Past_Perf_Questionnaire.pdf

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR

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RFP FA8519-12-R-31449

ATTACHMENT

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

T-9 Hush House

Return Your Completed Questionnaire Via Fax To: 478-222-1852 or By Electronic Mail To:

Rebecca.Taylor@robins.af.mil. Please Call 478-222-1889 Before Transmittal To Ensure Confidentiality.

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED

SENSITIVE AND WILL NOT BE RELEASED TO THE OFFEROR.

1. Please provide the following information about you and your company:

Name of Respondent Name:

Role Relative to Contract (Buyer, Program Manager, etc.)

Role:

Agency or Business:

Address:

Telephone No.:

Fax Number:

2. Please provide the following information on the specific program:

Contractor/Business:

Cage Code:

Program Title and Brief Description:

Contractor’s Role in the Program: Prime Subcontractor Vendor/Supplier

Contract Number:

Number of Years: Basic: Option:

Contract Type:

Competitive Contract: Yes No:

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3. General Information about this Contract Period of Performance of Contract or Effort

Beginning Date Through

Have there been any changes to the original schedule? If yes, please explain.

Original Contract Dollar Value

Current Contract Dollar Value

If different, please explain.

4. The following section will require you to rate the past/present performance of the offeror. If your response is other than a “satisfactory”, please provide supporting information. To assist you in your evaluation, please use the following definitions:

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.

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PERFORMANCE ASSESSMENT

N/A U M S V E

1. Extent to which company's products and/or services met the specification /performance requirements:

2. Configuration Management (first product delivered same as last):

3. Quality of Completed Repaire/Overhaul:

4. Company’s knowledge of and proficiency with industry standards and regulations, i.e. Society of Automotive Engineers (SAE) standards, American Welding Society (AWS) standards, and International Organization for Standardization (ISO) standards.

5. Quality of Operation and Maintenance Manuals:

6. Customer’s Satisfaction with warranty response times and corrective actions and other “after the sale” actions:

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

8. Completed Work on Time:

9. Extend to which company utilized small businesses, veteran-owned small businesses, small disadvantaged businesses, and other soci-economic business sectors in its contract performance.

Additional Comments: (please indicate number next to comment)

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Miscellaneous Questions

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

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

Describe the contractor’s or offeror’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

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

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

Additional Remarks.

The Services Team would like to thank you for your time.