18Q0011_Attach_3_-_PE_Questionnaire.pdf

PAST AND PRESENT EXPERIENCE 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:

brandon.hagler@us.af.mil and maria.calimlim@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate evaluation of past experience information on the scale that most accurately describes the offeror’s performance or situation for your organization.

Rating Description

Acceptable

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.

Unacceptable

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: 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)________________________________________