA4855-08-R-0019
About this file
Attachment 4b to Solicitation FA4855-08-R-0019 - Past and Present Performance Questionnaire
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| PD2 Solicit Amend Doc.doc | DOC document | |
| PWS - Video System -11 Jun 08.doc | DOC document | |
| Vid Sys Atch 3 - DD254.docx | DOCX document | |
| Vid Sys Atch 2 - Wage Det.doc | DOC document | |
| Vid Sys Atch 4a Past and Present Performance References.xls | XLS spreadsheet | |
| FA4855-08-R-0019.doc | DOC document |
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Sheet1
| PAST AND PRESENT PERFORMANCE QUESTIONNAIRE | ||
| SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference listed on the Past and Present Performance References form (Attachment 4a). | ||
| CONTRACTOR COMPANY NAME | ADDRESS | CAGE CODE: |
DUNS NUMBER:
| POINT OF CONTACT | TELEPHONE NUMBER (to include area code) | FAX NUMBER (to include area code) | ||
| CONTRACT NUMBER | CONTRACT TITLE | |||
| SECTION B - RESPONDENT INFORMATION: To be completed by each reference providing information in Sections C & E. This is a 4-page questionnaire---please complete all 4 pages. | ||||
| TYPED/PRINTED NAME | TITLE | COMPANY/ORGANIZATION | ||
| ADDRESS (Street, City, State, and Zip Code) | TELEPHONE NUMBER (to include area code) | FAX NUMBER (to include area code) | ||
| E-MAIL ADDRESS | SIGNATAURE | DATE | ||
| RETURN COMPLETED QUESTIONNAIRE TO THE INDIVIDUAL LISTED BELOW: | ||||
| POINT OF CONTACT AND E-MAIL ADDRESS: |
2Lt Alexander McNamee alexander.mcnamee@cannon.af.mil MAILING ADDRESS:
27 SOCONS/AFLT
511 N Torch Blvd Cannon AFB NM 88103-5109 TELEPHONE NUMBERS
VOICE: (575) 784-2943
| FAX: (575) 784-1147 | COMPLETE & RETURN PRIOR TO | ||||
| SECTION C - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeat from Section A and is requested only to confirm the information. | |||||
| CONTRACT NUMBER | CONTRACT TYPE (Firm-Fixed Price, Cost Reimbursement, etc.) | PERIOD OF PERFORMANCE | COMPETITIVE CONTRACT? |
YES NO
INITIAL CONTRACT VALUE CURRENT/FINAL CONTRACT VALUE CONTRACT BEING EVALUATED AS (indicate which):
PRIME CONTRACTOR SUBCONTRACTOR
| CONTRACT TITLE | |||||||||
| BRIEF DESCRIPTION OF SERVICES | |||||||||
| REASON FOR DIFFERENCE BETWEEN INITIAL AND CURRENT/FINAL CONTRACT COSTS | |||||||||
| SECTION D - EVALUATION CONFIDENCE RATING SCALE: | |||||||||
| RATING | DEFINITION | ||||||||
| E | Exceptional/ | ||||||||
| High Confidence | Based on the offeror's performance record, essentially no doubt exists that the offeror will successfully perform the required effort. | ||||||||
| VG | Very Good/ | ||||||||
| Significant Confidence | Based on the offeror's performance record, little doubt exists that the offeror will successfully perform the required effort. | ||||||||
| S | Satisfactory/ | ||||||||
| Confidence | Based on the offeror's performance record, some doubt exists that the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems. | ||||||||
| N | Neutral/ | ||||||||
| Unknown Confidence | No performance record is identifiable. | ||||||||
| M | Marginal/ | ||||||||
| Little Confidence | Based on offeror's performance record, substantial doubt exists that offeror will successfully perform required effort. Change to offeror's processes may be necessary in order to achieve contract requirements. | ||||||||
| U | Unsatisfactory/ | ||||||||
| No Confidence | Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort. | ||||||||
| SECTION E: CONTRACTOR'S PERFORMANCE RATINGS: To be completed by each reference using the rating scale in Section D. | |||||||||
| TIMELINESS | E | VG | S | N | M | U | |||
| How well did the contractor adhere to required response times, upon notification of work? | |||||||||
| How well did the contractor adhere to required equipment restoral times (completion of services)? | |||||||||
| How would you rate the contractor's response to changes in priority for equipment repair? | |||||||||
| If applicable, how well did the contractor adhere to reperformance requirements as stated in the contract requirements? If not applicable, indicate N/A in this block. | |||||||||
| How well did contractor respond to overall contract requests (i.e., requests for proposal for modifications, ensuring required training is preformed when required, etc.)? | |||||||||
| How would you rate the contractor's responsiveness/timeliness in submitting certification data and other administrative documents required by the contract? | |||||||||
| QUALITY | E | VG | S | N | M | U | |||
| How would you rate the contractor's willingness to improve and correct non-compliance issues? | |||||||||
| How would you rate the contractor's initiative to resolve problems? | |||||||||
| Adequacy of contractor's quality control. How well did the contractor's quality control provide for quality service? | |||||||||
| If appplicable, how well did the contractor re-perform the work? If not applicable, indicate N/A in this block. | |||||||||
| Contractor's history of recurring performance problems. How well did the contractor prevent the |
recurrence of the same performance problems?
| How well did the contractor do in complying with contract requirements (i.e., terms and conditions, performance work statement, clauses, etc.)? If marginal or unsatisfactory, please explain: | ||||||
| How would you rate the contractor's quality of services and/or products provided? If marginal or unsatisfactory, please explain: | ||||||
| SECTION E: CONTRACTOR'S PERFORMANCE RATINGS (CON'T): To be completed by each reference using the rating scale in Section D. | ||||||
| PLEASE ANSWER YES/NO TO THE FOLLOWING QUESTIONS AND PROVIDE EXPLANATIONS WHERE REQUESTED. | YES | NO | ||||
| Did you ever elect not to exercise an option due to the contractor's performance? If yes, please explain: | ||||||
| Was the contractor ever issued a letter of concern, cure notice, or show-cause notice? If yes, please explain: | ||||||
| MANAGEMENT | E | VG | S | N | M | U |
| How would you rate the contractor's effectiveness in managing the overall contract (incuding the ability to effectively lead, manage, and control the program)? | ||||||
| How well did the contractor do in providing a responsible point of contact and giving that individual the proper authority to perform the work related to daily operation of the contract? | ||||||
| How would you rate the contractor's ability to provide experienced managers/supervisors during the initial startup and through the life of the contract? If marginal or unsatisfactory, please explain: | ||||||
| How would you rate the contractor's reasonableness and cooperativeness in dealing with your staff (including the ability to successfully resolve disagreements and disputes)? | ||||||
| How would you rate the contractor's timeliness and effectiveness in problem resolution without extensive customer guidance and time? | ||||||
| How would you rate the contractor's quality and effectiveness of sub-contracted efforts? | ||||||
| PLEASE ANSWER YES/NO TO THE FOLLOWING QUESTIONS AND PROVIDE EXPLANATIONS WHERE REQUESTED. | YES | NO | ||||
| Did the contractor meet the terms of the contract within the contractually agreed price? If no, please explain: | ||||||
| Were any contract concessions or changes made due to the contractor's failure to accurately estimate costs? If yes, |
please explain:
Were any contract concessions or changes made due to the contractor's inability to meet technical requirements and/or delivery schedules? If yes, please explain:
| Has the contractor submitted any claims? If yes, please explain below. Were any of the claims valid? | ||||||
| CUSTOMER SATISFACTION | E | VG | S | N | M | U |
| Rate the contractor's flexibility in satisfying the requirements of their customers within the terms |
of the contract.
| Rate your overall satisfaction with this contractor's performance. |
| SECTION E: CONTRACTOR'S PERFORMANCE RATINGS (CON'T): To be completed by each reference using the rating scale in Section D. |
| NARRATIVE SUMMARY |
| After contract award, did the contractor live up to what was proposed during the solicitation process? |
| What were the contractor's greatest strengths in the performance of the contract? |
| What were the contractor's greatest weaknesses in the performance of the contract? |
| Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and |
demanding programs?
| PLEASE ANSWER YES/NO TO THE FOLLOWING QUESTION. | YES | NO |
| Is the contract rated in the Contractor Performance Assessment Reporting System (CPARS)? |
&L&8Solicitation No. FA4855-08-R0019&R&8Attachment 4b Page &P of &N &C&"Arial,Bold Italic"&9FOR OFFICIAL USE ONLY (When filled in, this document contains Source Selection Sensitive Information)
Sheet2
ATTACHMENT ??
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
| SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference listed on the Past and Present Performance Reference form (Attachment __). | ||
| CONTRACTOR COMPANY NAME | ADDRESS | CAGE CODE: |
DUNS NUMBER:
| POINT OF CONTACT | TELEPHONE NUMBER (to include area code) | FAX NUMBER (to include area code) | |||
| CONTRACT NUMBER | CONTRACT TITLE | ||||
| SECTION B - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeat from Section A and is requested only to confirm the information. | |||||
| CONTRACT NUMBER | CONTRACT TYPE (Firm-Fixed Price, Cost Reimbursement, etc.) | PERIOD OF PERFORMANCE | COMPETITIVE CONTRACT? |
YES NO
INITIAL CONTRACT VALUE CURRENT/FINAL CONTRACT VALUE CONTRACT BEING EVALUATED AS (indicate which):
PRIME CONTRACTOR SUBCONTRACTOR
| CONTRACT TITLE | |||
| BRIEF DESCRIPTION OF SERVICES | |||
| REASON FOR DIFFERENCE BETWEEN INITIAL AND CURRENT/FINAL CONTRACT COSTS | |||
| SECTION C - RESPONDENT INFORMATION: To be completed by each reference providing the information in Sections B & E. | |||
| TYPED/PRINTED NAME | TITLE | COMPANY/ORGANIZATION | |
| ADDRESS (Street, City, State, and Zip Code) | TELEPHONE NUMBER (to include area code) | FAX NUMBER (to include area code) | |
| E-MAIL ADDRESS | SIGNATURE | DATE | |
| RETURN COMPLETED QUESTIONNAIRE VIA E-MAIL (SCANNED), FAX, OR MAIL (ONLY ONE MEANS PLEASE) | |||
| POINT OF CONTACT AND E-MAIL ADDRESS |
Maxine A. Gallegos maxine.gallegos@cannon.af.mil MAILING ADDRESS
27 CONS/AFLT
511 N Torch Blvd Cannon AFB NM 88103-5109 TELEPHONE NUMBERS
VOICE: (505) 784-2888 (DSN: 681)
FAX: (505) 784-1148 (DSN: 681) COMPLETE AND RETURN BY
date
| SECTION D - EVALUATION CONFIDENCE RATING SCALE: | |||
| RATING | DEFINITION | ||
| E | Exceptional | ||
| High Confidence | Based on the offeror's performance record, essentially no doubt exists that the offeror will |
successfully perform the required effort.
| VG | Very Good | |
| Significant Confidence | Based on the offeror's performance record, little doubt exists that the offeror will successfully perform the required effort. | |
| S | Satisfactory | |
| Confidence | Based on the offeror's performance record, some doubt exists that the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems. | |
| N | Neutral | |
| Unknown Confidence | No performance record is identifiable. | |
| M | Marginal | |
| Little Confidence | Based on the offeror's performance record, substantial doubt exists that offeror will successfully perform required effort. Change to the offeror's existing processes may be necessary in order to achieve contract requirements. | |
| U | Unsatisfactory | |
| No Confidence | Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort. | |
| SECTION E: CONTRACTOR'S PERFORMANCE RATINGS: To be completed by each reference using the rating scale in Section D. |
Sheet3
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