PAST AND PRESENT PERFORMANCE QUESTIONNAIRE FINAL.doc

DOC document 49 KB Posted

Attached to
Oil Water Separator Maintenance Federal contract opportunity
Solicitation number
FA5000-12-R-0002OWS_JBER
Issued by
Department of the Air Force Pacific Air Forces

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Past Performance Questionaire Attachment 6

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FA5000-12-R-0002-0003.pdf PDF
FA5000-12-R-0002 Amendment 0002.pdf PDF
FA5000-12-R-0002 Amendment 0001.pdf PDF
FA5000-12-R-0002.pdf PDF
WD 05-2017 REV 15 06-13-11.pdf PDF
Attachment 7 SMP Form.docx DOCX document
FY12 OWS Inventory 10-25-11.xlsx XLSX spreadsheet
FY12 PWS dated 25 Oct 11.docx DOCX document
25-JULY-2011-FINAL-SIGNED-sans-copyrighted-charts.pdf PDF
PP Information FINAL.doc DOC document

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FA5000-12-R-0002

ATTACHMENT 6

PP QUESTIONAIRE

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below if inaccurate:

Contractor’s Name: _________________ Telephone Number: ____________________

Address: _________________________ Fax Number: _________________________

_________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: __________________________________* Contract Number Provided by Offeror: ________________ Dollar Amount: _________*

Contract Period or Dates of Performance Provided by Offeror: ____________________* Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent:

_____________________ Title: ___________________________

Address: _____________________

Telephone Number: ___________________ _____________________________

Fax Number:

Email Address: _____________________

C. FAX COMPLETED SURVEY FORM TO:

(907) 552-4146 or mail to

673 CONS/LGCB

ATTN: Jessica Steinhoff

10480 22nd Street

Elmendorf AFB AK 99506

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

E
G
S
M
U
N
Exceptional
Good
Satisfactory
Marginal
Unsatisfactory
Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _____________ CONTRACT NUMBER: ______________

Place an “X” in the appropriate column using the definitions matrix above.

Please rate how well the contractor:
E
G
S
M
U
N
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
3.
Delegated authority to project managers and supervisors commensurate with contract requirements.
4.
Provided effective quality control and/or inspection procedures to meet contract requirements as outlined in their quality control plan.
5.
Identified risks/problems as they occurred.
6.
Was proactive at anticipating potential problems, communicating them to the customer, resolving them and/or suggesting a resolution.
7.
Responded to emergency and surge situations, such as air shows or open house?
8.
Maintained an effective training program to ensure a competent and efficient workforce composition to meet all contract requirements.
9.
Did the contractor have to provide a highly visible service requiring the utmost attention to detail where re-performance was not an option, such as servicing aircraft for distinguished visitors? If yes, please address contractor performance in “remarks”.

YES/NO

10.
If the contractor was required to purchase or lease any vehicles were the vehicles efficiently managed and maintained and were there ever any performance delays due to a lack of a vehicle? Please explain in “remarks”
YES/NO
11.
Was the contractor ever issued a cure or show cause notice or Contract Deficiency Report (CDR) under the referenced contract? If yes, explain outcome in “remarks.”
YES/NO

CONTRACTOR’S NAME: _________________ CONTRACT NUMBER __________

Remarks:________________________________________________________________

RESPONDENT SIGNATURE: _______________________ DATE: ___________

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