Attachment_3_-_Past_and_Present_Performance_Questionnaire.pdf

When Filled ln This Document Is For Official Use Only IAW FAR 2.101 and FAR 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: ____________________ Telephone Number: ___________________

Address: _____________________________ Point of Contact: ______________________

Project Title and Brief Description of Work*: ____________________________________________

Contract Number Provided by Offeror: _____________

Contract Period or Dates of Performance Provided by Offeror*: _______________________

Contractor Performed as*: � Prime Contractor � Sub-Contractor � Key Personnel

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation

B. RESPONDENT INFORMATION:

Name of Respondent: _______________________ Title: _________________________

Address: ____________________ Telephone Number: _______________________

__________________________ Fax Number: _____________________________ __________________________ Email Address: ___________________________

C. EMAIL COMPLETED SURVEY FORM TO: justice.smith@us.af.mil and thomas.collins.16.de@us.af.mil.

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (S, U, and N) that most accurately describes the contractor's performance or situation. PLEASE PROVIDE A

NARRATIVE EXPLANATION FOR ANY “U” RATINGS.

S U N Satisfactory Unsatisfactory Neutral

Performance meets/met contractual requirements. The contractual performance of the clement or sub· element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet/did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual I performance of the element or sub-element contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

mailto:randall.johnson.14@us.af.mil mailto:emely.reamsnyder@us.af.mil

CONTRACTOR'S NAME: _________________ CONTRACT NUMBER: __________________

Place an "X" in the appropriate column using the definitions matrix above. Provide comments in the remark section for any rating other than satisfactory (S).

The contractor: S U N

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

Remarks:

2. Demonstrated ability to hire, maintain, and replace, if necessary. qualified personnel during the contract period.

Remarks:

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

Remarks:

4. Home office participated in solving significant local problems.

Remarks:

5. Provided effective quality control and/or inspection procedures to meet contract requirements.

Remarks:

6. Followed approved quality control plan.

Remarks:

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

Remarks:

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

Remarks:

10. Suggested alternative approaches to problems.

Remarks:

11. Displayed initiative to solve problems.

Remarks:

12. Developed realistic progress schedules.

Remarks:

13. Met established project schedules.

Remarks:

14. Was responsive to contract changes.

Remarks:

15. Provided adequate project supervision.

Remarks:

16. Paid subcontractors/suppliers in a timely manner.

17. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

Remarks:

18. Cooperated with Government personnel after award.

Remarks:

19. Demonstrated ability to process and move military mail in support of the U.S.

Government.

20. Was knowledgeable and responsive to the complexities of performing work at any international airport.

21. Displayed knowledge of and compliance with European Union regulations on aviation security (Regulation (EC) No 300/2008 of the European Parliament).

22. How would you rate the contractor's overall performance on this contract?

23. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks”.

YES/NO

24. Would you award another contract to this contractor? If not, explain in “remarks”.

YES/NO

Remarks: ____________________________________________________________________