Attachment_5-3_-_PP_-_Assessment_Questionnaire.pdf

ATTACHMENT 5-3

CONTRACTOR PAST PERFORMANCE ASSESSMENT QUESTIONNAIRE

FA8052-18-RFP01, Document Management System Requirement

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.

Email the completed questionnaire with Subject line: PPQ Response FA8052-18-R-0021, to the contract specialist, Mr. Juan Huerta, via email juan.huerta.2@us.af.mil and to the Contract Officer, Christal Jackson via christal.jackson.6@us.af.mil. Due by 9 August 2018 and cannot be considered if received after 9 August 2018. Thank you for your assistance. No more than 5 pages when completed.

INSTRUCTIONS: OFFEROR COMPLETES GREEN HIGHLIGHTED AREAS LISTED AS “COMPLETED BY

OFFEROR”; CUSTOMER OR AGENCY COMPLETES ALL NON-HIGHLIGHTED AREAS

PART I

(TO BE COMPLETED BY THE OFFEROR)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

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 Address: E-mail Address:

mailto:juan.huerta.2@us.af.mil mailto:christal.jackson.6@us.af.mil

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:

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:

Satisfactory Neutral

A. How well did contractor find and screen potential candidates and submit sufficient qualifying documentation to the Government within allotted timeframe?

B. How well did contractor maintain fill rate for positions?

Enter Fill Rate percentage here: ________

Satisfactory Neutral

Satisfactory Neutral

Satisfactory Neutral

C. How well did contractor manage the replacement of contractor employees such that vacancies did not exceed maximum number of days allowed?

D. How well did contractor manage the substitution of employees to ensure the substitute met the minimum qualifications and vacancies?

E. Overall Satisfaction.

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:

Organization:

Name:

Title: Date:

Telephone Number: Address:

Fax Number:

E-mail Address:

PART III. RETURN INFORMATION

Return the completed questionnaire with Subject: PPQ Response FA8052-18-R-0021, Document Management System Requirement, via email to Mr. Juan Huerta, via email juan.huerta.2@us.af.mil and Ms. Christal Jackson at christal.jackson.6@us.af.mil.

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

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

H. Respondent Identification. Please provide the following information.

mailto:juan.huerta.2@us.af.mil mailto:christal.jackson.6@us.af.mil