Atch 4 Past Performance Questionaire.rtf

RTF text file 4 MB Posted Apr 10, 2009

Attached to: Language And Area Studies
Solicitation number: FA7014-09-R0035
Issued by: Department of the Air Force Headquarters District Washington

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Atch 4 Past Performance Questionaire

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Attachment FA7014-09-R-0035 SOURCE SELECTION SENSITIVE INFORMATION – SEE FAR 3.104 file_0.png file_1.wmf

Air Force District Washington Acquisition Division file_2.png file_3.wmf

Apr 2009

MEMORANDUM FOR PAST PERFORMANCE INFORMATION REFERENCE

FROM: AFDW/A7KS

2822 Doherty Dr SW, Suite 310

Bldg 94, PSC 341

Anacostia Annex DC 20373

SUBJECT: Request for Past Performance Evaluation

1. 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 a contract with AFDW Acquisition Division (A7KS), Anacostia Naval Annex DC.

2. Please provide past performance information regarding subject contractor by completing the attached questionnaire and returning it either via E-mail to lisa.martin2" lisa.martin2@bolling.af.mil and timothy.karriker@afncr.af.mil or facsimile to (202) 767-7814 (please call to confirm reciept) by 14 April 2009.

3. If you have any questions concerning this request, you may contact Lisa Martin at (202) 767-7946.

//signed// Timothy W. Karriker, Capt USAF Contracting Officer

Atch:

Past Performance Information Questionnaire

PAST PERFORMANCE INFORMATION

Attachment FA7014-09-R-0035

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection. Request a representative of the contracting organization and a technical representative, the Program Manager (PM) -and the Contracting Officer’s Representative (COR), complete this questionnaire and e-mail or send by facsimile (FAX) to:

AFDW/A7KS

Attn: Capt Timothy Karriker or Lisa S. Martin 2822 Doherty Dr SW, Suite 310 Bldg 94, PSC 341 Anacostia Annex DC 20373

FAX (202) 767-7814

Email: timothy.karriker@afncr.af.mil and lisa.martin2@bolling.af.mil" lisa.martin2@bolling.af.mil

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

BLOCKS 1 THROUGH 7 TO BE COMPLETED BY THE OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT AWARD DATE:

4. PERIOD OF PERFORMANCE/COMPLETION DATE:

5. CONTRACT VALUE (WITH OPTIONS):

6. TYPE OF CONTRACT:

7. TITLE OF CONTRACT AND DESCRIPTION OF CONTRACT REQUIREMENTS:

BLOCKS 8 THROUGH 10 TO BE COMPLETED BY EVALUATION ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR’S NAME, POSITION (PCO/PM/COR/OTHER) AND ORGANIZATION:

b. EVALUATOR’S PHONE NUMBER: ________________________________________________________________

c. MONTHS CONTRACTOR PERFORMANCE MONITORED BY EVALUATOR: ____________________________

d. RATINGS Please circle the response code which best reflects your evaluation of the contractor’s performance.

EX = EXCELLENT - Performance meets contractual requirements and exceeds many to the government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG = VERY GOOD - Performance meets contractual requirements and exceeds some to the government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SA = SATISFACTORY - Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MA = MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

US = UNSATISFACTORY - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

N/R = NOT RATED - Contract does not/did not require performance of this element.

A. Technical Ability A-1. Ability to manage multiple contractors

N/R A-2. Ability to provide sound project management

N/R A-3. Ability to minimize risk and resolve issues

N/R A-4. Ability to function as a true integrator of process, function, and systems

N/R A-5. Ability to implement and maintain change management

N/R A-6. Ability to meet schedules and handle project changes

N/R B. Management Plan B-1. Effectively manage resources and personnel.

N/R B-2. Overall, risk management for the program.

N/R B-3. Best value (balance of performance vs. cost).

N/R B-4. Timeliness in meeting task schedules and performance including workload surges.

N/R B-5. Quality assurance of products and services delivered.

N/R B-6. Solving problems and resolution processes.

N/R B-7. Employing of partnering and teaming strategies with government representatives and other contractors.

N/R B-8. Ability to adapt to changing requirements to meet customer needs.

N/R B-9. Demonstrated commitment to success of customer mission.

N/R C. Personnel Plan C-1. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

N/R C-2. Peronnel provided in a timely manner.

N/R C-3. Appropriate mix of labor/management categories.

N/R C-4. Commitment of personnel to success of customer mission.

N/R D. Technical Approach D-1. Clear and comprehensive technical approach to meeting the customer’s needs.

N/R D-2. Ability to adapt approach to changing requirements.

N/R D-3. Demonstrated control of data management processes.

N/R E. Price, Administration and Certifications E-1. Overall cost control (avoidance of overruns/underruns).

N/R E-2. Paid subcontractors/suppliers in a timely manner.

N/R E-3. Ability to work with program, contracting, and budget offices.

N/R F. Security F-1. Understanding of physical security compliance.

N/R F-2. Compliance with communication and information security.

N/R G. Contractual Obligations G-1. Has an option not been exercised due to the contractor’s poor performance?

*YES

G-2. Has a cure notice or show cause notice ever been issued?

*YES

G-3. Would you hire this contractor again?

YES

*NO

9. Overall Assessment:

N/R

10. Any unsatisfactory performance noted above has been shared with the contractor: ( ) Yes [ written ( ) or oral ( )? ] ( ) No Please Comment:

PLEASE PROVIDE COMMENTS TO IDENTIFY:

	a. Specific Strengths/Weaknesses Related to Part 8 Above - Please Cite the Alphanumeric Code.
	b. Two or Three Best Corporate “Traits” or Skills Observed.
Any Areas of Improvement that are most “Troublesome.”

Any Area with an Asterick (*)

Please add a continuation page for comments (Include Contractor Name, Contractor Number and RFP Number)

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