Past Performance Survey.doc

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Spangdahlem Static Display Restoration
Solicitation number
FA5606-09-R-0035
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ATTACHMENT 3

FA5606-09-R-0035

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached survey form. This firm is currently being considered for a Static Display Aircraft Restoration and Maintenance contract at Spangdahlem Air Base, Germany.

Your prompt attention to this survey will be greatly appreciated. If you have any questions concerning this request, please contact Tamerra Hite at (49) or (0) 6565619543 or by email at tamerra.hite@spangdahlem.af.mil. Thank you.

A.

GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror:
____________________
Dollar Amount
_________________*

Contract Period or Dates of Performance Provided by Offeror:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

C. Instructions on how to forward questionnaire. When you have completed your portion of this questionnaire you then need to forward to the 52nd Contracting Squadron, attention Ms. Tamerra Hite, before the Offer Due Date and Time. It is preferred that you forward this via electronic means to tamerra.hite@spangdahlem.af.mil. It is advised that you use return receipt. The 52nd Contracting Squadron should receive this completed questionnaire via electronic means directly from the Reference. Copies will also be accepted via Fax at (49) or (0) 6565619106

D.

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1
2
3
4
5
6
Unsatisfactory
Marginal
None
Satisfactory
Very Good
Exceptional
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
No record of past performance or the record is inconclusive.
Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.
Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner

QUALITY OF SERVICE

a. Ability to meet minimum quality standards specific for performance

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b. Ability to effectively control the quality of services provided
1

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c. Compliance with contractual terms and conditions
1

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d. Overall rating of contractor’s quality of service
1

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TIMELINESS OF PERFORMANCE

a. Ability to meet specific response time and scheduled time-frames for completion of specific tasks

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b. Responsiveness/timeliness for providing administrative reports/documents required by the contract
1

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c. Overall rating of contractor’s responsiveness/timeliness
1

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BUSINESS RELATIONS

a. Ability to identify problems and potential problems, and promptly notify the Contracting Officer

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b. Ability to correct problems and prevent or mitigate potential problems in a timely manner
1

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c. Willingness to improve and correct noncompliance issues or concerns
1

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d. Ability to use effective approaches and provide technical expertise and resources to solve contract problems
1

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e. Extent to which the contractor has demonstrated reasonable and cooperative behavior
1

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f. Working relationship with the Contracting Officer, quality assurance personnel, and customers
1

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g. Flexibility in satisfying the requirements of its customers
1

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h. Extent to which the contractor provided prompt and courteous service when responding to customer complaints
1

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i. Overall rating of customer satisfaction
1

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j. Overall rating of business relations
1

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MANAGEMENT OF KEY PERSONNEL

a. Ability to select and retain cooperative and effective key personnel, such as contract manager and quality control personnel

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b. Extent key personnel were knowledgeable about contractual requirements

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c. Ability to meet appropriate staffing levels with qualified personnel in order to provide required services

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d. Ability to effectively manage subcontractors

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e. Overall rating of contractor’s management of key personnel

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COMPLIANCE WITH ENVIRONMENTAL, SAFETY, HEALTH, AND SECURITY REQUIREMENTS

YES
NO

a. Has the contractor ever received Notices of Violations for noncompliance with environmental laws or regulations?

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b Compliance with environmental requirements

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c. Compliance with safety requirements

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d. Compliance with health requirements
1

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e. Compliance with security requirements
1

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CONTRACTUAL CONSIDERATIONS

YES
NO
a. Has an election ever been made not to exercise an option or continue relations because of contractor’s poor performance?
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b. Has a Contract Discrepancy Report ever been issued?
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c. Has a cure notice or show cause notice ever been issued?
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d. Extent to which the contractor provided reliable supportable cost estimates or proposals

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e. Overall rating of contractor’s performance under this contract
1

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YES
NO
f. Would you award another contract to this contractor? If not, explain in “remarks.”
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Remarks:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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