Atch3PPQ.doc

FA7000-07-R-0026

Attachment 3

FA7000-07-R-0026

Attachment 3

PAST PERFORMANCE QUESTIONNAIRE

Carpet Cleaning Services

1. Please complete the questionnaire based the following guidance:

a. You are urged to supplement your own knowledge of the offeror’s performance with the judgment of others in your activity.

b. Check Yes or No where applicable.

c. Using the rating codes below, circle the rating that best describes the contractor’s work on the project and provide a brief explanation of your ratings. If performance was Exceptional or Very Good give examples, likewise for ratings of Marginal or Unsatisfactory.

d. Responses will be treated as source selection sensitive information.

e. Fax or mail the completed questionnaire to:

10MSG/LGCA

ATTN: Ms. Kathleen Pinnock (Contracting Officer)

8110 Industrial Drive, Suite 200

USAF Academy, CO 80840-2315

DSN PH: 333-4974

COMM PH: (719) 333-4969

DSN FAX: 333-6608

COMM FAX: (719) 333-6608

2. Explanation of codes:

Exceptional/High Confidence: Performance met all contract requirements and exceeded many. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Very Good/Significant Confidence: Performance met all contract requirements and exceeded some. There were a few minor problems which the contractor resolved in a timely, effective manner.

Satisfactory/Satisfactory Confidence: Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

None/Unknown Confidence: No record of past performance or the record is inconclusive.

Marginal/Little Confidence: Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

Unsatisfactory/No Confidence: Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

A. Respondent Information

1. Name: __________________________________

2. Title: ___________________________________

3. Company: ________________________________

4. Mailing Address: ______________________________________________________________

Phone: ________________________ Fax: __________________________

5. With respect to the contract identified below, were you (check one):

( ) Program/project manager

( ) Contracting Officer

( ) Other, explain: ________________________

6. How long did you hold the position in Question 5? __________

B. Contractor/Contract Information

1. Contractor name/address:

2. Contract Number:

3. Program name/title/designation:

4. Period of Performance:

5. Contract dollar value:

6. Contract type:

C. General

1. Please provide a short description of the work accomplished under this contract.

2. Was subcontracting used (excluding vendors/suppliers)?

( ) Yes ( ) No ( ) Don’t know

a. How much of the effort ($, %) was subcontracted? ______________________________

b. What type of work did the subcontractor(s) perform?

3. Did any of the following actions occur on this contract? If yes, please explain below.

a. Major contract requirements terminated or rescheduled as a result of the contractor's inability to perform.

( ) Yes ( ) No

b. Cure notices or show cause notices issued ( ) Yes ( ) No

c. Options not exercised due to contractor performance ( ) Yes ( ) No Narrative explanation:

D. Capability and Performance of Requirements

1. Did the contractor employ and utilize personnel with appropriate skills and expertise to perform contract requirements?

Narrative explanation:

2. How would you rate the contractor’s overall success and performance in meeting contract requirements?

3. Rate the effectiveness of methods the contractor employed (i.e. hot water extraction, static proofing, spot/stain removal) against the overall appearance of the carpets after they were cleaned.

4. Rate the contractor’s equipment in terms of being serviceable and adequate to accomplish work in an efficient manner as required in a commercial service setting.

5. Were service schedules met and when necessary were accommodations made to realign schedules to meet customer needs?

6. Did the contractor demonstrate effective problem solving skills when resolving service issues relating to performance of contract requirements? Did the contractor demonstrate a proactive approach to problem resolution?

7. Did the contractor demonstrate the necessary capabilities and actions required to respond to short notice emergency requirements within time constraints required?

8. Indicate your overall impression of the quality of services provided over the period of performance.

Summary

1. What do you consider this contractor's strengths?

2. What do you consider this contractor's weaknesses?

3. Would you award this contractor another contract based on past performance?

( ) Yes ( ) No Please feel free to provide any other information that you believe would help us in assessing the past performance of this contractor.

Thank you for providing comments for this questionnaire.

When filled in this document is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 When filled in this document is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104