Attch_5_Questionnaire_Performance.doc

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

RFP FA8533-08-R-22907

ATTACHMENT 5

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

72 KW/90KVA GENERATOR (GPU)

Return Your Completed Questionnaire Via Fax To: 478-222-1854 or By Electronic Mail To: Michele.Milush@robins.af.mil Please Call 478-222-1954 Before Transmittal To Ensure Confidentiality.

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

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:

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:

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.

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:

PERFORMANCE ASSESSMENT

N/A U M S V E Extent to which company's products and/or services met the specification /performance requirements:

Configuration Management

(first product delivered same as last):

Quality of Completed Product:

Company’s knowledge of and proficiency with industry standards and regulations:

Quality of Operation and Maintenance Manuals

If applicable, quality of training/orientation material:

If EPA tier engine changes were applicable did the company manage EPA Tier engine changes along with associated parts support:

If provisioning was provided were spare/repair parts sufficiently identified for the purpose of supportability:

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

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

Completed Work on Time:

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)

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.