PP Questionnaire.doc

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Attached to
Administrative Management and General Management Consulting Services Federal contract opportunity
Solicitation number
FA8504-09-R-22495
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Past Performance Questionnaire

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Text version

RFP Number: FA8504-09-22495

Attachment 8

330 Aircraft Sustainment Group Advisory and Assistance Services (A&AS)

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Reference is provided by:

Company/Agency:

Business Address:

Telephone Number:

E-Mail Address:

Relationship to Contract:

Please return completed questionnaire via email to Robert.Jones3@robins.af.mil with subject heading of “RFP Number FA8504-09-22495 – Past Performance Questionnaire” Thank you for your time. Please feel free to contact me with any questions at 478-926-7204 or at the email address listed above.

NOTICE: The completed questionnaire will be considered source selection sensitive and should not be released to the offeror.

PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT YOURSELF:

Name and Role Relative to Contract (e.g. Buyer, Program Manager): ________________________________________________________________________________________________________________________________________________ Agency or Business: ________________________________________________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________________________________________________

Telephone No: _______________________________

FAX No: ____________________________________

RETURN YOUR COMPLETED QUESTIONNAIRE VIA FAX AT (478)926-6578. TO ENSURE PROPER HANDLING OF THE INFORMATION, PLEASE CALL (478-926-7204) BEFORE TRANSMITTAL.

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: ________________________________________________________________________________________________________________________________________________

Contractor’s Role in the Program:

_____Prime _____Subcontractor _____Vendor/Supplier

Contract Number: ________________________________ Length of contract: Basic:________ Option: _________

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

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: ________________________________________________________________________

PART III. PERFORMANCE ASSESSMENT.

Please check the applicable response related to the following and provide a narrative explaining the basis of your rating. A definition of the rating assessments is included on the last page of this questionnaire.

1) QUALITY OF WORK:

Evaluate performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

FORMCHECKBOX

Unsatisfactory

FORMCHECKBOX

Marginal

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Very Good

FORMCHECKBOX

Exceptional Remarks: _____________________________________________________________

2) TIMELINESS OF PERFORMANCE:

To what extent were contract performance requirements met? Consider also such things as:

contract performance period requirements; provided data submittals in a timely manner; timely submission of “suspense” documents, etc. Was contractor responsive to concerns and questions?

FORMCHECKBOX

Completed Substantially Ahead of Schedule

FORMCHECKBOX

Completed on Schedule with no Time Delays

FORMCHECKBOX

Completed on Schedule with Minor Delays Under Extenuating Circumstances

FORMCHECKBOX

Late completion Remarks: _____________________________________________________________

3) DOCUMENTATION

To what extent were reports, submittals and other required documentation accurate, complete?

FORMCHECKBOX

Excellent Quality

Above Average Quality

Average Quality

FORMCHECKBOX

Below Average Quality

FORMCHECKBOX

Unsuccessful

FORMCHECKBOX

Quality Problems Remarks: _____________________________________________________________

4) COORDINATION

(1) How well were subcontractors, subconsultants, suppliers, and/or the labor force managed and coordinated? (2) Or, if firm was a subcontractor, how well did they respond to coordination efforts and work with other subs? (3) Were there any problems and, if so, how were they handled (please explain in Remarks below)?

Part 1

Part 2

Part 3

Unsatisfactory

FORMCHECKBOX

Yes

Marginal

No

Satisfactory

Satisfactory

Very Good

Very Good

Exceptional

Exceptional

N/A Remarks: ________________________________________________________________________

5) GENERAL MANAGEMENT PRACTICES

How well managed were the firm’s general business practices? Consider such things as: provided quality and experienced managers, technical, and administrative personnel throughout the project; was promptly available when needed, and responded in a prompt and acceptable manner to resolve problems; provided accurate price proposals, etc.

FORMCHECKBOX

Unsatisfactory

FORMCHECKBOX

Marginal

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Very Good

FORMCHECKBOX

Exceptional Remarks: ________________________________________________________________________

6) BUDGET

(1) How well did the firm conform to the project budget? (2) Did the company initiate unwarranted change orders or change order requests?

Part 1

Part 2

Yes

No

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Very Good

FORMCHECKBOX

Exceptional Remarks: _____________________________________________________________

7) CLAIMS/LITIGATION

Was the company involved in any claims or litigation surrounding the project?

Yes

FORMCHECKBOX

No If “Yes”, please explain Remarks: _____________________________________________________________

8) CUSTOMER SATISFACTION:

To what extent were the end users satisfied with: Quality? Cost? Schedule?

Exceptionally Satisfied

Q____ C_____S____

Highly Satisfied

Satisfied

Somewhat Dissatisfied

Dissatisfied

Remarks (please explain if “Somewhat Dissatisfied” or “Satisfied” were utilized):

If given the opportunity, would you award to, or work with, this firm again?

Yes ___________ No ____________ (If no, please provide explanation.)

Remarks:

OTHER REMARKS:

Use the space below to provide other information related to the contractor's performance. This may include selection of subcontractors/subconsultants, flexibility in dealing with contract challenges, payment issues, their overall concern for the client's interest (if applicable), project awards received, etc.

RFP NUMBER: FA8504-09-R-22495

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements. 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. 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.

NOTICE TO QUESTIONNAIRE RESPONDENTS: Please do not transmit this page when faxing your input to the name/address listed on page 1.

File details come from the government source that posted it. Updated .