Attachment_6_Past_and_Present_Performance_Questionnaire.pdf

FA4855-15-R-0007 GCS Conversion Attachment 6 Cannon AFB, NM Past and Present Performance Questionnaire Dated: October 29, 2014

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PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

FAR 3.104

SUBJECT: Request for Past and Present 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 Ground Control Station Conversion at Cannon AFB, NM

Your prompt attention to this questionnaire is greatly appreciated. If you have any questions please contact MSgt Demetri Harper at (575) 784-6566.

DEMETRI L. HARPER

Contracting Officer

Attachment:

Past and Present 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:

Demetri Harper: demetri.harper@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.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF “M” OR

“U”.

E G S M U N

EXCEPTIONAL

GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

NEUTRAL

Performance meets / met contractual requirements with many exceeded to the respondents’ benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few meets / met contractual requirements with some exceeded to the respondents’ benefit. The contractual performance of the element or sub-element being assessed was accomplishe d with no more than 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 does not / 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 does not / 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

Performan ce was not observed or not applicable to the current effort being reported against.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1.

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2.

Provided adequate project supervision.

3.

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

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The contractor: E G S M U N

4. Provided effective quality control and/or inspection procedures to meet contract requirements.

5. Corrected deficiencies in a timely manner and pursuant to their quality control procedures.

6.

Suggested alternative approaches to problems.

7.

Displayed initiative to solve problems.

8.

Was responsive to contract changes.

9.

Complied with all DoD regulations and changes (if applicable – leave blank if not a DoD requirement).

10.

Cooperated with Government personnel after award.

11. How would you rate the contractor's overall performance?

12.

Experience with the modification, infrastructure, and operations of Mobile Ground Control Stations and/ or Fixed Ground Control Station.

13.

The modification, infrastructure, and operations interface with the MQ-1 Predator and MQ-9 Reaper weapons systems.

14. Experience with operations center infrastructures in Remote Split Operations configuration.

15.

Experience with maintenance of Mobile Ground Control Stations and/or Fixed Ground Control Station configurations.

16.

Did this project include work on or directly adjacent to an active flight line?

YES / NO

17.

Did this project include work on a military installation?

GCS Conversion

Cannon AFB, NM Past and Present Performance Questionnaire Dated: October 27, 2014

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18. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “Remarks” section.

19. Would you award another contract to this contractor?

If not, explain in “Remarks” section.

20.

Is the contractor rated in CPARS (if applicable for Govt contracts)?

Remarks:

Signature of Respondent Date