Posted Attch_5_Questionnaire_Performance.pdf

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Power Distribution Panels
Solicitation number
FA8533-08-R-21950
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ATTACHEMENT 5 QUESTIONEER. THE QUESTIONEER WAS UPLOADED AS PART OF THE ATTACHMENT PACKAGE. HOWEVER TO MAKE IT EASIER THE QUESTIONEER IS UPLOADED AS A SEPARATE FILE.

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SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

RFP FA8533-08-R-21950

ATTACHMENT 5

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

POWER DISTRIBUTION PANELS

RETURN YOUR COMPLETED QUESTIONNAIRE VIA FAX TO OR BY ELECTRONIC

MAIL TO:

PLEASE CALL 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:

Name of Respondent and 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:

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 (Blue): 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 (Purple): 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 (Green): 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 (Yellow): 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 (Red): 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 (White): 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.

PERFORMANCE ASSESSMENT

N/A U M S V E

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

3. Quality of Workmanship of the Completed Product:

4. Overall management of subcontracting efforts:

5. Quality of Technical Manuals or Commercial Manuals:

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. Offeror performed independently without significant customer direction/oversight?

10. Monitoring of Program Schedules and Critical Milestones:

11. Completed Work on Time:

12. Offeror demonstrated positive responsiveness to unscheduled requirements or contract changes:

Additional Comments: (please indicate number next to comment)

Michele.Milush Rectangle

5. 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 Major Programs Team would like to thank you for your time.

Phone_Fax: 4782221854
mailto: Sonia.Lizotte@robins.af.mil
Name:
Agency:
Address:
Telephone_No:
Fax_Number:
Phone_Office: 4782221877
Contractor:
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Program:
Prime: Off
Subcontractor: Off
Vendor: Off
Basic:
Option:
No: Off
Yes: Off
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Changes_Text:
Original_Value:
Current_Value:
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