Attachment_9 _Past_Performance_Questionnaire.doc
DOC document 85 KB Posted
- Solicitation number
- FA5613-13-R-0005TSBMCII
About this file
Attachment 9 - Past Performance Questionnaire
View the file
Other files
Show all 42
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Section J, ATTACHMENT #9
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
A.
GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: ____________________ Address: __________________________
Telephone Number: ____________________
Fax Number:
Email Address:
Point of Contact: ____________________
Project Title or Brief Description of Work: _______________________________________
Contract Number:
Annual Contract Amount: $____________ Total Contract Amount $ ____________ Contract Period or Dates of Performance:
Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.
B.
RESPONDENT INFORMATION:
Primary
Alternate
Name of Respondent*: _________________ Name of Respondent: _____________________
Title:
Title:
Address: ____________________________
Address: _______________________________ Telephone Number:
Telephone Number:
Fax Number:
Fax Number:
Email Address:________________________ Email Address:___________________________
* If anyone other than the respondent prepared the answers for the substance of this questionnaire, identify that individual by name and organization:_________________________
C.
PLEASE E-MAIL COMPLETED SURVEY FORM TO THE GOVERNMENT AT TSBMC.2@ramstein.af.mil.
D.
PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, VG, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M OR U AS WELL AS ABOVE SATISFACTORY RATINGS OF VG AND E.
ATTACHMENT #9, cont’d
CONTRACT RELEVANCY
To assist with the determination of program relevancy please indicate below the services the contractor has performed or is performing under this contract by marking the applicable box with an “X”.
Program Management
Postal Services & Communications Phase-In
Phase-Out
Postal Services
Program Management
Systems Administration/Management of automated network structure
Other, please explain below
Other, please explain below
Civil Engineering
Resource Management
Financial Management
Real Estate Management
Information Technology/Automated Data Processing
Equipment (ADPE)
Engineering and Construction Management
Community Planning & Project Planning
Design
Contract Execution & Construction
Management
Energy Management/Utility Contracts
Environmental Management
Hazardous Material/Waste
Work & Resource Management
Custodial Services
Refuse Services
Airfield Maintenance
Heavy Repair
Bird and Aircraft Strike Hazard (BASH)
Infrastructure
Sewage Collection & Treatment
Storm Water Systems
Liquid Fuels
Housing Management
Military Family Housing Management
Unaccompanied Personnel
Housing/Dormitory Mgmt
Off- base Housing Support
Furnishings Management Office (FMO) Management
Fire and Emergency Services
Management & Plans
Fire Operations
Other, please explain below
Force Support
Logistics Support Services
Food Services Operations
Fuels Management Services
Supply Specialist Functions
Aircraft Support Services
Bowling Center Equipment Maintenance
Transient Alert
Lodging Services
Aerospace Ground Equipment (AGE)
Lifeguard/Pool Operations
Air Terminal Services
Library & Information Services
Vehicle Management Services
Material Management Services
Traffic Management Services
Customs Border Clearance Agents Program
Safety, Occupational Health, Industrial Hygiene & Ambulance Services
Safety, Occupational health & Industrial Hygiene
Protection of Personnel Safety Program
Ambulance Services
ATTACHMENT #9, cont’d
Yes No
Overseas Performance (OCONUS)
Performance at multiple locations
Countries: ________________________________________________________________________________
Managing a foreign workforce/local nationals (Hiring/Severance Actions)
Negotiation of Collective Labor Agreement (CLA)
Contingency/Exercise Support
REMARKS: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ATTACHMENT #9, cont’d
PERFORMANCE EXPERIENCE
CONTRACTOR’S NAME: ____________________
CONTRACT NUMBER: _____________________
| Rating |
| Definition |
| Exceptional (E) |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective. |
| Very Good (VG) |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective. |
| Satisfactory (S) |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal (M) |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element contains a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory (U) |
| 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. |
| Neutral (N) |
| Performance was not observed or not applicable to the current effort being reported against. |
Place an “X” in the appropriate column using the definitions matrix above.
| PHASE-IN |
| E |
| VG |
| S |
| M |
| U |
| N |
| N/A |
1. Establishment of a qualified phase-in team which successfully interfaced with Government and incumbent contractor
Remarks:
2. Establishment of a qualified phase-out team which successfully interfaced with Government and successor.
3. Effectiveness in performing a non-disruptive phase-in of operations including risk mitigation during phase-in
4. Timely achievement of milestones in accordance with phase-in plan
| TECHNICAL PROPOSAL |
| E |
| VG |
| S |
| M |
| U |
| N |
| N/A |
1. Overall contract management
2. Quality management system
3. Development and implementation of meaningful metrics to assess overall program health
4. Innovation and extent of process improvement
5. Management of technical requirements
6. Compliance with host nation laws
7. Responsiveness to fluctuating contingency and exercise requirements
| E |
| VG |
| S |
| M |
| U |
| N |
| N/A |
8. Safety awareness and performance
9. Security requirements awareness and performance
10. Hiring, retaining and training of qualified personnel
11. Effectiveness in providing necessary labor skill mix to meet requirements within budget constraints
12. Ability to manage and prioritize resources
13. Effectiveness in monitoring and controlling performance of subcontractors
14. Interface with Government staff
15. Adherence to contract performance schedule
16. Responsiveness to contract change orders
17. Ability to manage planned and unplanned requirements
18. Ability to meet mission essential requirements during declared crises, emergencies and/or strikes
19. Ability to solve contract performance problems without guidance from the Government
20. Experience with CLA Negotiations/Labor Disputes/Strikes
21. Management of a Foreign Workforce
22. Experience with overseas (OCONUS) performance at multiple locations
23. Ability to recruit/retain qualified key personnel
| OVERALL RATING |
| E |
| VG |
| S |
| M |
| U |
| N |
1. How would you rate the contractor's overall performance for this contract?
Other remarks/comments/details:
File details come from the government source that posted it. Updated .