Attach_2_PAST-PRESENT_PERFORMANCE_QUESTIONNAIRE.pdf

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

RFP # FA8524-13-D-30168

ATTACHMENT # 2

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED

SENSITIVE AND WILL NOT BE RELEASED TO THE OFFEROR.

Contractor/Business ________________________________ Cage Code: ___________

Program Title and Brief Description: __________________________________________

Contractor’s Role in the Program: ____Prime ____Subcontractor ____Vendor/Supplier

Contract Number: ___________________________ Number of Years: _____________

Contract Type(s): i.e. Firm-Fixed-Price, Time & Materials, Cost, etc.: _______________

Performance Period: Beginning Date _____________ through___________

Contract Dollar Value: _____________________

PLEASE CHECK THE APPROPRIATE RATING FOR EACH OF THE FOLLOWING

AREAS:

NOTE: Should your response be other than “satisfactory,” please provide supporting documentation 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.”

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.

ASSESSMENT AREAS

SPECIAL TOOLING AND TEST EQUIPMENT N/A U M S V E

1. Ability to obtain required tooling & test equipment

2. Availability of tooling & test equipment to meet delivery schedule

PARTS AVAILABILITY N/A U M S V E

3. Approach to obtain required repair parts

4. Ability to meet turnaround time in face of parts non-availability

PRODUCTION PLANNING N/A U M S V E

5. Effective production plan/schedule to accomplish tasks

6. Ability to meet required delivery of initial production unit

GENERAL N/A U M S V E

7. Overall management performance

8. Performance of contract requirements within agreed prices

9. Delivered quality product & satisfied the customer

10. Completed/delivered work on time

11. Utilization of small business concerns

12. Has action been initiated to cancel or terminate for default? __ Yes __No If yes, explain:

13. Have there been any disputes/claims relative to the contract? __ Yes __No If yes, explain:

14. Given a choice, would you award to this contractor again? __ Yes ___No

Strengths and/or Weaknesses (Use additional pages if necessary)

(Briefly describe the contractor’s predominant strengths and/or weaknesses.)

Additional Remarks (Use additional pages if necessary):

Do you know of anyone else who can tell me about this contractor’s performance? (Please list names and phone numbers.)

Name: Phone:

Name: Phone:

Evaluator Signature Date