Atch_19_-Section_L_-_Atch_L-1_Questionnaire_Only.docx

FA8621-13-R-6305

Attachment 19 – Section L, ITO

ATTACHMENT L-1: PAST PERFORMANCE QUESTIONNAIRE

WHEN COMPLETED THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _________________________________________________________________

B. Cage Code of contractor contract was awarded to: ___________________________________

C. Contract number: _____________________________________________________________

D. Contract type: ________________________________________________________________

E. Was this a competitive contract? Yes __________ No _________

F. Period of performance: _________________________________________________________

G. Initial contract cost: $___________________________________________________________

H. Current/final contract cost: $______________________________________________________

I. Reasons for differences between initial contract cost and final contract costs: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

J. Description of service provided: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SECTION 2. CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: _________________________________________________________

B. Customer or agency description (if applicable): __________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands: ________________________________________________________________________________________________________________________________________________________________

SECTION 3. EVALUATOR IDENTIFICATION

A. Evaluator's name: ________________________________________________________________ B. Evaluator's title: __________________________________________________________________ C. Evaluator's phone/fax number: ______________________________________________________ D. Number of years evaluator worked on subject contract: __________________________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

B BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

P PURPLE/VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

G GREEN/SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Y YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

R RED/UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score.

Transition and Aircrew Instruction:

TAI1. Effectiveness of transition plan.

TAI2. Ability to support site activation activities.

TAI3. Ability to recruit and retain qualified personnel with minimal turnover.

TAI4. Effectively provided student instruction.

TAI5. Effectively ensured a “guaranteed student”.

Sustainment:

S1. Comprehensive quality management process that ensures the Government receives quality workmanship meeting the requirements of the contract.

S2. Effectively managed support resources, technical data, spares, support equipment, and technicians to maintain a deployed system at a specific availability rate and/or student throughput.

S3. Effectively track current and historical maintenance data and spares using a web-based data collection system.

S4. Ability to develop and provide solutions to forecast, identify, monitor, and mitigate deficiencies due to obsolescence and material shortage issues within the training system.

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), P/VG (Purple/Very Good), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary). _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes____ Default____ Convenience____ Pending Terminations____ No____

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What were the contractor’s most negative aspect in the performance of the contract? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email completed questionnaires to:

James Kilchenman, james.kilchenman@us.af.mil and Adam Bernas, adam.bernas@us.af.mil