Attachment B - Past Performance Questionairre.docx

DOCX document 31 KB Posted Jul 12, 2012

Attached to: Hill AFB A&E IDIQ's Award Notice Federal contract opportunity
Solicitation number: FA8201-12-R-0026
Issued by: Department of the Air Force Materiel Command Ogden Air Logistics Complex

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Attachment B - Past Performance Questionnaire - TO be completed for each of the 5 projects submitted with past performance.

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Other files for this federal contract opportunity

Other files attached to Hill AFB A&E IDIQ's Award Notice, newest first.
File	Type	Posted
COmmon Q A.docx	DOCX document	Aug 6, 2012
A-E SOW IDIQ Contract_Final 25April2012 - Rev.docx	DOCX document	Jul 12, 2012
SF330_Example_A_E_Qual.pdf	PDF	Jul 12, 2012
Attachment A - Submission Requirements.docx	DOCX document	Jul 12, 2012
Attachment C - Contractor Information.xlsx	XLSX spreadsheet	Jul 12, 2012

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Hill AFB Attachment B

FA8201-12-R-0016

PART 1: PAST PERFORMANCE REFERENCE WORKSHEET SUBMITTAL

Contractor Information (To be completed by offeror and submitted with proposal) Provide a separate form for each reference, maximum of ten (10).

A. Offeror Name: ____________________

B. Program/Project Title/Description: ____________________

C. Contract Specifics:

1. Name of Contracting Agency or Client/Customer___________________________________________

2. Contract Number __________________________

3. Contract Type __________________________

4. Period of Performance __________________________

5. Original Contract $ Value _________________

6. Current Contract $ Value __________________

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason

D. Brief Description of Effort as __Prime or __Subcontractor (Highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original date: ____________________

2. Current Schedule: ____________________

3. Estimate at Completion ____________________

4. How Many Times Changed: ____________________

5. Primary Causes of Change: ____________________

F. Customer/client Points of Contact: (Contact information must be current. Evaluators will not attempt to locate or contact reference(s) with incorrect contact information.)

Project Manager:	Name ____________________
		Office ____________________
		Address ________________________________________
		Telephone ____________________

Contracting Officer: Name ____________________

	Office ____________________
	Address ________________________________________
	Telephone ____________________
Administrative:	Name ____________________
	Office ____________________
	Address ________________________________________
	Telephone ____________________

PART 2: PAST PERFORMANCE REFERENCE WORKSHEET SUBMITTAL

Respondent Information

(To be sent to contractor provided references identified under Part 1. Once completed, respondent e-mails or faxes pages 2 - 4 to Contracting Office)

Performance Information: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

Assigned Ratings

Outstanding

Excellent

Satisfactory

Marginal

Unsatisfactory

Evaluation Areas: Please circle a number or indicate “not applicable” (N/A).

1. CUSTOMER SATISFACTION:

A
Customer would have no reservations in awarding another contract to the Contractor.
1
2
3
4
5
N/A

2. QUALITY:

A
Contractor provided effective quality control and/or inspection procedures to meet contract requirements
1
2
3
4
5
N/A

B
Contractor provided well researched and clearly identified submittal that matched contract requirements
1
2
3
4
5
N/A

C
Contractor completed all work with good workmanship and in conformance with the specifications
1
2
3
4
5
N/A

D
Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan
1
2
3
4
5
N/A

3. TIMELINESS:

A
Contractor met established project schedules to complete the project on time
1
2
3
4
5
N/A

B
Contractor provided timely cost proposals
1
2
3
4
5
N/A

C
Contractor submitted the progress schedule and progress reports as required
1
2
3
4
5
N/A

D
Contractor provided on time submittals as required
1
2
3
4
5
N/A

E
Contractor provided payrolls for both their employees and their subcontractors employees as required
1
2
3
4
5
N/A

F
Contractor provided timely resolution of all punch list items
1
2
3
4
5
N/A

4. RESPONSIVENESS

A
Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and safety regulations
1
2
3
4
5
N/A

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
1
2
3
4
5
N/A

C
Contractor identified problems as they occurred; suggested approaches to the problems; displayed initiative to solve problems and performed as a Team Member
1
2
3
4
5
N/A

D
Contractor responded to warranty issues within the time frames specified in the contract
1
2
3
4
5
N/A

5. SUBCONTRACTS AND MANAGEMENT:

A
Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements
1
2
3
4
5
N/A

B
Contractor hired quality subcontractors and effectively managed and coordinated their work
1
2
3
4
5
N/A

C
Contractor hire, maintained and replaced as necessary, qualified personnel and subcontractors/suppliers
1
2
3
4
5
N/A

D
Contractor ensured the project manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule
1
2
3
4
5
N/A

E
Contractor ensured site superintendent and quality control representative were consistently present on site when work was performed
1
2
3
4
5
N/A

F
Contractor paid employees/subcontractors/suppliers as required
1
2
3
4
5
N/A

6. CHANGE/COST CONTROL

A
Contractor responsive to contract changes and provided accurate, reasonable and supportable cost proposals
1
2
3
4
5
N/A

B
Contractor demonstrated the ability to control costs and/or modifications within the magnitude specified
1
2
3
4
5
N/A

C
Contractor validated subcontractor cost proposals prior to submission to the Government
1
2
3
4
5
N/A

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___________________________________________________

Evaluated By: _________________________________ ______________________________ (Signature) (Date)

(Typed or Printed Name) (Address)

(Title) (Address Continued)

(Phone Number) (No. of years evaluator worked on contract)

(Project Title, Contract #, and Description)

Thank you for your prompt response and assistance.

Please return this completed questionnaire (pages

– 4) to:

Mailing Address

OO-ALC/PKOB

Attn : SSgt Ashton Jones 6038 Aspen Ave. Bldg 1289 NE Hill AFB, UT 84056 Or FAX to:

N/A Or E-mail (preferred) ashton.jones@hill.af.mil

June 15, 2012 Page 2 of 4

File details come from the government source that posted it. Updated Nov 14, 2017.