RFP Attachment 11 - Questionnaire.doc

ATTACHMENT 11

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

RFP FA8501-08-R-0030

PART I- RESPONDENT INFORMATION

Name and role relative to contract (e.g. Buyer, Program Manager):______________________________________________________ Agency or Company:__________________________________________________________________________________________ Address:____________________________________________________________________________________________________ Telephone No.:______________________________ FAX No.___________________________________

E-mail:____________________________________ RETURN YOUR COMPLETED QUESTIONNAIRE VIA FAX AT (478) 926-7549. TO ENSURE PROPER HANDLING OF THE INFORMATION, PLEASE CALL (478-926-6358 or 478-926-9501) BEFORE TRANSMITTAL. However, the preferred method of delivery is via email to: john.glenn@robins.af.mil

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND SHALL NOT BE RELEASED TO THE OFFEROR.

PART II- SPECIFIC PROGRAM INFORMATION

Contractor’s Name: _____________________________________________ CAGE Code: __________

Program Title and Brief Description: _____________________________________________________________________________________

Contractor’s role in the program:

_____Prime Contractor _____Subcontractor _____Vendor/Supplier

Contract Number: ________________________________

Number of Years?: Basic:________ Options: _________

Contract Type(s): List all applicable contract types (i.e. Firm-Fixed-Price, Time & Materials, Cost, etc.)

Period of Performance:

1. Original Schedule (assuming all options exercised): Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised): Beginning Date _________ through ____________

3. Reason for difference (if applicable) _______________________________________________________________________________

Contract Dollar Value:

1. Original Maximum Contract $ Value (assuming all options exercised):____________________________________________________

2. Current Maximum $ Value (assuming all options exercised): ___________________________________________________________

3. Primary causes of changes: ______________________________________________________________________________________ How many direct employees were managed under this contract? ________________________________________________________________ How many pieces of Test Measurement and Diagnostic Equipment (TMDE) taken-in (daily or monthly)? ______ per day ______ per month Which of the following tasks were performed under the contract? Check all that apply:

__- Inspection of Test, Measurement & Diagnostic Equipment __- Repair of Test, Measurement & Diagnostic Equipment

__- Testing of Test, Measurement & Diagnostic Equipment

__- Calibration of Test, Measurement & Diagnostic Equipment

__- Alignment of Test, Measurement & Diagnostic Equipment __- Certification of Test, Measurement & Diagnostic Equipment

For what location(s) or geographic area did the contract provide support? _________________________________________________________________________________________________________________

Which of the following certifications were required? Check all that apply:

__- Air Force Metrology & Calibration Technical and Operation Competence Certification of Compliance

__- ISO 17025 Laboratory Accreditation

__- Other: ________________________________________________________________________________________________________

PART III- PERFORMANCE ASSESSMENTS

1. Has the contractor ever failed to effectively control the quality of service provided? If yes, explain.

2. Have there been any labor disputes?

3. Has action ever been initiated to cancel or terminate the contract for default? If yes, explain. ________________________________________________________________________________________________________________________

4. Have there been any disputes or claims relative to the contract? If yes, explain.

5. Has a decision ever been made to NOT exercise an option due to contractor performance? If yes, explain.

6. If given a choice, would you award to this contractor again? If not, please explain. ________________________________________________________________________________________________________________________

7. Additional remarks:

Please check the appropriate rating for each of the following questions: (See explanation of ratings below.)

NOTE: For responses other than “satisfactory,” please provide supporting rationale in “Additional Remarks.”

8. How well did the contractor provide services that met the specification /performance requirements?

9. How well did the contractor demonstrate the ability to provide managers and supervisors with sufficient technical and administrative abilities?

10. How well did the contractor demonstrate the ability to hire and retain qualified technical personnel?

11. How effectively did the contractor identify and resolve negative trends and problem areas in product quality?

12. How well did the offeror obtain and maintain technical and operation competence certification of compliance (i.e. Air Force Metrology and Calibration certification, ISO 17025)?

13. How well did the offeror perform receipt, processing, and shipment of Test Measurement and Diagnostic Equipment (TMDE)?

14. Rate the contractor’s effectiveness in meeting small business and small disadvantaged business goals set forth in their approved subcontracting plan.

15. Rate the contractor’s effectiveness regarding material management, including Government furnished property and material.

16. Rate the contractor’s performance regarding turnaround time

ASSESSMENT RATING SYSTEM

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements to the customer’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements to the customer’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance being assessed 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.

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

N/A NOT APPLICABLE: Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.