Attachment_1.2_Past_Performance_Questionnaire.docx

ITO ATTACHMENT 1.2

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

(If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)

E. Was this a competitive contract? Yes No

F. Period of performance:

G. Initial contract cost: $

H. Current/final contract cost: $

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3. EVALUATOR IDENTIFICATION

FA810119RA010 52.212-1 ADDENDUM

INSTRUCTIONS TO OFFERORS (ITO)

C. Evaluator's phone/fax number:

D. Evaluator’s email:

E. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

B BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds some or many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

G GREEN/SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Y YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

R RED/UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score.

Subfactor 1 RESOURCE MANAGEMENT

1. Did the contractor adequately provide a qualified, experienced program manager who is knowledgeable and able to meet program milestones, requirements, resolve problems, communicate with customer and report program status.

2. Did the contractor hired and retained field workers with appropriate technical skills and training commensurate with those required for successful project completion.

3. Did the contractor adequately manage and smoothly transition resources and personnel during contract transistion.

4. Did the contractor identified risks/problems as they occurred and offered constructive and/or viable solution/alternatives.

5. Did the contractor’s on-site supervisor displayed initiative to resolve problems on-site.

6. Did the Contractor provided the required Reports/Documentation as required in the contract.

Subfactor 2 QUALITY CONTROL

7. Did the contractor provided and followed effective quality control plan and/or inspection procedures to meet contract requirements.

8. Did the contractor deliver a quality service that was apparent in day-to-day operations.

9. Did the contractor corrected deficiencies in a timely manner and pursuant to their quality control procedures.

10. Did the contractor maintained a quality workforce and subcontractors through project completion.

11. Did the contractor responded to problems and took appropriate action to correct performance issues and satisfied customer concerns in a timely manner.

Factor 3 Price Performance

12. Were funds status reporting accurate and timely? If not, please explain.

13. Did the contractor promote savings for the customer and ensure best value commercial pricing in proposals? Please explain.

14. Did the contractor adhere to contract price/cost of the orginial contract? If not, please explain.

15. Were invoices submitted in a timely manner with no errors?

16. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in "Remarks."

17. Would you award another contract to this contractor? If not, explain in "Remarks."

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes No

Default/Cause

Convenience

Pending Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspect in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

: DEPARTMENT OF THE AIR FORCE

AFSC/PZIOA ATTN: SHERRI CROAK Tinker AFB OK 73145-3020 Telephone: 405-739-3439 sherri.croak@us.af.mil