Atch_6_-_Past_Performance_Assessment_Questionnaire.docx

ATTACHMENT 6

CONTRACTOR PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE

RFP FA8052-16-R-0029

Please provide your candid responses. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does.

Return the completed questionnaire to 773 ESS/PKB, Subject: PPQ Response FA8052-15-R-0029, Attention Mr. Mark Ingle, via email mark.ingle.2@us.af.mil or fax to Commercial 210-395-9864, or DSN 969-9864. Thank you for your assistance.

PART I

(TO BE COMPLETED BY THE OFFEROR)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type: Firm Fixed Price Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Prime Offeror: POC Name:

POC Title: Date:

POC Telephone Number: POC FAX Number:

POC Address: E-mail Address:

PART II

EVALUATION (TO BE COMPLETED BY POINT OF CONTACT – RESPONDENT)

Choose the category on the below scaled that most describes the contractor’s performance. Please provide a narrative explanation for any rating of E, M, or U.

E. EXCEPTIONAL: Performance met all contract requirements and exceeded many. Problems, if any, were negligible, and were resolved in a timely, highly effective manner.

V. VERY GOOD: Performance met all contract requirements and exceeded some. There were a few minor problems, which the contractor resolved in a timely, effective manner.

S. SATISFACTORY: Performance met contract requirements. There were some minor problems and the contractor’s corrective actions were satisfactory.

N. NEUTRAL: No record of performance or the record is inconclusive.

M. MARGINAL: Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

U. UNSATISFACTORY: Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

PLEASE USE THE ABOVE RATINGS TO DESCRIBE THE CONTRACTOR’S PERFORMANCE IN THE FOLLOWING AREAS:

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship.

|_| Exceptional - Explanation must be provided in Comments field below |_| Very Good |_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below |_| Unsatisfactory - Explanation must be provided in Comments field below

Comments:

B. Effectiveness of Project Management (to include any use and control of subcontractors).

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below

C. If this was a performance based contract, how well did the contractor perform against the contract metrics?

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below |_| Unsatisfactory - Explanation must be provided in Comments field below

D. Rate the contractor’s ability to identify and mitigate risks.

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below |_| Unsatisfactory - Explanation must be provided in Comments field below

E. Rate the contractor’s ability to manage complex projects at multiple, geographical dispersed sites, if applicable.

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below |_| Unsatisfactory - Explanation must be provided in Comments field below

F. Timeliness of Performance for Services and Product Deliverables, including the Administrative Aspects of Performance.

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below

G. Describe how the work under this contract is related to the experience cited in number of end users and coverage requirements provided.

|_| Very Good |_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below

H. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest.

|_| Very Good |_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below

I. Overall Satisfaction.

|_| Satisfactory |_| Neutral |_| Marginal - Explanation must be provided in Comments field below

J. General Comments. Provide any other relevant performance information.

K. Other Information Sources. Please provide the following information.

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

Name & Phone Number:

L. Respondent Identification. Please provide the following information.

Organization:

Name:

Title: Date:

Telephone Number: Address:

Fax Number:

E-mail Address:

PART III. RETURN INFORMATION

Return the completed questionnaire to 773 ESS/PKB, Subject: PPQ Response FA8052-15-R-0029, Attention Mr. Mark Ingle, via email mark.ingle.2@us.af.mil or fax to Commercial 210-395-9864, or DSN 969-9864. Thank you for your assistance.