Attachment2PastPresentPerformanceQuestionnaire.pdf

RFP FA8533-12-R-31169

ATTACHMENT 2

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Staircase Truck (Standard and C-5 Models)

(This questionnaire, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 AND 2.101 and shall not be disclosed to anyone outside of the Government Source Selection Team.)

PLEASE PROVIDE THE FOLLOWING INFORMATION:

Name/Signature of Respondent and Role Relative to Contract (e.g. Buyer, Program Manager):________________________________________________________ Agency or Business: ______________________________________________________________________________________________________ Address: _______________________________________________________________________________________________________________ Telephone No. _______________________________ FAX No. ____________________________________

Return your completed questionnaire via fax to (478) 222-1854 or electronically mail to Elizabeth.Midkiff@robins.af.mil or Desura.Gates@robins.af.mil. Please call (478)- 222-1907 or (478) 222-1877, respectively before transmitting by fax to ensure confidentiality.

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND WILL 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: __________

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

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

PART II. GENERAL PROGRAM INFORMATION:

Period of Performance (assuming all options exercised) of Contract or Effort: Beginning Date _______________ through _______________

Contract Dollar Value:

NOTE: Please check the appropriate rating for each of the following questions in the table below. 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.”

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

N/A U M S V E

1. Extent to which the company’s products and/or services met the requirements of the customer’s contract or project:

2. Company’s level of workmanship and quality in the products and services provided on the contract or project:

3. Company’s level of workmanship and quality in corrosion control; as relates to preparing surfaces, painting, rustproofing, etc…

4. Company’s proficiency with processing the customer’s contract or project including timely initiation of work, timely deliveries of product/services, and invoices:

5. Customer’s satisfaction with the company’s response to warranty claims, corrective actions, product recalls, and/or other “after the sale” actions:

6. Company’s level of attention to detail, responsiveness to customer concerns/questions/inquiries, and promptness in submitting data (including technical reports and/or management status reports) – during the performance of the contract:

7. Company’s knowledge and proficiency with industry specifications and standards, for example American Welding Society (AWS), Society of Automotive Engineers, etc.

8. Extent to which the company utilized small businesses, veteran-owned small businesses, small disadvantaged businesses, and other such socio-economic business sectors in its contract performance:

9. The company performed independently its work on the contract or effort without significant customer direction/oversight:

PART IV. MISCELLANEOUS:

1. Has this company ever defaulted on any contact or portion thereof with your company? If yes, please explain the circumstances and the resolution.

(Provide additional sheets as required.) ________________________________________________________________________________________

2. Have there been any disputes or claims relative to the contract? If yes, please explain the circumstances and resolution. (Provide additional sheets as required.) _____________________________________________________________________________________________________________

3. What were the Company’s strong and/or weak characteristics. __________________________________________

4. Given the opportunity to choose other suppliers or contractors, would you choose this Company again? If not, please explain. _________________

5. Has there been any reoccurring quality issues? Issues that appeared throughout the fleet or reappeared once the problem was said to be resolved?

Evaluator Signature Date

The Major Programs Contracting Team thanks you for your time.

RFP FA8533-12-R-31169

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

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.

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