Section_L_Attachment_3_PSSC_Questionnaire.pdf

14 August 2014

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: James.Delia.1@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):

mailto:James.Delia.1@us.af.mil mailto:James.Delia.1@us.af.mil

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.

CODE PERFORMANCE LEVEL

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.

Technical Performance (Propulsion Subsystem Assessment) B P G Y R N

T1. Demonstrated the technical capabilities and expertise required to perform Propulsion Subsystem Assessment in the contract.

T2. Overall effectiveness to perform aging surveillance data analysis and assessment, and detecting aging trends.

T3. Overall effectiveness to perform aging surveillance tests and evaluation.

T4. Demonstrated the ability and their overall effectiveness to examine a complex system and assess, maintain, and improve the system.

T5. Demonstrated the ability and their overall effectiveness when conducting failure and anomaly analysis to determine what effect such failures or anomalies would have on a system.

Please provide brief explanations of any question in the above section that was answered as “Blue, Yellow, or Red”.

Technical Performance (Technical Skills and Services)

B P G Y R N

T6. Overall effectiveness in performing software technical services to identify, assess, and resolve deficiencies, and ability to maintain software.

T7. Overall effectiveness in performing technical services to detect and correct degraded parts, materials, and maintenance processes.

T8. Demonstrated the ability to perform engineering on systems, products, or materials required to resolve technical or supportability deficiencies.

T9. Demonstrated the ability and their overall effectiveness of maintaining systems configuration and engineering baselines.

T10. Demonstrated the ability and their overall effectiveness of production, maintenance, and storage of data.

T11. Demonstrated the ability and their overall effectiveness of hardware problem evaluation and resolution; support for new materials, processes, and technologies; and material analysis and assessments.

T12. Demonstrated the ability and their overall effectiveness in providing technical support on test equipment, and providing test and anomaly resolution.

T13. Overall effectiveness in performing manufacturing and production support.

T14. Ability to maintain adequate tools, internal practices, and skilled personnel to respond to nonrecurring tasks, anomalies, and investigations.

Transition B P G Y R N

T15. Ability to effectively transition roles and responsibilities.

T16. Ability to maintain transition schedule.

T17. Ability to satisfy new requirements while minimizing negative impacts to ongoing efforts.

T18. Ability to identify and obtain facilities, equipment, personnel, and data to meet contract requirements.

T19. Ability to effectively identify and manage risks associated with transition.

Program Management Support B P G Y R N

T20. How well did the contractor demonstrate process methodology involving risk management?

T21. Effectiveness of overall contract management (including ability to effectively lead, manage, and control the program).

T22. Ability to understand/comply with customer objectives and technical requirements.

T23. Contractor was cooperative/successful dealing with other contractors that weren’t subcontractors.

T24. Ability to meet contract schedule.

T25. Effectiveness of material management (including Government Furnished Property or Material).

T26. Overall effectiveness in performing Business and Financial Management.

T27. How well did the contractor demonstrate an effective earned value management process and provided precise and explicit evidence of following this process?

T28. Overall effectiveness in performing development and procurement for acquisition programs.

T29. How successful was the contractor in meeting small business subcontracting goals?

T30. Contractor has the ability to successfully resolve disagreements/disputes.

T31. Contractor proposed alternative methods/processes that reduced cost, improved maintainability, or other factors that benefited the customer.

Cost Performance B P G Y R N

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 in the space provided for each section. (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. James J. Delia at james.delia.1@us.af.mil or

(801) 586.9135.

Please e-mail this completed questionnaire to james.delia.1@us.af.mil.