FA8517-21-R-0001 Attachment 3 - Past Performance Questionnaire.doc

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

RFP: FA8517-21-R-0001

ATTACHMENT 3

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

THIRD PARTY EQUIPMENT PURCHASING (3PEP)

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. ____________________________________

Email _______________________________________

Return your completed questionnaire electronically by email to, sebrina.ingram-hayes.1@us.af.mil and charles.harris.3@us.af.mil.

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

Part I. SPECIFIC PROGRAM INFORMATION.

Contractor/Business: _____________________________________________

Contractor 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._________________________________________________________________________________________________________________ Was this a competitive contract? Yes _____ No _____

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 for differences between initial contract cost and final contract cost: ______________________________________________________________________________________

NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 4 of 5 or on an additional sheet to this document (which is in word format). If supporting documentation is not provided 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:

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

1. Extent to which Company’s products and/or services met the technical/performance requirements of the specification:

2. On-Time Delivery: Were the items on the contract delivered in accordance with the terms of the contract?

3. Overall management of subcontracting efforts: Did you have any complaints from the subcontractors, e.g. regarding payments, item acceptance, surveillance, schedule impacts, etc.?

4. Level of business electronic data exchange supported by the contractor was adequate for contract reporting, pricing, payment, tracking for analysis purposes:

5. Responsiveness to changes in the contract:

6. Customer’s Satisfaction with warranty response times and corrective actions:

7. Adequate Number of Dedicated Resources For Your Program:

8. Timely recognition and notification of administrative, engineering, production, problems affecting the program:

9. Company performed independently without significant customer direction/oversight?

10. Monitoring of Program Schedules and Critical Milestones:

11. Identified alternate part(s) or source(s) of supply: due to obsolescence issues

12. Extent to which small businesses, veteran-owned small businesses, small disadvantaged businesses and other socio-economic business sectors were utilized in the performance of the contract

13. Has action been initiated to cancel or terminate the contract for default (partially or completely)? 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. Additional Remarks.

Thank you for your prompt response and assistance.

RFP NUMBER FA8517-21-R-0001

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

E EXCEPTIONAL: During the contract period, 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: During the contract period, 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: During the contract period, 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: During the contract period, 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: During the contract period, 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 include this page when returning the completed questionnaire.

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