Attachment_4_-_Past_and_Present_Performance_Questionnaire.pdf

ATTACHMENT 4 - Past and Present Performance Questionnaire

RFQ # FA527019QB005

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract No. 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: _______________________

Signature Date http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/far/Far02.doc#T2101 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/af_afmc/far/FAR03.DOC#b3104

ATTACHMENT 4 - Past and Present Performance Questionnaire

RFQ # FA527019QB005

C. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (S and U) that most accurately describes the contractor’s performance or situation.

Satisfactory (S)

During the contract period, contractor performance is meeting (or met) contract requirements. For any problems encountered, contractor took effective corrective action.

Unsatisfactory (U)

During the contract period, contractor performance is not meeting (or did not meet) contract requirements. For any problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

CONTRACTOR’S NAME: __________________ CONTRACT NUMBER: _______________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

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

The contractor: S U N/A

QUALITY:-

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

Corrected deficiencies in timely manner and pursuant to their quality control procedures

Followed approved quality control plan.

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

MANAGEMENT:-

Was responsive to contract changes.

Suggested alternative approaches to problems.

Developed realistic progress schedules

Identified problems as they occurred.

Displayed initiative to solve problems

Provided timely resolution of contract discrepancies.

OVERALL

How would you rate the contractor's overall performance?

Additional Comments: