FA5685-18-R-0003_-_Attach_10_-_Past_Performance_Questionnaire.pdf

FA5685-18-R-0003 – Attachment 10 - Past Performance Questionnaire

1. Offeror’s Information: (Offeror completes 1 – 6)

a. Company Name:__________________________________________________________

b. Telephone Number:_______________________________________________________

c. E-Mail:__________________________________________________________________

d. Address:_________________________________________________________________

e. Point of Contact:__________________________________________________________

2. Project title and Brief Description of Work:____________________________________________

3. Contract/Project Number:_________________________________________________________

4. Period of Performance:___________________________________________________________

5. Dollar Value of Entire Contract/Project:______________________________________________

6. Contractor Performed as: Prime Contractor Sub Contractor Other:________________

7. Respondent Information: (Respondent verify items 1 – 6, and complete remaining form)

a. Name:__________________________________________________________________

b. Telephone Number:_______________________________________________________

c. E-Mail:__________________________________________________________________

d. Address:_________________________________________________________________

8. Performance Information: Choose the appropriate letter on the scale (E, G, S, M, U, and N) (see page 3 for definitions) that most accurately describes the contractor’s performance or situation.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

9. Place an “X” in the appropriate column using the definitions in the matrix on page three.

The contractor Identified In Paragraph 1: E G S M U N

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

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

3. Home office participated in solving significant local problems.

4. Followed approved management plan.

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

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

7. Provided timely resolution of contract discrepancies.

8. Identified problems as they occurred.

9. Suggested alternative approaches to problems.

10. Displayed initiative to solve problems.

11. Developed realistic progress schedules.

12. Met established project schedules.

13. Was responsive to contract changes.

14. Provided adequate project supervision.

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

16. Cooperated with Government personnel after award.

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

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

YES / NO

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

YES / NO

10. Remarks:_______________________________________________________________________

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets/met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

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

does not meet/did 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 or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance does not meet/did 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.

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