Atch 2 Past Performance Survey.doc
DOC document 57 KB Posted
- Attached to
- USAFA Cadet Socks Federal contract opportunity
- Solicitation number
- FA7000-09-R-0012
About this file
Attachment 2 Past Performance
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| socks solicitation_amendment.doc | DOC document | |
| Atch 1 Bar Codes 2 09-R-0012.pdf | ||
| Atch 3 Berry Amendment Certificate.doc | DOC document | |
| FA7000-09-R-0012 Socks_solicit.doc | DOC document |
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FA7000-09-R-0012
Attachment 2
PAST PERFORMANCE SURVEY
This attachment will not be incorporated into the resultant contract.
THIS DOCUMENT, WHEN COMPLETED IS ONLY FOR VIEW BY THE GOVERNMENT.
This survey is for the United States Air Force Academy Contracting Office.
I. CONTRACT INFORMATION:
Complete the following information on the contractor that provided or is currently providing services for your company.
Contractor’s Name: ___________________________________________________________________
Address: _____________________________________________________________________________
Telephone Number: ____________________________________________________________________
Point of Contact: ______________________________________________________________________
Project Title or Brief Description of Work: _________________________________________________*
Contract Number: ___________________________________________________________________*
Contract Value Per Year: _________________________________________________________________
Contract Period or Dates of Performance: ___________________________________________________*
*Note: If offeror holds or has held more than one contract with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.
II. SURVEY RESPONDENT INFORMATION:
Complete the following information on your company. You may be contacted for additional information pertaining to the past or present performance of the contractor identified in the section above. (The following information will assist in the analysis of the data. All information will be kept confidential.)
Name of Respondent: __________________________________________________________________________________
Company/Organization: ________________________________________________________________________________
Title: _______________________________________________________________________________________________
Address: ____________________________________________________________________________________________
Telephone Number: ___________________________________________________ Fax Number: _____________________
Relationship and time involved with Program/Contract:
Date you completed this questionnaire:
III. PERFORMANCE INFORMATION:
Choose the description of the contractor’s work that best reflects their performance using the descriptions provided below. Please provide a narrative explanation for any ratings of unsatisfactory, marginal, very good or exceptional and any other specific problems or annotations that would help us evaluate the contractor.
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| NO CONFIDENCE |
| LITTLE CONFIDENCE |
| SATISFACTORY CONFIDENCE |
| SIGNIFICANT CONFIDENCE |
| HIGH CONFIDENCE |
| UNKNOWN CONFIDENCE |
| Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort. |
| Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. |
| Based on the offeror’s performance record, the government has confidence the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems. |
| Based on the offeror’s performance record, the government has significant confidence the offeror will successfully perform the required effort. |
Based on the offeror’s performance record, the government has high confidence the offeror will successfully perform the required effort.
No performance record is identifiable.
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| What product did the contractor provide for your organization (i.e., items the same or similar to cadet socks)? |
Comments______________________________________________________________________
Dollar amount $_________________________________________________________________
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SCHEDULE
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| Did the contractor deliver in accordance with contract schedule? Was the contractor never late, sometimes late, always late, always early (please comment in the space provided). |
Comments:_____________________________________________________________________
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QUALITY
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| Rate the contractor’s overall performance in terms of quality of service and product. |
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| Rate the contractor’s ability to plan for and execute quality control. Did the finished items show any problems that could have been avoided with good quality control? Did the contractor meet all quality control requirements stated by the specifications? |
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| Rate the contractor’s work in relation to commonly accepted professional standards such as construction techniques related to good quality of seam finishes on the items previously produced. |
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| Access the contractor’s ability to provide adequate resources (manufacturing facilities, competent management staff, quality control personnel, subcontractors, etc.) to support the contract effort. |
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BUSINESS RELATIONS
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| Did the contractor keep you informed of any problems as they occurred and suggest solutions to the problem? |
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| Access the contractor’s history of reasonable and cooperative behavior (e.g., communications, positive customer service, compliance with the order/contract terms and conditions, etc.) |
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THE FOLLOWING QUESTIONS ARE "YES/NO" IN NATURE:
9. QUALITY/SCHEDULE/BUSINESS RELATIONS. Based on your judgment of the contractor’s performance, would you award another contract to this contractor for the same services again? Please explain.
( ) Yes
( ) No
Comments:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
10. ADDITIONAL COMMENTS:
Thank you for completing this questionnaire.
The completed survey is to ONLY be viewed by the Government. Do not submit a copy of the completed survey to anyone other than Kristen Hayden, Contract Specialist, or Diana South, Contracting Officer, at Fax (719) 333-9103.
or email the form to kristen.hayden@usafa.af.mil or diana.myles-south@usafa.af.mil.
****FOR GOVERNMENT USE ONLY, ONCE COMPLETED****
PLEASE ANSWER ALL QUESTIONS. PLEASE PROVIDE ADDITIONAL COMMENTS FOR EACH QUESTION
*** FOR GOVERNMENT USE ONLY ONCE COMPLETED ***
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** FOR GOVERNMENT USE ONLY ONCE COMPLETED **
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