Tab_15_-_Attachment_5_-_Past_Performance_Questionaire.pdf

**Once completed this is Source Selection Information – see FAR 2.101 and 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION (To be completed by respondent to the Government solicitation.)

Offeror’s Name: Telephone Number:

Address: Point of Contact:

Project Title and Description of Work: (please include scope, magnitude, and description of work performed for the business-entity that will complete the rating on this questionaire.)

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:

clifford.cruz@us.af.mil AND kyle.mead@us.af.mil

D. PERFORMANCE INFORMATION:

Place an “X” in the appropriate column ( A= Acceptable, U= Unacceptable, or N/A= Not

Applicable)

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.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P11_629 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P42_5838 mailto:clifford.cruz@us.af.mil mailto:kyle.mead@us.af.mil

**Once completed this is Source Selection Information – see FAR 2.101 and 3.104

The contractor: A U N/A

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. 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)________________________________________ http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P11_629 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P42_5838