Attachment_3_-_Past_Performance_Questionnaire.pdf

Source Selection Sensitive – See FAR 3.104 For Official Use Only

Attachment III

CONTRACTOR PERFORMANCE QUESTIONNAIRE

The below-named contractor is being considered for award of a contract for Solicitation FA4877- 15-R-0011, Repair Enlisted Dorm 3508. The scope of work includes efforts involving repair, sustainment, and/or renovation of this facility on Davis-Monthan AFB, AZ 85707.

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

Attn: SrA Tyler Walker 3180 S. Craycroft Road Davis-Monthan AFB, AZ 85707-3522

Please refer any questions to: SrA Tyler Walker or Mrs. Natalie Collins at tyler.walker.4@us.af.mil, or natalie.collins@us.af.mil, or fax to 520-228-5462

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

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE RATING

A ACCEPTABLE - During the entire period, the contractor met the requirements of the contract and consistently performed at an acceptable level. Performance was accomplished with some problems, and the contractor took effective corrective action for those problems that did occur.

UA UNACCEPTABLE – During the entire period, the contractor did not meet the requirements of the contract and performance was at an unacceptable level. There were a number of serious problems that required extensive oversight and involvement, and corrective actions were either ineffective or non-existent.

N/A NOT APPLICABLE

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

1. HISTORY COMPLETING EFFORTS INVOLVING DESIGN, CARPENTRY, ROAD

REPAIR, ROOFING, EXCAVATION, INTERIOR AND EXTERIOR ELECTRICAL,

HEATING, VENTILATION, AIR CONDITIONING, PLUMBING, SHEET METAL,

PAINTING, DEMOLITION, CONCRETE MASONRY, AND WELDING.

(MAGNITUDE OF $3,000,000.00 OR GREATER)

a. Contractor had professional and qualified management team A UA N/A

b. Contractor provided submittals timely A UA N/A

c. Contractor was able to complete project within budget A UA N/A

d. Contractor successfully completed construction as designed A UA N/A

e. Were Contractor change order/equitable adjustment requests reasonable

A UA N/A

f. Contractor’s overall quality of service A UA N/A

COMMENTS/REMARKS:__________________________________________________________

COMMENTS/REMARKS:__________________________________________________________

3. QUALITY OF SERVICE AND WORKMANSHIP

a. Contractor maintained acceptable standards of workmanship A UA N/A

b. Contractor provided acceptable-quality materials A UA N/A

c. Contractor’s overall quality of service A UA N/A

COMMENTS/REMARKS:__________________________________________________________

4. TIMELINESS/ADHERENCE TO SCHEDULES

a. Contractor completed scheduled tasks within stated time frames

A UA N/A

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

A UA N/A

c. Contractor responded to emergency requirements in a timely manner

A UA N/A

d. Overall contractor timeliness A UA N/A

COMMENTS/REMARKS:__________________________________________________________

2. MANAGEMENT EFFECTIVENESS

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

A UA N/A

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

A UA N/A

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

A UA N/A

d. Contractor effectively oversaw/managed subcontractors A UA N/A

e. Contractor’s overall management effectiveness A UA N/A

5. QUALITY CONTROL

a. Contractor provided an adequate quality control plan A UA N/A

b. Contractor adhered to its quality control plan A UA N/A

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

A UA N/A

d. Contractor documented its quality control checks/corrective actions

A UA N/A

e. Contractor’s overall quality control A UA N/A

COMMENTS/REMARKS:__________________________________________________________

6. CUSTOMER SATISFACTION

a. Contractor maintained a professional working relationship A UA N/A

b. Contractor was reasonable and cooperative in resolving customer complaints

A UA N/A

c. Contractor was flexible in responding to customer requirements

A UA N/A

d. Overall customer satisfaction A UA N/A

COMMENTS/REMARKS:__________________________________________________________

7. COMPLIANCE WITH ENVIRONMENTAL/LABOR/SAFETY REQUIREMENTS

a. Environmental requirements A UA N/A

b. Labor laws A UA N/A

c. Workplace safety A UA N/A

d. Overall compliance A UA N/A

COMMENTS/REMARKS:__________________________________________________________

8. OVERALL PAST PERFORMANCE RATING: ACCEPTABLE/UNACCEPTABLE

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

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