Attachment_7_-_A AS_PPQ__-_DRAFT.pdf

FA7000-16-R-0003

Attachment 7

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for Advisory and Assistance Services (A&AS) at the United States Air Force Academy.

The United States Air Force Academy A&AS support encompasses organizational policy development; decision-making; management and administration; program and project management and administration; and R&D activities. It also furnishes professional advice and assistance rendered to improve the effectiveness of Federal management processes or procedures

(including those of an engineering and technical nature).

Your prompt attention to this questionnaire will be greatly appreciated. If you prefer to discuss responses to this questionnaire by telephone, please feel free to contact me. If you have any questions concerning this request, I can be contacted at (719) 333-4143 or by email at alex.kephart@us.af.mil.

//SIGNED//

ALEX KEPHART

Contracting Officer

1 Atch

Past and Present Performance Questionnaire file:///D:/far/Far02.doc%23T2101 file:///D:/far/FAR03.DOC%23b3104 mailto:alex.kephart@us.af.mil

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: ____________________ Telephone Number: ____________________

Address: __________________________ Fax Number: _________________________

__________________________ Point of Contact: ______________________

Project Title and Brief Description of Work:

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

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

Contractor performed as the 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 forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________

_____________________________ Fax Number: _____________________

_____________________________ Email Address: _____________________

C. EMAIL OR MAIL COMPLETED SURVEY FORM TO:

Alex Kephart alex.kephart@us.af.mil

8110 Industrial Dr. Suite 200

USAF Academy, CO 80840

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

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

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.

Performance 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

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.

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

mailto:alex.kephart@us.af.mil were not fully implemented.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Place an “X” in the appropriate column using the definitions matrix above. A remarks section is provided at the bottom of this questionnaire for any additional comments.

The contractor: 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, retain, and replace, if necessary, qualified personnel during the contract period.

3. Provided highly qualified technical personnel capable of fulfilling the advisory and/or consulting needs of various customers

4. Effectively manages all aspects of contract to ensure performance requirements are met.

5. Home office participated in solving significant local problems.

6. Provided effective quality control and oversite to meet contract requirements.

7. Identified and corrected problems and/or contract discrepancies in a timely manner

8. Was responsive to contract changes.

9. Exhibited cooperative approach working with post award customer.

10. Rate contractor’s ability to perform contract requirements in a timely manner.

The contractor: E G S M U N

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

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

YES/NO

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

YES/NO

Remarks:______________________________________________________________________