52.212-1 Attachment 2 PAST PERFORMANCE QUESTIONNAIRE.docx

DOCX document 23 KB Posted

Attached to
30 Meter Elipticus Antenna Federal contract opportunity
Solicitation number
FA8126-21-R-0003
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

About this file

This document is a past performance questionnaire template to be completed for a federal solicitation to replace an existing 20 Meter Elipticus Antenna with a new 30 Meter Elipticus Antenna. The solicitation is a full and open competition fixed price contract issued by the Department of the Air Force Materiel Command Air Force Sustainment Center under number FA8126-21-R-0003. The questionnaire requests performance details on prior contracts, including contract details, customer information, evaluator contact information, ratings for conforming to requirements and standards, adherence to schedules, and commitment to customer satisfaction. It asks for positive and negative performance aspects, and whether the evaluator would have reservations soliciting the contractor in the future.

View the file

Other files for this federal contract opportunity

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 QUESTIONNAIRE

ATTACHMENT 2 (52.212-1 Addendum)

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify.

PART A – Contract Identification

Contractor

CAGE Code of Awardee

Contract Number

Contract Type
Choose an item.
Competitive Contract
Choose an item.
Period of Performance

*Initial Contract Cost

*Current/Final Contract Cost

Description of Service/Supply Provided

*Reason for Difference Between Initial and Final Contract Cost

PART B – Customer or Agency Identification

Customer or Agency Name

Customer or Agency Description

Geographic Description (i.e. local, nationwide, worldwide, other Commands):

PART C – Contract Performance Evaluator Identification

Evaluator’s Name

Evaluator’s Title

Evaluator’s Phone Number

Evaluator’s Fax Number

Evaluator’s Email

Number of Years Evaluator Worked on Subject Contract

PART D – Evaluation

Please indicate your overall satisfaction with the contractor’s performance in regards to; conforming to requirements and standards of good workmanship, adherence to contract schedules and the administrative aspects of performance, reasonable and cooperative behavior and commitment to customer satisfaction, integrity and business ethics, and generally, business-like concern for the interest of the customer. Select the corresponding rating below:

Select One

Rating
Definition
☐Exceptional
Performance meets contractual requirements and exceeds many 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.
☐Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
☐Satisfactory
Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
☐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. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
☐Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Terminations – Government Contract Only

Has this contract been terminated (partially or completely) for default?
Choose an item.
Has this contract been terminated (partially or completely) for cause?
Choose an item.
Are there any pending terminations?
Choose an item.
If yes to any of the above, please explain below

(e.g. inability to control cost, meet performance expectations, deliver on time, etc.)

PART E – 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.

____________________________________________
Performance Evaluator SignatureDate

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

(VENDOR ENTER CO EMAIL HERE)

File details come from the government source that posted it. Updated .