Atch 13 PCAG Questionnaire.docx

ATTACHMENT 13

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

RFP #: FA8535-09-R-0001

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 VIA FAX # (478) 327-3657. TO ENSURE PROPER HANDLING OF THE INFORMATION, PLEASE CALL (478) 327-3595 or (478) 327-3591) BEFORE TRANSMITTAL.

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 ____________

Contract Dollar Value:

NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 4 of 5.

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

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

2. Product consistency (first product delivered same as last):

3. Quality of Completed Product:

4. Overall management of subcontracting efforts:

5. Customer’s Satisfaction with warranty response times and corrective actions:

6. Adequate Number of Dedicated Resources For Your Program:

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

8. Company performed independently without significant customer direction/oversight?

9. Monitoring of Program Schedules and Critical Milestones:

10. Completed Work on Time:

11. Company demonstrated positive responsiveness to unscheduled requirements or contract changes:

12a. Company provided real-time status using Electronic Data Exchange (EDE) in required format with multiple users within the specified timeframes:

12b. For this effort ,contractor’s existing EDE efficiently met requirements:

12C. For this effort, contractor provided first-time EDE set-up that efficiently met requirements:

13. Prime maintained obsolescence surveillance/awareness and report findings in a timely manner as not to affect the program negatively:

14a. Contractor’s methods of predicting quantities/availability of hardware requirements (both manufacturing and supply support) adequately met mission requirements:

14b. Contractor provided the bulk of forecast capability for this effort:

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

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

17. 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.

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

19. Do you feel you “got what you paid for?” Please explain. ____________________________________________________________________________

20. Additional Remarks:

RFP NUMBER

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.

SOURCE SELECTION SENSITIVE