Atch_7_-_18R5035_-_App_C_PPQ_Template.doc

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Attached to
Optimizing Human Weapon System (OHWS) Federal contract opportunity
Solicitation number
FA4890-18-R-5035
Issued by
Department of the Air Force Air Combat Command

About this file

This document contains a solicitation for a commercial item contract to support an Optimizing Human Weapon System program. The Air Force seeks proposals by September 16, 2019 to award a firm fixed-price contract from March 2020 to September 2025, including a base period and four option years, to provide prehabilitation services to decrease neck and back pain among aircrew. Evaluation will utilize a full tradeoff methodology. Offerors must be SAM-registered and able to invoice electronically. Questions are due by August 23 with responses posted publicly, and electronic proposals only will be accepted.

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Text version

RFP Attachment 7 - Evaluation Methodology and Criteria

FA4890-18-R-5035

APPENDIX C

PAST PERFORMANCE QUESTIONNAIRE

**When completed, this document is Source Selection Information IAW FAR 3.104**

SECTION 1: 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_____________________________________________________________________

E. Contract Type _______________________________________________________________________ F. Period of Performance

G. Place(s) of Performance (CONUS, OCONUS)

H. Annual Contract $ Value

I. 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)

*****FOLLOWING SECTIONS COMPLETED BY PRIME CONTRACTOR*****

SECTION 2: CUSTOMER IDENTIFICATION

A. Customer Name

B. Customer Description

SECTION 3: EVALUATOR IDENTIFICATION

A. Name _________________________________________ B. Title_____________________________ C. Phone/Fax

D. E-mail

E. Years worked on Subject Contract

SECTION 4: 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:

CODE
PERFORMANCE LEVEL
E
EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
VG
VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
S
SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.
M
MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.
U
UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N/A
NOT APPLICABLE - Unable to provide a score or item is not applicable to the referenced contract.

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

Management
E
VG
S
M
US
NA

Q1. Ability of Contractor to meet PWS requirements.

Q2. When problems in performance were/are encountered, ability of Contractor to overcome the problems.

Q3. Ability of Contractor to hire/apply a qualified workforce over the period of the referenced effort.

Q4. Ability of Contractor to retain a qualified workforce over the period of the referenced effort.

Q5. Contractor’s overall Program Management.

Q6. Were there any significant problems or service disruptions encountered as a result of a lack of qualified workforce? If yes, describe the problem and the solution.

Comments:

Quality Management System
E
VG
S
M
U
N/A

Q7. Ability of Contractor to execute a quality management system that effectively meets mission requirements.

Q8 Ability of Contractor to effectively and efficiently meet quality control requirements.

Q9. Ability of contractor to resolve contractual performance problems in a timely and effective manner.

Q10. Ability of Contractor to adhere to regulatory guidance, technical data and all other technical guidance.

Q11. Ability of Contractor to respond and correct discrepancies identified by the Government.

Q12. Contractor’s overall Quality Management System.

Comments:

Schedule
E
VG
S
M
U
N/A

Q13. Ability of contractor to meet contract schedule requirements.

Q14. Ability of Contractor to meet priority mission requirements.

Q15. Ability of contractor to provide deliverables/reports required by the contract on time.

Q16. Contractor’s overall Schedule management.

Comments:

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or is there any pending terminations? (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. What were/are the contractor’s strong points?

C. What were/are the contractor’s weak points?

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

Evaluator’s Signature

Date

File details come from the government source that posted it. Updated .