Attachment_20_-_Past_Performance_Questionnaire.doc

Attachment 20

28 Mar 13

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE

IAW FAR 2.101 AND 3.104

RFP: FA4887-13-R-0005

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:

NO

CONFIDENCE

Based on the offeror’s recent/relevant performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.

** In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned therfore resulting in an Unknown Confidence rating, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305(a)(2)(iv)).

Circle the word corresponding to your rating

C. Please provide comments for all questions in which a “No Confidence”, “Limited 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 5 July 2013, TO:

56 CONS/LGCB

ATTN: Lt Brennan Lawson, Contracting Officer

Commercial FAX: 623-856-3438

DSN: 896-3438

Commercial Voice: 623-856-2769

DSN: 896-2769

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?

Substantial Confidence Satisfactory Confidence Limited 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)?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THE CONTRACTOR:

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

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments: ___________________________________________________________________

5. Effectively managed subcontractors (if used)?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments: ___________________________________________________________________

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

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Displayed initiative to solve problems?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Developed realistic progress schedules?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Met established project schedules?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Cooperated with Government personnel after award?

Substantial Confidence Satisfactory Confidence

Limited Confidence No Confidence Unknown Confidence

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. Was responsive to contract changes?

Substantial Confidence Satisfactory Confidence

Limited 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:_____________________________