Attachment 38 - Past Performance Questionaire.doc

DOC document 126 KB Posted Jul 27, 2010

Attached to: Multiple Award Construction Contract Federal contract opportunity
Solicitation number: FA4855-10-R-0006
Issued by: Department of the Air Force Special Operations Command

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Attachment 38 - Past Performance Questionaire.doc	DOC document	Jul 9, 2010
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Attachment 38

FA4855-10-R-0006

27 July 2010

Past Performance Questionnaire Cover Sheet

When filled in this document is source selection sensitive information iaw FAR 3.104

SECTION A: Contractor Information (to be completed by the offeror prior to mailing to the reference):

A. Contractor’s name and address: _____________________________________________________________

B. Point of Contact: _______________________________________________________

C. Phone/Fax/Email Address: _______________________________________________

D. Contract Number: ______________________________________________________

E. Project Title/Description of Work: ___________________________________________________________

F. Contract Type: FORMCHECKBOX Firm-Fixed Price FORMCHECKBOX Indefinite-Delivery/Indefinite-Quantity FORMCHECKBOX Cost-Reimbursement

G. Project Award Date: _________________________ Scheduled Completion Date ______________

Current/Final Completion Date ____________

H. Project Award Amount: _____________________ Current/Final Project Amount ____________________

I. Contractor being evaluated performed as the: FORMCHECKBOX Prime Contractor FORMCHECKBOX Subcontractor FORMCHECKBOX Supplier

J. Authorization is hereby granted to provided the information requested in SECTION B of this Questionnaire

(Name and Title of Authorizing Official) (Date)

(Signature)

SECTION B: To be completed by the Reference/Evaluator: Please complete the information below and the Past Performance Questionnaire on Pages 2 & 3, and return by fax, email, or mail to: SSgt Kendra Strnad or Mr Bill Shockley, 27 SOCONS/BFLT, NO LATER THAN 9 August 2010.

EVALUATED BY:

(Signature) (Date)

_____________________________________ Address: _______________________________________

(Typed or Printed Name) _______________________________________

(Title)

(Phone) (Fax) (/Email)

NOTE: The identity of individual(s) providing reference information SHALL NOT be disclosed.

URGENT! PLEASE RESPOND PROMPTLY

Past Performance Questionnaire

EXCEPTIONAL

VERY GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

NOT APPLICABLE

Performance met all contract requirements and exceeded many to the Government’s benefit. Problems if any were negligible and resolved in a timely, highly effective manner.

Performance met all requirements and exceeded some to the Government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.

Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance did not meet some contractual requirements. There were some problems of a serious nature, for which corrective action was only marginally effective.

Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

No past performance record or the record is inconclusive.

EVALUATION AREAS

I. Quality / Technical Performance

Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project.

FORMCHECKBOX

Contractor developed and submitted realistic progress schedules.

FORMCHECKBOX

Contractor provided well researched and clearly identified submittals that matched contract requirements.

FORMCHECKBOX

Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any, punchlist items.

FORMCHECKBOX

Contractor thoroughly reviewed correspondence for accuracy, completeness, and compliance with contract requirements.

FORMCHECKBOX

Adequacy/effectiveness of environmental / safety procedures.

FORMCHECKBOX

II. Timely Performance

Contractor met established project schedules to complete the project on time.

FORMCHECKBOX

Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

FORMCHECKBOX

Contractor submitted the progress schedule and interim progress reports as required in a timely manner and the schedule was approved prior to actual construction.

FORMCHECKBOX

Contractor provided submittals on time as required.

FORMCHECKBOX

Contractor provided payrolls for both their firm and their subcontractor’s employees as required and scheduled

FORMCHECKBOX

Contractor provided timely resolution of all punchlist items.

FORMCHECKBOX

III. Management Effectiveness

Contractor provided experienced qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

FORMCHECKBOX

Contractor hired quality subcontractors and effectively managed and coordinated their work.

FORMCHECKBOX

Contractor understood/complied with customer objectives and technical requirements.

FORMCHECKBOX

Contractor hired, maintained, and replaced as necessary, qualified personnel and subcontractors/suppliers.

FORMCHECKBOX

III. Management Effectiveness (Continued)

Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule.

FORMCHECKBOX

Contractor provided timely and satisfactory response to warranty issues after project completion.

FORMCHECKBOX

Contractor paid employees/subcontractors/suppliers as required.

FORMCHECKBOX

Provided timely/effective contract problem resolution without extensive customer guidance.

FORMCHECKBOX

Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

FORMCHECKBOX

IV. Compliance with Labor Standards

Contractor facilitated labor inspections for determination of compliance with wage determinations and labor standards.

FORMCHECKBOX

Labor posters and wage determinations were displayed as required.

FORMCHECKBOX

Subcontractor acceptance of labor standard clauses submitted as required.

FORMCHECKBOX

Statement of Compliance for payroll reports was submitted as required.

FORMCHECKBOX

V. Compliance with Safety Standards

Adequacy of Safety Plan

FORMCHECKBOX

Implementation of Safety Plan

FORMCHECKBOX

VI. Cost Performance

Accuracy in forecasting contract costs

FORMCHECKBOX

Ability to meet forecasted costs and perform within contract costs

FORMCHECKBOX

Ability to alert Government of unforeseen costs before they occur

FORMCHECKBOX

VII. Overall Performance

Please rate the contractor’s overall performance

FORMCHECKBOX

Please discuss each and every response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___

No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

NARRATIVE SUMMARY:

What were the contractor’s most positive aspects in the performance of the contract? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What were the contractor’s most negative aspects 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 provide any additional comments concerning this contractor’s performance, as desired.

Thank you for your prompt response and assistance!

Evaluator’s Signature

Date

Please return this completed questionnaire no later than 9 August 2010 to:

SSgt Kendra Strnad Mr Bill Shockley (CO) 27th SOCONS/BFLT 27th SOCONS/BFLT

110 E. Sextant Ave 110 E. Sextant Ave

Cannon AFB, NM 88103-5214 Cannon AFB, NM 88103-5214

OR:

Fax: 575-784-1148 Fax: 575-784-1148

Email: kendra.strnad@cannon.af.mil EMail: bill.shockley@cannon.af.mil

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