Attachment 8 Past Performance Questionnaire _ 19 Sep 11.docx

ATTACHMENT 8-PAST PERFORMANCE QUESTIONNAIRE

FA4861-12-R-C003

FMS and AFTTP Manuals

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

FMS and AFTTP Manuals

Please Fax or mail the completed questionnaire to:

99 CONS/LGCC

ATTN: MSGT JOHN ORBAN / MR. SHANE LIND

5865 Swaab Blvd.

Nellis AFB, NV 89191

FAX: (702) 652-2532

OR EMAIL: JOHN.ORBAN@NELLIS.AF.MIL & SHANE.LIND@NELLIS.AF.MIL

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code under which contract was performed:

C. Contract number / Program Title:

D. Contract type (ex: FFP, Cost, T&M):

E. Was this a competitive contract? Yes No

F. Period of Performance:

G. Performs duties as: prime contractor _________ sub-contractor________

H. Initial (at time of award) contract value: $ (Basic plus all options)

I. Current/final contract value: $ (Basic plus exercised options)

J. Reasons for differences between initial contract value and final contract value:

K. Description of work provided:

L. Are there Contractor Performance Assessment Reports (CPAR) or other Past Performance Reports available for this contract? Yes No

M. To help determine program relevancy, please indicate below the work the contractor has or is performing under this contract by placing an “X” in the appropriate block:

Management

Worked with joint/combined military airpower doctrine, aerial weapons capabilities, and aerial weapon systems capabilities

Edited and produced classified and unclassified technical-military documents

Handled/implemented foreign disclosure requirements

Utilized Adobe FrameMaker, Adobe Photoshop, Adobe Illustrator, and Adobe Acrobat Professional for desktop publishing

Technical research of US military aircraft systems and ancillary tactical employment doctrine.

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator’s name:

B. Evaluator’s title:

C. Evaluator’s phone/fax number:

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by marking the performance scale indicated in the appropriate block. The scale is defined as follows:

CODE PERFORMANCE LEVEL

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE – Unable to provide a rating.

NOTE:

Please discuss each and every response for which you indicated Unsatisfactory (U) in response to the questions below (use additional sheets, if necessary).

General Project Execution

A. Management

A1. Provides a good contract management structure, to include a single point of contact with responsibility for all contract requirements.

A2. Communicates effectively with Government to ensure accurate/timely information flow.

A3. Requires minimal Government direction regarding contract and technical requirements already available to them (i.e. they read/understand the contract in its entirety).

A4. Hires, trains, and applies a qualified workforce to this effort.

Remarks:

B. Technical Performance

B1. Complies with technical requirements and contract objectives.

B2. Adheres to contract performance/delivery schedule.

B3. Provides complete and timely submission of contract deliverables.

B4. Contractor was responsive to QAE/COR feedback and quickly fixed legitimate problems.

C. Customer Satisfaction

D1. Overall commitment to customer satisfaction.

D2. Contractor is reasonable and cooperative in dealing with customer.

D3. Responds to customer questions concerning technical/service/administrative issues.

D4. Demonstrates professionalism and courtesy in dealing with customers.

Change and Cost Control Management

D. Change and Cost Control Management

E1. Contractor did not try to “nickel and dime” the customer with numerous change order requests.

E2. Flexibility and efforts made to accommodate the customer within the terms of the contract.

E3. Timeliness/effectiveness of contract problem resolution.

E4. Meets and performs within originally awarded contract costs.

E5. Alerts Government of potential unforseen costs/changes before they occur.

E6. Submits reasonable supportable costs for change requests.

E7. Submits timely, accurate, and complete invoices.

Quality Control Program

E. Quality Control Program

F1. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements.

F2. Performs quality work with minimal rework needed.

F3. Monitors and controls performance of subcontractors.

F4. Ensures poor performance by subcontractors or in-house personnel is not repeated.

Overall Performance

F. Overall Rating

G1. How would you rate the contractor’s overall performance for this contract?

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

Yes Default Convenience Pending Termination

No

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

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s strong points in the performance of the contract?

What were the contractor’s shortcomings in the performance of the contract?

Would you have any reservations about awarding to this contractor in the future or having them perform one of your critical and demanding programs?

Was the contractor ever issued a cure or show cause notice under the referenced contract, or was he ever in breach of contract? If yes, explain.

Please provide any additional comments concerning this contractor’s performance, as desired.

Do you know of any other similar contracts performed by this contractor? If yes, can you identify contract/program, and provide a point of contact?

Evaluator’s Signature Date

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!