Past_Performance_Questionaire.pdf

FA4855-15-R-0006 Transient Aircraft Maintenance Service Attachment 3 Cannon AFB, NM Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101 and

FAR 3.104

SUBJECT: Request for Past Performance Evaluation TO:

You have been identified as a point of contact for a past and present performance evaluation of the firm listed on the attached questionnaire. This firm is potentially being considered for the Transient Aircraft Maintenance Services at Cannon AFB, NM

Your prompt attention to this questionnaire is greatly appreciated. If you have any questions please contact SrA David Valenzuela at (575) 784-6073.

STEVE NORIEGA

Contracting Officer

Attachment:

Past Performance Questionnaire

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GENERAL INFORMATION:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number:

Dollar Amount: $ per *

Contract Period or Dates of Performance Provided by Offeror: *

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the:

Prime Contractor Sub-Contractor Key Personnel

A. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Company Name/Address:

Telephone Number:

Fax Number:

Email Address:

B. E-MAIL COMPLETED SURVEY FORM TO:

David Valenzuela: david.valenzuela@us.af.mil -AND- Steve Noriega:

steve.noriega@us.af.mil

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C. 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. Refer to Table 1: Definitions of Ratings.

Table 1: DEFINITIONS OF RATINGS

E G S M U N 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.

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Place an “X” in the appropriate column using the Table 1: Definitions of Ratings

# The contractor… E G S M U N 1 How would you rate the contractor's overall Management?

Briefly describe rationale behind overall rating:

1.1 Provided experienced program manager with skilled experience and administrative abilities.

1.2 Demonstrated ability to hire, maintain, and replace qualified contract personnel.

1.3 Provided adequate supervision and personnel assignments.

1.4 Maintained effective coordination and communication with customer(s).

1.5 Demonstrated ability to smoothly and effectively transition resources and personnel while maintaining continuity of mission support during phase-in.

1.6 Adhered to proper chain of command for performance matters.

# The contractor… E G S M U N 2 How would you rate the contractor's overall Technical Performance?

2.1 Efficiently and effectively provided Tranisent Aircraft Management Sercices.

2.2 Efficiently and effectively provided Emergency services.

2.3 Efficiently and effectively provided Special Events Services.

2.4 Efficiently and effectively provided Arrival Services.

2.5 Efficiently and effectively provided Processing Services.

2.6 Efficiently and effectively provided Departure Services.

2.7 Established and maintained tool control programs for Test, Measurement, and Diagnostic Equipment (TMDE) and Land Mobile Radios (LMR).

2.8 Efficiently and effectively used, stored and disposed of hazardous materials.

2.9 Followed proper safety procedures.

2.10 Demonstrated effective scheduling of personnel.

2.11 Properly documented mission data and other required documentation.

# The contractor… E G S M U N 3 How would you rate the contractor's overall Quality of Service?

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3.1 Provided effective quality control and inspection procedures to meet requirements.

3.2 Followed approved quality control plan.

3.3 Properly completed and submitted necessary documentation.

3.4 Maintained safe working environment

# The contractor… E G S M U N 4 How would you rate the contractor's overall Business Relations?

4.1 Delegated authority to contract manager and supervisors commensurate with positions.

4.2 Home office participated in solving significant local problems.

4.3 Cooperated with Government personnel after award.

4.4 Paid employees/subcontractors in a timely manner.

5 Was the contractor ever issued a cure or show cause notice under the referenced contract?

Y N If Yes, explain below

6 Would you award another contract to this contractor? If not, explain in “remarks.” Y N If Yes, explain below

7 Is the contractor rated in CPARS? Y N Additional comments by Item No.: (PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U).