RFP_Attachment_5_Past_Performance_Questionaire.doc
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- Attached to
- Advisory and Assistance Services Federal contract opportunity
- Solicitation number
- FA8555-13-R-0001
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RFP Attachment 5 Past Performance Questionnaire
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PRESENT/PAST PERFORMANCE QUESTIONNAIRE
RFP FA8555-13-R-0001
RFP ATTACHMENT #5
PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT YOURSELF:
Name and Role Relative to Contract (e.g. Buyer, Program Manager):
Agency or Business:
Address:
Telephone No: _____________________ FAX No: __________________________(call me first before faxing FOUO info) Email Address: ______________________
RETURN YOUR COMPLETED QUESTIONNAIRE ELECTRONICALLY VIA EMAIL TO
aflcmc.hbg.ecg@robins.af.mil or BY FAX to 478-327-5888. IF NECESSARY TO SPEAK WITH AN INDIVIDUAL REGARDING THE ABOVE TRANSMISSION, PLEASE CALL 478-327-6044. ___________________________________ 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: ______________________ Length of contract: 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 _________
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. Obligated $ to date: _________________________
4. Primary Causes of Changes: ____________________
PART III. PERFORMANCE ASSESSMENT.
Please check the appropriate rating for each of the following questions and provide a narrative explaining the basis of your rating. A definition of the rating assessments is included on the last page of this questionnaire.
1. The company provided a quality service that met all contractual requirements:
FORMCHECKBOX
Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2. The company demonstrated overall systems analyst, management analyst, and configuration management expertise:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. The company demonstrated overall administrative, personnel resource management, and management assistant expertise:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. The company demonstrated knowledge, proficiency, and execution in security administrative assistance support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. The company demonstrated knowledge, proficiency, and execution in logistics management support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. The company demonstrated knowledge, proficiency, and execution in compliance inspection, quality assurance facilitator, and employee development assistance support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. The company demonstrated knowledge, proficiency, and execution in financial management assistant and budget analyst and administrative support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
8. The company demonstrated knowledge, proficiency, and execution in contracting office management administrative and budget administrative assistance support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
9. The company demonstrated knowledge, proficiency, and execution in facility management support:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
10. The company met contract schedule performance requirements:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
11. The company was able to quickly and accurately respond to unscheduled requirements and contract changes:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
12. The company was responsive and successful in resolving in the workcenters the management and functional position issues that occurred during the contract:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
13. The company performed independently without significant customer direction/oversight to meet contract performance requirements:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
14. The company managed its subcontractors and/or vendors to ensure terms and conditions of contract were fully and successfully met:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
15. The company was able to hire and retain a fully qualified and competent workforce and have employees in place within an acceptable timeframe according to the terms of the contract:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
16. The company provided personnel with the appropriate experience level to meet the requirement:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
17. The company was able to hire or retain employees with the appropriate security clearance for each position within an acceptable timeframe according to the terms of the contract:
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Exceptional
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Very Good
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Satisfactory
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Marginal
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Unsatisfactory
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N/A Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
18. Did the company have a high personnel turnover rate?
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Yes FORMCHECKBOX No If yes, please explain Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
19. Describe the 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. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
20. Has action been initiated to cancel or terminate the contract for default?
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Yes FORMCHECKBOX No If yes, please explain Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
21. Have there been any disputes/claims relative to the contract?
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Yes FORMCHECKBOX No If yes, please explain Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
22. If given a choice, would you award to this contractor again?
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Yes FORMCHECKBOX No If yes, please explain Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
23. Do you feel you “got what you paid for”?
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Yes FORMCHECKBOX No If yes, please explain Why or why not? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
24. Additional Remarks.
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 include this page when returning the completed questionnaire.
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