PASTPERFORMANCEQUESTIONNAIRE(2).doc

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTIN SENSITIVE

IAW FAR 2.101 AND 3.104

RFP: FA4887-07-R-0012

CONTRACTOR: __________________________

I. Background

The purpose of this questionnaire is to obtain past performane information relative to contracts that have previously been completed within the past five years or are currently being performed by the contractor identified above. This company is a potential source for performing a Firm Fixed Priced contract.

II. Instructions

Please complete the questionnaire based on the following guidance:

A. Handwritten responses are sufficient.

B. Indicate, based on the description below, the contractor’s performance on the identified program in the assessment area. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:

CODE

PERFORMANCE LEVEL

High Confidence Based on the offeror’s performance record, there is a high conficence that offeror will successfully perform the required effort.

Significant Confidence there is significant confidence the offeror will successfully perform the required effort.

Confidence there is confidence the offeror will successfully perform the required effort.

Normal contractor emphasis should preclude any problems.

Unknown Confidence No performance record is identifiable.

Little Confidence substantial doubt exists that the offeror

No Confidence extreme doubt exists that the offeror

Circle the word corresponding to your rating

C. Please provide comments for all questions in which a “No Confidence”, “Little Confidence”, or “Satisfactory Confidence” rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.

D. You are urged to supplement your own knowledge of the offeror’s performance with the judgement of others in your organization. In addition to completing the attached questionnaire for the program, we solicit your comments on other similar programs for which your office has contracts with this offeror.

E. PLEASE FAX YOUR COMPLETE QUESTIONNAIRE WITHIN 7 DAYS AFTER RECEIPT, BUT NO LATER THAN 10:00am, 20 August 2007, TO:

56 CONS/LGCB

ATTN: TSgt Alvina Andrews, Contract Specialist

Commercial FAX: 623-856-3438

DSN: 896-3438

Commercial Voice: 623-856-7179 x252 DSN: 896-7179 x252

YOUR ASSISTANCE IN EVALUATING THE CONTRACTOR’S PAST PERFORMANCE IS APPRECIATED. OUR GOAL IS TO SELECT THE BEST VALUE TO THE GOVERNMENT. YOUR PAST PERFORMANCE EVALUATION IS A CONSIDERATION IN DETERMINING THE BEST VALUE.

III. Program Identification:

Evaluator please complete.

A. Contractor: _______________________________________________

B. Contract Number: __________________________________________

C. Estimated contract dollar amount: _____________________________

D. Period of Performance: _____________________________________

E. Describe product acquired: ___________________________________

F. Contract Type: ____________________________________________

IV. Past Performance Evaluation:

1. How would you rate the contractor’s overall performance on the project?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence Unknown Confidence Comments: ___________________________________________________________________

2. How would you rate the contractor’s responsiveness and flexibility in working around the end user’s flying schedule?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How would you rate the contractor’s experience with working on a military installation (i.e, contractor was cognizant of, and had no difficulty in complying, with stringent military standards/regulations)?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THE CONTRACTOR:

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

High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence Unknown Confidence

Comments: ___________________________________________________________________

5. Effectively managed subcontractors (if used)?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments: ___________________________________________________________________

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

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Displayed initiative to solve problems?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Developed realistic progress schedules?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Met established project schedules?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Cooperated with Government personnel after award?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. Was responsive to contract changes?

High Confidence Significant Confidence Satisfactory Confidence Little Confidence

No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Put an X next to the most applicable answer:

Knowing what I know about this contractor.

____I would not enter into another contract with this contractor

____I might enter into another contract with this contractor

____I would enter into another contract with this contractor

V. Respondent Information:

The following information will assist in the analysis of the data and will be kept confidential.

A. Name of Evaluator:______________________________________

B. Office Symbol/Location:__________________________________

C. Phone (Commercial/DSN):________________________________

D. Position of Title/Grade:___________________________________

E. Length of Time on Program/Contract:________________________

F. Date Questionnaire Completed:_____________________________