Draft_Section_L_PSSC_Attachment_3_Questionnaire_20140221.doc

SECTION L ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

Offeror: Complete Section 1, then e-mail questionnaire to the customer points of contact listed on the Past Performance Information Sheet.

Offeror’s Evaluator: Complete Sections 2-5 and e-mail to: Jed.Noorda@us.af.mil.

DO NOT PROVIDE A COPY BACK TO THE OFFEROR.

When filled in, this document is source selection sensitive information IAW FAR 2.101 and 3.104.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

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: (enter below) J. Description of service provided (enter below):

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 (enter below)

Local_____ Nationwide_____ Worldwide_____

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

1. 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 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.

P PURPLE/VERY GOOD - The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were 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 was 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.

S1. Questions will be developed at a later date

S2. Questions will be developed at a later date

O1. Questions will be developed at a later date

O2. Questions will be developed at a later date

T1. Ability to effectively transition responsibilities and roles

T2. Ability to maintain transition schedule

T3. Ability to effectively transition tasks on a non-interference basis

T4. Ability to effectively manage transfer of GFP

T5. Ability to effectively transfer Data

T6. Ability to effectively identify and manage risks associated with transition of Weapon System

M1. Effectiveness of overall contract management (including ability to effectively lead, manage, and control the program)

M2. Ability to understand/comply with customer objectives and technical requirements

M3. Contractor was cooperative/successful dealing with other contractors (through an ACA) that weren’t subcontractors

M4. Ability to meet contract schedule

M5. Effectiveness of material management (including Government Furnished Property or Material)

M6. Ability to effectively transition responsibilities and functions

M7. Overall effectiveness in performing Business and Financial Management

M8. Overall effectiveness in performing Program Schedule Management

M9. Overall effectiveness in performing Acquisition Program Documentation Preparation

M10. Ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan

M11. Ability to effectively manage small business participation to meet technical performance

C1. Accuracy in forecasting contract costs

C2. Ability to meet forecasted costs and perform within contract costs

C3. Ability to alert Government of unforeseen costs before they occur

C4. Sufficiency and timeliness of cost reporting

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: Was this contract partially or completely terminated for default or convenience or are there any pending terminations?

No ___ Yes___ Default___ Convenience___ Pending Terminations___

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

SECTION 5: OVERALL PERFORMANCE SUMMARY

1. Describe the contractor’s greatest strong points in the performance of the contract.

2. Describe the contractor’s greatest shortcomings in the performance of the contract.

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

Yes ____ No ____ (If yes, provide details/comments)

Evaluator’s Signature

Date

Thank you for your prompt response and assistance!

Questions or Comments can be directed to Mr. Jed Noorda jed.noorda@us.af.mil at (801) 777-8878.

Please e-mail this completed questionnaire to jed.noorda@us.af.mil.