FA5613-13-R-0007_Sect_J _Atch_6_-_Past_Performance_Questionnaire.doc

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Advisory and Assistance Services III Federal contract opportunity
Solicitation number
FA5613-13-R-0007
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

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ATCH 6 PAST PERFORMANCE QUESTIONNAIRE

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FA5613-13-R-0007

Section J, Attachment 6 Past Performance Questionnaire

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Please complete the questionnaire and return it to the Government Contracting Officer. DO NOT send completed questionnaires to the offeror. Please submit the completed questionnaire to one of the addresses listed no later than 1600 Central European Time, 6 May 2013.

Email Address: A&AS.3@ramstein.af.mil Mailing Address: Kristy Truitt

700 CONS/LGCD

Unit 3115

APO AE 09021

Hand Delivery Address:

Kristy Truitt

700 CONS/LGCD

Kapaun Air Station GEB# 2767, Room #315

67661 Kaiserslautern

Germany

SECTION I: CONTRACT IDENTIFICATION

Please complete the following information on the contract in which you are involved.

Customer/Agency Name
Contract Number
Contractor
Cage Code

Contract Type (Please check one box from each column)

FORMCHECKBOX

Firm-Fixed Price

FORMCHECKBOX

Cost Plus Fixed Fee

FORMCHECKBOX

Independent Contract

FORMCHECKBOX

Labor Hour

FORMCHECKBOX

IDIQ Contract

FORMCHECKBOX

Time and Materials

FORMCHECKBOX

Other, Specify:

Initial Contract Amount

Current/Final

Contract Amount

If amounts are different, please explain

IDIQ Contract Ceiling

(if applicable)

Status
FORMCHECKBOX

Active FORMCHECKBOX Complete

Award Date

Period of Performance (inc. unexercised options)

Start
End
Geographic location of performance
Extent of Competition
FORMCHECKBOX

Full and Open FORMCHECKBOX Full and Open After Exclusion of Sources

Other than Full and Open

Provide a description of the service provided.

Describe the type and extent of subcontracting.

SECTION II: EVALUATOR IDENTIFICATION

Please provide information for the primary individuals completing this survey.

Name
Office Identifier
Telephone Number
Mailing Address
Email Address
Relationship to Contract

SECTION III: EVALUATION

Use the following ratings and descriptions as guidance in providing element ratings. Ratings should only reflect the performance of the contractor in question.

Rating
Definition
Exceptional (E)
Performance meets contractual requirements and exceeds many to the Government’s (or customer’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 were highly effective.
Very Good (VG)
Performance meets contractual requirements and exceeds some to the Government’s (or customer’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 customer were 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 being assessed reflects 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 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.

For each question, please place an “X” in the box corresponding to the rating. For all ratings except “Satisfactory (S)” or “Neutral (N),” place an “X” in the “Comments” box and provide supporting rationale below. Reference the performance area number for each comment. The narratives need not be lengthy, just detailed, clear and concise.

Please rate Contractor performance in the following areas:

Performance Area
E
VG
S
M
U
N
Comments
1
Ability of the contractor to comply with contract terms and conditions
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

2
Quality of the contractor’s management relationship with Government (or customer) counterparts
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

3
Ability of the contractor to consistently meet performance timeline requirements
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

4
Accuracy and timeliness in providing contract deliverables
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

5
Ability of the contractor to track and control costs within management’s discretionary responsibility
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

6
Ability of the contractor to provide timely, reliable, supportable proposals with accurate cost estimates for both awards and modifications
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

7
Ability of the contractor to respond to short notice requirements
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

8
Ability of the contractor to maintain and adhere to a Quality Control Plan (QCP)
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

9
Ability of the contractor to recruit, hire, and retain sufficient personnel to ensure contract performance
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

10
Ability of the contractor to maintain and adhere to a Organizational Conflict of Interest (OCI) Plan
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

11
Ability of the contractor to obtain appropriate company and personnel security clearances
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

12
Resolution of contract discrepancies
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

13
Ability of the contractor to safeguard classified materials in compliance with Government regulations
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

14
Responsiveness to contract changes
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

15
Accuracy of invoices
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

16
What is your overall rating of the contractor’s performance?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Please discuss all ratings except “Satisfactory” or “Neutral.” Provide a reference to the performance area number being discussed.

Government Contracts Only

1. Was the contractor ever issued a cure or show cause notice? FORMCHECKBOX Yes

FORMCHECKBOX

No If yes, please explain.

2. Was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes

Default

No

Convenience

Pending Termination

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION IV: NARRATIVE SUMMARY

1. What were the contractor’s most positive aspects in the performance of the contract?

2. What were the contractor’s most negative aspects in the performance of the contract?

3. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

4. Please provide any additional comments concerning this contractor’s performance, as desired.

SECTION V: OTHER INFORMATION

Do you know of any other contracts performed by this contractor? FORMCHECKBOX Yes

FORMCHECKBOX

No

If yes, please provide the following contract information, if known:

Contract Number
Type of Contract
Award Date
Status
FORMCHECKBOX

Active FORMCHECKBOX Complete

Contract Amount
Period of Performance
Start
End
Product/Service Description
Type and Extent of Subcontracting

Evaluator’s Signature

Date

Thank you for your prompt response and assistance!

Please return the completed questionnaire by 1600 Central European Time, 6 May 2013

File details come from the government source that posted it. Updated .