Past_Performance_Questionaire.doc
DOC document 57 KB Posted
- Attached to
- Hospital Aseptic Management Services Federal contract opportunity
- Solicitation number
- FA5587-16-R-0004
About this file
Past Performance Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q_ _A_Site_Visit_Updated_13_June_16.pdf | ||
| Appendix_H_Attachment_1_-_Cleaning_Zones_and_Consumables.xlsx | XLSX spreadsheet | |
| FA5587-16-R-0004-0002_RFP_Amendment.pdf | ||
| Tab_15_-_Attachment_2_-_HAMS_Pricing_Spreadsheet.xls | XLS spreadsheet | |
| Q_ _A_Site_Visit.pdf | ||
| Tab_15_-_FA5587-16-R-0004-0001.pdf | ||
| HAMS_-_Pre-Proposal_Conference_Slides.pdf | ||
| HAMS_PWS.pdf | ||
| FA5587-16-R-0004_-_HAMS.pdf | ||
| Pricing_Schedule_Linen.xlsx | XLSX spreadsheet | |
| Attachment_2_-_HAMS_Pricing_Spreadsheet.xls | XLS spreadsheet | |
| FA5587-16-R-0004 _Hospital_Aseptic_Custodial_Services_-_PERFORMANCE_WORK_STATEMENT_-_DRAFT__12_FEB_16.pdf | ||
| Synopsis_-_FA5587-16-R-0004 _Hospital_Aseptic_Custodial_Services.pdf |
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Text version
DEPARTMENT OF THE AIR FORCE
48TH FIGHTER WING (USAFE)
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION
Offeror’s Name:
Telephone Number:
Address:
Point of Contact:
Project Title and Brief Description of Work: (please include scope and magnitude)______
Contract Name/Number:__________________________ $/£ Amount:______________
Contract Period: ________________________________ Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.
B. CUSTOMER RESPONDENT INFORMATION:
Name of Respondent: _________________ Title: _____________________________ Company/Organization:_______________
Telephone Number: __________________ Address: __________________________ Email address:______________________
C. E-MAIL COMPLETED SURVEY FORM TO:
48CONS.FAST.FASTTeamOrgBox@us.af.mil.
D. PERFORMANCE INFORMATION:
Choose the appropriate evaluation of past performance information on the scale that most accurately describes the offeror’s performance or situation for your organization.
| Rating |
| Description |
VERY RELEVANT (VR)
Past/present performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.
RELEVANT (R)
Past/present performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.
SOMEWHAT RELEVANT (SR)
Past/present performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.
NOT RELEVANT (NR)
Past/present performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.
Once completed this is Source Selection Information -- See FAR 2.101 and 3.104 Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| A |
| U |
| N/A |
| 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, retain, and/or replace, if necessary, qualified personnel during the contract period. |
| 3. |
| Passed health and sanitation inspections. |
| 4. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 5. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 6. |
| Displayed initiative to solve problems. |
| 7. |
| Performed services in a timely manner. |
| 8. |
| Was responsive to contract changes. |
| 9. |
| Offeror conducted effective Business relations (partnering meetings, etc). |
| 10. |
| Compliance with invoicing requirements. |
| 11. |
| Offeror’s staff were fully trained on the specific contract requirements. |
| 12. |
| Fair and reasonable prices for quality of service rendered. |
| 13. |
| Provided adequate number of personnel to carry out the requirements of the contract. (Allowing for leave of absence, etc.) |
| 14. |
| Offeror’s quality control process included an effective inspection system. |
| 15. |
| Offeror displayed ability to adapt to new technologies and/or equipment requirements. |
| 16. |
| Offeror exhibited effective performance through subcontractor teaming arrangements. |
| 17. |
| How would you rate the offeror’s overall performance? |
Remarks: (may use additional pages if needed)________________________________________
**Once completed this is Source Selection Information – see FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .