Attachment_4-_Questionnaire.pdf

WHEN COMPLETED) SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104. FOR OFFICIAL USE ONLY

RFP: FA8501-13-R-0016

ATTACHMENT 4

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Airfield Management and Operations, Robins AFB, GA

PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT YOURSELF:

Name/Signature and Role Relative to Contract (e.g. Buyer, Program Manager):________________________________________________________ Agency or Business: ______________________________________________________________________________________________________ Address: _______________________________________________________________________________________________________________ Telephone No. _______________________________ FAX No. ____________________________________

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

Part I. SPECIFIC PROGRAM INFORMATION.

Contractor/Business: _____________________________________________ CAGE Code: __________

Program Title and Brief Description: _____________________________________________________________________________________

Role in the Program/Work Performed As: _____Prime _____Subcontractor _____Vendor/Supplier

Contract Number: ________________________________ Number of Years?: Basic:________ Option: _________

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

(WHEN COMPLETED) SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104. FOR OFFICIAL USE ONLY

PART II. GENERAL PROGRAM INFORMATION.

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 MAX Contract $ Value (assuming all options exercised):________________________________________________________

2. Current MAX $ Value (assuming all options exercised): ________________________________________________________________

3. Primary Causes of Changes: ______________________________________________________________________________________

NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation during the interview conducted. If supporting documentation is not provided during the interview for ratings that are other than “satisfactory,” the ratings will be considered to be unsubstantiated and will be interpreted as satisfactory.

PART III. PERFORMANCE ASSESSMENTS.

Please check the appropriate rating for each of the following questions:

E=Exceptional V=Very Good S=Satisfactory M=Marginal U=Unsatisfactory N/A=Not Applicable

Program Management E V S M U N/A Contractor's ability to provide aircrew flight planning support.

Ability to provide timely response to airfield situations (IFE, GE, BASH, etc) Is contractor co-operative with Contracting Officer’s Representative/Contracting Officer?

Maintenance of FLIP Products Working relationship with construction contractors working on flightline Effectiveness of material management (including Government Furnished Property or Material) Submitted reports and updated plans in a timely manner Successful completion of all Government Inspections (i.e., UCI, ORI, AOCI etc.) with a rating of satisfactory or better Accuracy and effectiveness in forecasting, managing and controlling contract costs Efficient allocation of manpower resources Ability to hire/apply a properly trained/qualified workforce to this effort Ability to retain a qualified workforce Ability to handle employee labor relations and union affiliations Effective quality control and inspection procedures

Compliance with safety regulations

Contractor’sapproach for challenges associated with maintaining essential contractor services during an extended catastriophic event,

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

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

15. Describe the contractor’s or company’s strong and/or weak points identified as a result of technical performance and any technical performance risk identified during the life of the contract.

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

17. Do you feel you “got what you paid for” ? Please explain. ____________________________________________________________________________

18. Additional Remarks.

RFP NUMBER: FA8501-13-R-0016

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements to the Government’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 Government’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.