Attachment_3_Past_Performance_Questionnaire.pdf

FA5570-14-R-0001 Attachment 3

Past and Present Performance Questionnaire

A. GENERAL INFORMATION:

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

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.gb@us.af.mil & 501csw.rco@us.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).

A U Acceptable Unacceptable

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.

mailto:andrew.pillow.gb@us.af.mil mailto:501csw.rco@alconbury.af.mil

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. Displayed effectiveness in forecasting, managing, and controlling contract cost. In addition, demonstrates a sense of cost responsibility, through the efficient use of resources, in each work effort.

17. How would you rate the vendor's overall performance?

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