Attachment 11 CONTRACTOR PERFORMANCE QUESTIONNAIRE.doc

DOC document 55 KB Posted Jul 22, 2009

Attached to: RECOVERY FBNV 090003A Construct Water Wells/Waste Water Systems. RECOVERY FBNV 090003B Repair Water Wells.
Solicitation number: FA4877-09-R-0014
Issued by: Department of the Air Force Air Combat Command

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FA4877-09-R-0014 Solicitation Attachment 11 CONTRACTOR PERFORMANCE QUESTIONNAIRE

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Attachment 7 090003A AF FORM 66.xlsx	XLSX spreadsheet	Jul 22, 2009
Attachment 9 090003A Section 01010	—	Jul 22, 2009
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Attachment 10 090003B Section 01010	—	Jul 22, 2009
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FA4877-09-R-0014

Attachment 11

CONTRACTOR PERFORMANCE QUESTIONNAIRE

The below-named contractor is being considered for award of a contract for Solicitation No. FA4877-09-R-0014, "Construct / Repair Water Wells". The scope of work includes digging wells, replacing pumps and support equipment to include electrical service entrances, electrical and water metering, Variable Frequency Drive (VFD), security support equipment, and fencing and out buildings. It also includes the replacement of a major 8” water line by taxiway Alpha. Additionally, it includes the replacement of the water tower at site 5 and all of its support equipment on Aerospace Maintenance and Regeneration Group (AMARG) and Davis-Monthan AFB.

A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Return the completed questionnaire to the following address:

355 CONS/MSCAA

3180 S. Craycroft Road

Davis-Monthan AFB AZ 85707-3522

Please refer any questions to: Bryan Jackson at (520) 228-5441 or you may email him at the following address: bryan.jackson@dm.af.mil

A. GENERAL INFORMATION

Contractor’s Name: ________________________________________________________________

Address: ______________________________________________________________________

Telephone Number: ______________________ Point of Contact: _______________________

B. RESPONDENT INFORMATION

Name: __________________________________ Title: _____________________________

Organization & Address: ___________________________________________________________

Telephone: ___________________ Fax: ________________ Email: ____________________

C. CONTRACT INFORMATION

Contract Number/Title: ____________________________________________________________

Period of Performance: _________________ Dollar Amount of Contract: _________________

Services Performed: ______________________________________________________________________________

D. PERFORMANCE INFORMATION

Choose the category on the below scale that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF Substantial Confidence, Limited Confidence, or No Confidence.

1 - Substantial Confidence: Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort.

2 - Satisfactory Confidence: Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.

3 - Limited Confidence: Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort.

4 - No Confidence: Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.

5- Unknown Confidence: No performance record is identifiable or the offeror’s performance record is so limited that no confidence assessment rating can be reasonably assigned.

Please use the above ratings to describe the contractor’s performance in the following areas:

1. MANAGEMENT EFFECTIVENESS

a. Contractor provided experienced managers and supervisors with technical and administrative abilities to meet contract requirements.

1 2 3 4 5

b. Contractor maintained appropriate staffing levels (number/ qualifications)

1 2 3 4 5

c. Contractor effectively managed materials requirements (i.e., maintained adequate stock levels)

1 2 3 4 5

d. Contractor effectively oversaw/managed subcontractors

1 2 3 4 5

e. Contractor’s overall management effectiveness

1 2 3 4 5

COMMENTS/REMARKS:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. QUALITY OF SERVICE AND WORKMANSHIP

a. Contractor maintained acceptable standards of workmanship

1 2 3 4 5

b. Contractor provided acceptable-quality materials

1 2 3 4 5

c. Contractor’s overall quality of service

1 2 3 4 5

3. TIMELINESS/ADHERENCE TO SCHEDULES

a. Contractor completed scheduled tasks within stated time frames

1 2 3 4 5

b. Contractor was proactive in keeping you informed of schedule changes if they were going to occur

1 2 3 4 5

c. Contractor responded to emergency requirements in a timely manner

1 2 3 4 5

d. Overall contractor timeliness

1 2 3 4 5

4. QUALITY CONTROL

a. Contractor provided an adequate quality control plan

1 2 3 4 5

b. Contractor adhered to its quality control plan

1 2 3 4 5

c. Contractor’s quality control resulted in little/no work on your part to achieve acceptable service (i.e.-few failed inspections)

1 2 3 4 5

d. Contractor documented its quality control checks/corrective actions

1 2 3 4 5

e. Contractor’s overall quality control

1 2 3 4 5

COMMENTS/REMARKS: _______________________________________________________

5. CUSTOMER SATISFACTION

a. Contractor maintained a professional working relationship

1 2 3 4 5

b. Contractor was reasonable and cooperative in resolving customer complaints

1 2 3 4 5

c. Contractor was flexible in responding to customer requirements

1 2 3 4 5

d. Overall customer satisfaction

1 2 3 4 5

6. Compliance with Environmental/Labor/Safety Requirements

a. Environmental requirements

1 2 3 4 5

b. Labor laws

1 2 3 4 5

c. Workplace safety

1 2 3 4 5

d. Overall compliance

1 2 3 4 5

7. If a government contract, did the contractor receive any Contract Discrepancy Reports, Letters of Concern, or Cure Notices? __________ if yes, please describe:

8. If given the opportunity, would you award another contract to this contractor? Please explain response below.

FA4877-09-R-0014

Attachment 11

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