RFP_Attachment_5_Past_Performance_Questionaire.pdf

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

478-222-2390. ___________________________________

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:

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Remarks:

2. The company demonstrated overall systems analyst, management analyst, and configuration management expertise:

Satisfactory Marginal

3. The company demonstrated overall administrative, personnel resource management, and management assistant expertise:

Satisfactory Marginal

4. The company demonstrated knowledge, proficiency, and execution in security administrative assistance support:

Satisfactory Marginal

5. The company demonstrated knowledge, proficiency, and execution in logistics management support:

Satisfactory Marginal

6. The company demonstrated knowledge, proficiency, and execution in compliance inspection, quality assurance facilitator, and employee development assistance support:

Satisfactory Marginal

7. The company demonstrated knowledge, proficiency, and execution in financial management assistant and budget analyst and administrative support:

Marginal

8. The company demonstrated knowledge, proficiency, and execution in contracting office management administrative and budget administrative assistance support:

Satisfactory Marginal

9. The company demonstrated knowledge, proficiency, and execution in facility management support:

Satisfactory Marginal

10. The company met contract schedule performance requirements:

Marginal

11. The company was able to quickly and accurately respond to unscheduled requirements and contract changes:

Satisfactory Marginal

12. The company was responsive and successful in resolving in the workcenters the management and functional position issues that occurred during the contract:

Satisfactory Marginal

13. The company performed independently without significant customer direction/oversight to meet contract performance requirements:

Satisfactory Marginal

14. The company managed its subcontractors and/or vendors to ensure terms and conditions of contract were fully and successfully met:

Satisfactory Marginal

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:

Satisfactory Marginal

16. The company provided personnel with the appropriate experience level to meet the requirement:

Satisfactory Marginal

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:

Satisfactory Marginal

18. Did the company have a high personnel turnover rate?

Yes No If yes, please explain

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?

21. Have there been any disputes/claims relative to the contract?

22. If given a choice, would you award to this contractor again?

23. Do you feel you “got what you paid for”?

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.