Attachment_3_Past_Performance_Questionnaire.docx

Line Operations Safety Audit (LOSA)

FA7014-19-R-LOSA

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Contractor Cage Code:

C. Contract number:

D. Contract type:

E. Was this a competitive contract? Yes ____ No _____

F. Period of performance:

G. Total Number of Full Time Equivalents (FTEs):

H. Initial contract cost:

I. Current/final contract cost:

J. Reasons for differences between initial contract cost and final contract costs:

K. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

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

D. SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Length of time (number of years/months) evaluator worked on subject contract:

SECTION 4: EVALUATION

Please 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:

Quality Performance Ratings

T1 How effective was the contractor meeting the technical requirements of your contract? (Please elaborate)

T2 How was the quality/integrity of technical data/report preparation efforts?

P1. How effectively was the contractor able to execute overall contract management activities (including ability to effectively lead, manage, control and deliver on-time)?

P2. To what degree was the contractor reasonable and cooperative when dealing with program staff (including the ability to successfully resolve disagreements/disputes)? (Please elaborate)

P3. To what degree was the contractor able to timely and effectively resolve contract problems without extensive customer guidance?

P4. How effectively did the contractor understand/comply with customer objectives and technical requirements?

P5. To what degree was the contractor able to successfully respond to emergency and/or surge situations?

P6. How effectively did the contractor manage quality/effectiveness of sub-contracted efforts, if applicable? (Please elaborate)

E1. How effectively was the contractor able to hire/apply a qualified workforce to this effort?

E2. How effectively was the contractor able to retain a qualified workforce on this effort?

E3. How effective was employee compensation towards quality of work?

(Please elaborate)

TP1. How smoothly did the contractor transition resources and personnel? (Please elaborate)

TP2. How effective was the contractor in maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts? (Please elaborate)

2. Please discuss each and every response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___ If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

SECTION 5: NARRATIVE SUMMARY

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.

Name of Evaluator:

Office or Organization:

Phone Number:

E-Mail Evaluator’s Signature Date:

Please return this completed questionnaire to:

The Contracting Officer (CO), SSgt Max Wazny @ max.t.wazny.mil@mail.mil, and the Contractor Support (CS), Susan Jones @ Susan.k.jones48.ctr@mail.mil.

Thank you for your prompt response and assistance!