FA5613-13-R-0007_Sect_J _Atch_6_-_Past_Performance_Questionnaire.doc
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- Attached to
- Advisory and Assistance Services III Federal contract opportunity
- Solicitation number
- FA5613-13-R-0007
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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 .