Solicitation_Attachment_5_Past_Performance_Questionnaire.pdf

FA557019R004 Attachment 5

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: __________________________

Vendor 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: 501csw.rco@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (A or U) that most accurately describes the vendor’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 vendor were satisfactory.

Performance does not meet most contractual requirements and recovery was not made in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the vendor’s corrective actions appear or were ineffective.

mailto:501csw.rco@us.af.mil

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

The contractor: Acceptable Unacceptable

Not

Applicable

1. Vendor provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and provide adequate project supervision at the place of performance.

2. Vendor provided adequate number of personnel to carry out the requirements of the contract/project. (Allowing for holidays, illness, leave of absence, etc.)

3. Vendor demonstrated ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies, and weather delays.

4. Vendor performed services on time.

5. Vendor’s quality control process were followed and were effective.

6. Vendor displayed initiative to solve problems or correct deficiencies and follow-up to ensure desired results were achieved.

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

REMARKS/COMMENTS: