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Attachment 2 Past and Present Performance Questionnaire FA5570-11-T-0023, 22 September 2011
A. GENERAL INFORMATION:
Vendor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________
(The government enters the following information based on list of references provided by the vendor.)
Project Title and Brief Description of Work: ___________________________________
Contract Name/Number: ___________________ $/£ Amount: ________________
Contract Period or Project Period of Performance: __________________________ Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.
B. RESPONDENT INFORMATION:
Name of Respondent: _____________________ Title: ___________________________ Company/Organization:____________________________________________________
| Address: ________________________ | Telephone Number: _______________________ _______________________________ | Fax Number:____________________________ |
| _______________________________ | Email Address: __________________________ | |
C. EMAIL COMPLETED SURVEY FORM TO: andrew.pillow@alconbury.af.mil & 501csw.rco@alconbury.af.mil
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (A or U) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF Unacceptable (U).
| Performance meets contractual requirements. The contractual performance of the element or sub-element may have contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| 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. |
Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| Acceptable |
| Unacceptable |
| Not Applicable |
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and adequate project supervision at the place of performance. |
| 2. |
| Demonstrated ability to hire, maintain, and/or replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Demonstrated ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies and weather delays. |
| 4. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 5. |
| Interfaced and cooperated with government quality assurance personnel (or corporate/agency equivalent) after being awarded the contract and/or commencement of project performance. |
| 6. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 7. |
| Performed services on time. |
| 8. |
| Displayed initiative to solve problems and follow-up to ensure desired results were achieved. |
| 9. |
| Was responsive to contract changes (if applicable). |
| 10. |
| Business relations (partnering meetings, etc) |
| 11. |
| Effectively responded to customer complaints in a timely manner. |
| 12. |
| Were offeror’s staff trained on the specific contract requirements? |
| 13. |
| Provide adequate number of personnel to carry out the requirements of the contract/project? Allowing for leave of absence, etc.) |
| 14. |
| Did offeror’s quality control process include accountability of operative’s performance? |
| 15. |
| Displayed environmental awareness. (Compliance and initiatives) |
| 16. |
| How would you rate the vendor's overall performance? |
REMARKS/COMMENTS: