Attachment_8--Past_Performance_Questionnaire.doc

RFP FA8553-13-R-32288

ATTACHMENT (8)

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Afghan Air Force C-130H Contractor Logistics Services Source Selection (This questionnaire, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 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) 222-2177 OR VIA E-MAIL TO CARLA CLARK AT Carla.Clark@us.af.mil

PLEASE CALL (478) 327-8244 BEFORE TRANSMITTAL 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?: Basic:________ Option: _________

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

Competitive Contract? Yes _____ No _____

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

PART II. GENERAL PROGRAM INFORMATION:

Period of Performance of Contract or Effort:

1. Original Schedule (assuming all options exercised): Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised): Beginning Date _________ through ____________

3. Reason for difference (if applicable) ___________________________________________________________________________________________________

Contract Dollar Value:

1. Original MAX Contract $ Value (assuming all options exercised):_________________________________________________________________________________

2. Current MAX $ Value (assuming all options exercised): ________________________________________________________________________________________

3. Primary Causes of Changes: _______________________________________________________________________________________________________________

NOTE: In Part III. should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 3 of 4.

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. Configuration Management (first product delivered same as last):

3. Quality of 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. Company performed independently without significant customer direction/oversight?

10. Monitoring of Program Schedules and Critical Milestones:

11. Completed Work on Time:

12. Extent to which small businesses, veteran-owned small businesses, small disadvantaged businesses and other socio-economic business sectors were utilized in the performance of the contract

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

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

15. 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. ___________________________________________________________________________________________________________________________________

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

17. Do you feel you “got what you paid for” ? Please explain. ____________________________________________________________________________________________

18. Additional Remarks.

Evaluator Signature Date

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

PAFE 3 OF 4

RFP FA8504-13-R-33183

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 INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY