Attachment_L-4_Past_Performance_Questionnaire.docx

DOCX document 29 KB Posted

Attached to
AFICA Air Force Contract Augmentation Program (AFCAP) IV Federal contract opportunity
Solicitation number
FA8051-14-R-0001
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

About this file

Attachment L-4 Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to AFICA Air Force Contract Augmentation Program (AFCAP) IV, newest first.
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Text version

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

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

OFFEROR’S NAME: _____________________

A. GENERAL INFORMATION:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________ Project Title and Brief Description of Work: ______________________________________ Dollar Amount: ________ Contract Period or Dates of Performance: __________________________ Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Address: _____________________Telephone Number: ___________________ _____________________________Fax Number:_____________________
_____________________________Email Address: _____________________

C. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (S), (U), or (N) that most accurately describes the contractor’s performance or situation.

TABLE 4 – PAST PERFORMANCE QUALITY ASSESSMENT

Quality Assessment/Color
Description
SATISFACTORY (S)/GREEN
During the contract period, contractor performance is substantially meeting (or substantially met) contract requirements. For any problems encountered, contractor took effective corrective action.
UNSATISFACTORY(U)/RED
During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.
NOT AVAILABLE(N)/WHITE
Quality and/or performance information is not available.

Place an “X” in the appropriate column using the definitions matrix above.

Contractor: ______________________ Contract Number: ______________________

S
U
N
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 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 contract changes.
16.
Provided adequate project supervision.
17.
Obtained consent of surety for increases in bonding as work-in-progress increased.
18.
Paid subcontractors/suppliers in a timely manner.
19.
Provided accurate and complete line item cost proposals including all aspects of work required for each task.
20.
Cooperated with Government personnel after award.
21.
Completed the effort within the established contract or task order price.
22.
How would you rate the contractor's overall performance on this contract?

Additional Remarks:

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