ITO_ATTACHMENT_1.2_PAST_PERFORMANCE_QUESTIONNAIRE.doc
DOC document 70 KB Posted
- Attached to
- Protective Coating/Paint Federal contract opportunity
- Solicitation number
- FA8101-12-R-0009
About this file
Section L-ITO ATTACHMENT 1.2 PAST PERFORMANCE QUESTIONNAIRE
View the file
Other files for this federal contract opportunity
Show all 33
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE EVALUATION QUESTIONNAIRE
PROTECTIVE COATING IDIQ, TINKER AFB, OK
ITO ATTACHMENT 1.2
PAST PERFORMANCE QUESTIONNAIRE
When filled in this document is source selection sensitive information iaw FAR 3.104
Section 1: Contractor References (To be filled out by the contractor and submitted with Past Performance Proposal).
Contractor’s name and address: _____________________________________________
1st Reference Point of Contact:_______________________________________________ Phone number (w/area code) _________________________________________________
Email address: ____________________________________________________________
Contract Number:__________________________________________________________
Project Title or Description of Work Performed:__________________________________
Contract Type: □Firm Fixed Price □ Cost Reimbursement □ Time & Material
Project Award Date: _________________ Sched Completion Date: __________________
Actual Completion Date: ___________________
Project Award Amount:_______________ Final Project Amount: ____________________
Contractor being evaluated performed as the: □ Prime □ Subcontractor
2nd Reference Point of Contact:______________________________________________ Phone number (w/area code) _________________________________________________
Email address: ____________________________________________________________
Contract Number:__________________________________________________________
Project Title or Description of Work Performed:__________________________________
Contract Type: □Firm Fixed Price □ Cost Reimbursement □ Time & Material
Project Award Date: _________________ Sched Completion Date: __________________
Actual Completion Date: ___________________
Project Award Amount:_______________ Final Project Amount: ____________________
Contractor being evaluated performed as the: □ Prime □ Subcontractor
3rd Reference Point of Contact:_______________________________________________ Phone number (w/area code) __________________________________________________
Email address: _____________________________________________________________
Contract Number:___________________________________________________________
Project Title or Description of Work Performed:___________________________________
Contract Type: □Firm Fixed Price □ Cost Reimbursement □ Time & Material
Project Award Date: _________________ Sched Completion Date: __________________
Actual Completion Date: ___________________
Project Award Amount:_______________ Final Project Amount: ____________________
Contractor being evaluated performed as the: □ Prime □ Subcontractor
SECTION 2: Respondent Information (To be sent to contractor provided references identified under section 1 by the AFSC/PZIOC. Once completed, respondent sends relevant pages to Contracting Office.)
Evaluated By:
(Signature) (Date) (Typed or Printed Name) (Address) (Title) (Address Continued) (Phone Number) (No. of years evaluator worked on contract)
SECTION 3: Performance Ratings (Project Title, Contract #, and Description)
SATISFACTORY (S)
(GREEN)
Performance meets or exceeds contractual requirements. The contractual performance of the element being assessed may contain some minor problems for which corrective actions taken by the contractor appear, or were, satisfactory.
MARGINAL (M)
(YELLOW)
Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractors proposed actions appear only marginally effective or were not fully implemented.
UNSATISFACTORY (U)
(RED)
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear, or were, ineffective.
| UNKNOWN (UK) |
| Unknown Performance rating due to lack of sufficient information to assign a rating. |
Evaluation Areas: Please circle a letter.
1. CUSTOMER SATISFACTION:
| Customer would have no reservations in awarding another contract to the Contractor. |
| S |
| M |
| U |
| UK |
2. QUALITY:
| A |
| Contractor provided effective quality control and/or inspection procedures to meet contract requirements |
| S |
| M |
| U |
| UK |
| B |
| Contractor provided well researched and clearly identified submittal that matched contract requirements |
| S |
| M |
| U |
| UK |
| C |
| Contractor completed all work with good workmanship and in conformance with the specifications |
| S |
| M |
| U |
| UK |
| D |
| Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan |
| S |
| M |
| U |
| UK |
3. TIMELINESS:
| A |
| Contractor met established project schedules to complete the project on time |
| S |
| M |
| U |
| UK |
| B |
| Contractor provided timely cost proposals |
| S |
| M |
| U |
| UK |
| C |
| Contractor submitted the progress schedule and progress reports as required |
| S |
| M |
| U |
| UK |
| D |
| Contractor provided on time submittals as required |
| S |
| M |
| U |
| UK |
| E |
| Contractor provided payrolls for both their employees and their subcontractors employees as required |
| S |
| M |
| U |
| UK |
| F |
| Contractor provided timely resolution of all punch list items |
| S |
| M |
| U |
| UK |
4. RESPONSIVENESS
| A |
| Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and safety regulations |
| S |
| M |
| U |
| UK |
| B |
| Contractor was reasonable and cooperated to resolve problems, attended meeting as needed, and maintained communication with the government to keep the project on schedule or minimize the delay |
| S |
| M |
| U |
| UK |
| C |
| Contractor identified problems as they occurred; suggested approaches to the problems; displayed initiative to solve problems and performed as a Team Member |
| S |
| M |
| U |
| UK |
| D |
| Contractor responded to warranty issues within the time frames specified in the contract |
| S |
| M |
| U |
| UK |
5. SUBCONTRACTS AND MANAGEMENT:
| A |
| Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements |
| S |
| M |
| U |
| UK |
| B |
| Contractor hired quality subcontractors and effectively |
| S |
| M |
| U |
| UK |
6. CHANGE/COST CONTROL
| A |
| Contractor responsive to contract changes and provided accurate, reasonable and supportable cost proposals |
| S |
| M |
| U |
| UK |
| B |
| Contractor demonstrated the ability to control costs and/or modifications within the magnitude specified |
| S |
| M |
| U |
| UK |
| C |
| Contractor validated subcontractor cost proposals prior to submission to the Government |
| S |
| M |
| U |
| UK |
SECTION 4: Narrative Summary
1. What were the contractor’s greatest strengths in the performance of the contract?
2. What were the contractor’s greatest weaknesses in the performance of the contract?
3. Please provide any additional comments concerning the contractor’s performance that you feel would help us in our evaluation.
4. Government Contracts Only. Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?
______ Yes ________No
If Yes, please provide explanation__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. Government Contracts Only: Was the contractor ever issued a cure or show cause notice under the referenced contract?
______ Yes ________No
If Yes, please provide explanation__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for your prompt response and assistance.
Please return this completed questionnaire to:
Mailing Address:
Department of the Air Force: AFSC/PZIOC
Attn: Sharla Brandon
7858 5th ST STE 1
Tinker AFB OK 73145-3020
E-mail (preferred: sharla.flowers-brandon@tinker.af.mil
File details come from the government source that posted it. Updated .