Attachment 6 Past Performance Questionnaire.pdf

Solicitation No. FA7012-10-R-0020

Attachment No. 6

ATTACHMENT #6: PAST PERFORMANCE QUESTIONNAIRE

FA7012-10-R-0020

ATTACHMENT #6: PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 2.101 AND 3.104

Offerror: Complete SECTION 1, then e-mail questionnaire to the customer points of contact listed on the Past Performance Reference List for the contract identified.

Offerror’s Evaluator: Complete SECTIONS 2-5 and e-mail to: nathan.wallace@afncr.af.mil

***(DO NOT PROVIDE COPY BACK TO THE OFFEROR)***

SECTION 1: CONTRACTOR IDENTIFICATION

A. Contractor

B. Prime Contractor Cage Code

C. Contract Number

D. Contract Type

E. Was this a competitive contract? Yes No

F. Period of Performance

G. Initial Contract Cost ($)

H. Current/Final Contract Cost ($)

I. Reasons for differences between initial contract cost and final contract costs (enter below):

J. Description of service provided (enter below):

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description (if applicable) mailto:nathan.wallace@afncr.af.mil

C. Geographic description of services under this contract, i.e., local, nationwide, worldwide, other Command

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's Name

B. Evaluator's Title

C. Evaluator's Phone/Fax Number

D. Number of years evaluator worked on subject contract

SECTION 4: EVALUATION

Please confirm that your evaluation is consistent with the description of service provided in paragraph

J, Section 1.

Indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL (BLUE) – The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD (PURPLE) – The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY (GREEN) – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL (YELLOW) – Performance does not meet some contractual requirements.

The contractual performance 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.

U UNSATISFACTORY (RED) – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE – Unable to provide a score.

The contractor: E V S M U N

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

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

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

Home office participated in solving significant local problems.

Followed approved quality control plan.

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

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

Provided timely resolution of contract discrepancies.

Identified problems as they occurred.

Suggested alternative approaches to problems.

Displayed initiative to solve problems.

Was responsive to contract changes.

Controlled total contract costs.

Completed contract in a timely manner, adhered to progress schedules.

Provided adequate project supervision.

Paid subcontractors/suppliers in a timely manner.

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

Cooperated with Government personnel after award.

How would you rate the contractor's overall performance?

Was the total contract value $750K or greater?

YES/NO

Was the contract awarded in the past 5 years from issue date of solicitation? YES/NO

Did the contract referenced pertain to HVAC and Infrastructure repair projects? YES/NO

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

YES/NO

Would you award another contract to this contractor? If not, explain in “remarks.” YES/NO

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s greatest strengths in the performance of the contract?

What were the contractor’s greatest weaknesses in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Thank you for your prompt response and assistance!

Please e-mail this form to: nathan.wallace@afncr.af.mil mailto:nathan.wallace@afncr.af.mil