Attachment_4_Pres_Past_Perf_Questionnaire.doc

ATTACHMENT #4

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

RFP FA8523-11-R-23465

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. ____________________________________

RETURN YOUR COMPLETED QUESTIONNAIRE ELECTRONICALLY TO: Magdalene. Dickerson@robins.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: _____________________________________________

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(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. Obligated $ to date: ___________________________________________________________________________________

4. Primary Causes of Changes: _____________________________________________________________________________ NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 3 of 4.

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

Specific

1. The company demonstrated knowledge, proficiency, and executed a robust system engineering program.

2. The company demonstrated knowledge, proficiency, and executed a robust DMSMS program.

3. The company demonstrated knowledge, proficiency, and executed a robust Reliability & Maintainability (R&M) program.

4. The company demonstrated knowledge, proficiency, and executed a robust configuration management program.

5. The company demonstrated knowledge, proficiency, and executed a robust data management program.

6. The company demonstrated knowledge, proficiency, and executed robust security and DOD information assurance programs.

7. The company demonstrated knowledge, proficiency, and execution in program management support.

8. The company demonstrated knowledge, proficiency, and execution in logistics support.

9. The company demonstrated knowledge, proficiency, and execution in financial management support.

General

10. The company performed independently without significant customer direction/oversight to produce timely and accurate responses which complied with customer objectives and requirements:

11. The company was responsive and successful in resolving technical and program issues that occurred during the contract or effort:

12. The company was able to quickly and accurately respond to unscheduled requirements and contract changes:

13. The company managed its subcontractors and/or vendors to ensure terms and conditions of contract/effort were fully and successfully met:

14. The company was able to hire and retain a fully qualified and competent workforce and have employees in place within an acceptable timeframe IAW the terms of the contract:

15. The company provided a quality service that met all contractual requirements:

16. What R&M tools did the company use in order to manage and execute your R&M program and did those tools lead to predictive and positive improvements in either system-level and part-level Mean Time between Demand (MTBD) or Mean Time between Failure (MTBF). Was R&M data collected from government and industry sources and incorporated seamlessly into the R&M tools?

17. Did the DMSMS program include acquiring and testing potential replacement parts? If yes, explain to what extent.

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

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

20. 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. _______________________________________________________________________________________________________________

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

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

23. Additional Remarks.

FA8523-10-R-23465

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.

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

(When Completed) Source Selection Sensitive – See FAR 2.101 and 3.104. For Official Use Only