Section_L,_Attachment_2_-_Past_Performance_Questionnaire.docx

ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE

**When completed, this document is Source Selection Sensitive IAW FAR 2.101 AND 3.104**

SECTION I: CONTRACT IDENTIFICATION (TO BE COMPLETED BY OFFEROR)

A. Contractor

B. Contractor Cage Code

C. Role (check): Prime Subcontractor Teaming Partner Joint Venture Partner

Other (specify)

If subcontractor, partner or other, who is the Prime?

D. Contract Number

Task/Delivery Order Number

Note: If the referenced contract is an overarching ID/IQ or BPA, the Government will only assess performance at the ID/IQ level and not performance on each individual underlying task/delivery order. If the Offeror would like assessment of the single task/call/delivery/purchase order, the Offeror shall submit that as a separate reference

E. Contract Type (FFP, CPFF, ID/IQ (include types), LH, etc.)__________________________________________

F. Period of Performance

G. Place(s) of Performance:

Multiple locations? Yes No If yes, specify locations:

CONUS OCONUS Both Provide details:

State Federal DOD Other Provide details:

H. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)

I. Has a CPAR (or more than one CPAR) been completed for this contract? Yes No If Yes, provide dates covered by CPARs:

FOLLOWING SECTIONS TO BE COMPLETED BY AGENCY

CONTRACTING OFFICE/CUSTOMER/PROGRAM MANAGEMENT OFFICE

** Please have an individual(s) knowledgeable of the contractor’s day-to-day operations and overall condition of supplies/services being rendered complete this survey.

SECTION 2: TO BE COMPLETED BY AGENCY (CONTRACTING OFFICE/CUSTOMER/PROGRAM MANAGEMENT OFFICE)

A. Customer/Agency Name:

B. Customer/Agency Description: ________________________________________________________________

C. Description of service(s) provided. Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or commercial work.

SECTION 3: EVALUATOR IDENTIFICATION

A. Name: ________________________________________ B. Title:

C. Phone: ________________________________________ D. E-mail:

E. Years worked on Subject Contract:

SECTION 4: PERFORMANCE EVALUATION

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:

In order to assist us in the evaluation, please provide a brief detailed narrative to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) performance to the questions below (use additional sheets, if necessary).

Ability of Contractor to: Conform to contract requirements, provide accurate deliverables/reports; meet service specifications of the contract; provide timely proposals; respond to short notice requirements; provide and adhere to quality control/management plan (when required).

Explanation:

Ability of Contractor to: Deliver all required reports, schedules, summaries and proposals on time; implement changes to PWS effectively and timely.

Explanation:

Ability of Contractor to: Provide accurate contract costs/estimates; track and control costs; meet and perform within actual negotiated costs/rates; submit, accurate and complete invoices and support documentation for cost type CLINS; submit cost reporting information in a timely manner; maintain adequate budgetary internal controls.

Explanation:

Ability of Contractor to: Maintain effective relationship between key Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate changes in mission-related requirements.

Explanation:

Ability of Contractor to: Attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements; manage subcontractors to include identification and resolution of subcontractor problems; ensure continuation of services during labor disputes, personnel absences /vacancies; replace/fill vacancies within timeframe specified.

Explanation:

Ability of Contractor to: Effectively hire and maintain qualified personnel; ensures all personnel are appropriately trained and certifications are current; ensures each employee meets the standard of qualifications addressed in the PWS.

Explanation:

Ability of Contractor to: Provide acquisition support services for similar requirements.

Explanation:

Ability of Contractor to: Provide delivery assurance services simultaneously at multiple CONUS and OCONUS locations and provide timely, accurate, and professional reports for each delivery assurance task.

Explanation:

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or is there any pending termination actions? (Place an “X” by all that apply.)

Yes No Default Convenience Pending Terminations

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

B. Would you have any reservations about having this Contractor perform again on one of your critical and demanding programs?

Government Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

HQ ACC AMIC/PKD

Attn: Jim Robinson at jim.robinson@us.af.mil Shiran Zerach at shiran.zerach@us.af.mil

**When completed, this document is Source Selection Sensitive IAW FAR 2.101 AND 3.104**