Attachment 2 - Past Perfromance Survey.docx

FA7037-11-R-0006 Attachment 2

PAST PERFORMANCE QUESTIONNAIRE

Completed questionnaires must be completed and returned no later than 03:00 PM CST 25 July 2011 to the AF ISR Agency/A7KB, ATTENTION: Doug Pohlman or Bryan F. Sparks:

douglas.pohlman.1@us.af.mil , bryan.sparks@us.af.mil Phone: (210)671-1461 Fax: (210)671-5470

INSTRUCTIONS FOR COMPLETING PAST PERFORMANCE QUESTIONNAIRE

A. Please complete the attached questionnaire using the following guidance. Handwritten responses are sufficient.

B. Questions 1 through 13 should be completed by the Offeror.

C. Indicate, based on the adjectives (use letter designation below), the company’s performance on the identified program. Assessments should reflect only the contractor-liable performance and will be used in the potential award of a defense contract. If you do not have the appropriate knowledge of or experience with the company, please forward this questionnaire to the appropriate person. The following is a definition of the rating levels:

D. Please mark the box under the letter corresponding to your rating, or mark “N” if you are unable to provide a rating for an area.

E. Please provide narrative explanations for your answers. Space for your narrative remarks is provided after each area. If more space is required, attach additional sheets.

F. In addition to completing the attached questionnaire for the identified program, please provide your comments on other similar programs for which your activity has contracts with this company.

G. Fax or email completed survey form to: Doug Pohlman or Bryan F. Sparks:

douglas.pohlman.1@us.af.mil , bryan.sparks@us.af.mil or Fax: (210)671-5470

PAST PERFORMANCE EVALUATION

I. BUSINESS AND PROGRAM IDENTIFICATION

1. CONTRACTOR’S NAME:

2. CONTRACTOR’S ADDRESS:

3. Program/Project title (for similar projects that have been completed within the last ten years):

4. POINT OF CONTACT:

5. TELEPHONE:

6. FAX:

7. PROJECT TITLE OR BRIEF DESCRIPTION OF WORK:

8. CONTRACT NUMBER PROVIDED BY OFFEROR:

9. DOLLAR AMOUNT:

10. CONTRACT PERIOD OF PERFORMANCE OR DATES PROVIDED BY THE OFFEROR:

11. NAME OF RESPONDENT:________________________

12. TITLE: _____________________________

13. ADDRESS: ____________________________________________

14. TELEPHONE #:________________________________________

15. EMAIL ADDRESS:_____________________________________

16. ORGANIZATION:______________________________________

II. PAST PERFORMANCE

Rating Scale: E=Exceptional G= Good S=Satisfactory M=Marginal U=Unsatisfactory N=Neutral

Please provide additional comments if response is “E” or “M”.

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

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

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

4. Home office participated in solving significant local problems.

5. Followed approved quality control plan.

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

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

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to customers’ needs.

16. Was responsive to contract changes.

17. Provided adequate project supervision.

18. Treated customers in a courteous manner.

19. Paid subcontractors/suppliers in a timely manner.

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

21. Cooperated with Government personnel after award.

22. Achieved established monetary goals.

23. Supported the accomplishment of the organization mission statement

24. How would you rate the contractor’s overall performance.

Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. If you know of anyone else who might have relevant information concerning the contractor’s past performance, please complete the following:

Name: ______________________________________________ Organization/Company:_________________________________ Telephone Number:________________ FaxNumber:______________________ E-mail Address:___________________

THANK YOU FOR YOUR ASSISTANCE