Atch_09_-__Past_Performance_Questionnaire.pdf

Section J, Attachment 09 – Draft Past Performance Questionnaire

FA8621-15-R-6328

6-Apr-15, Page 1 of 7

ATTACHMENT 09

PAST PERFORMANCE QUESTIONNAIRE

When filled in, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Please complete this questionnaire based on the following guidance:

1. You are urged to supplement your own knowledge of the offeror's performance with the judgment of others within your activity. In addition to completing the attached questionnaire for the identified program, we solicit your comments on other similar programs for which your activity has or has had contracts with this offeror. If you need more space than the comment sections provide, please attach a separate sheet to the end of this questionnaire.

2. Some of the terms used in this questionnaire are related to government contracting.

Commercial firms are requested to answer to the best of your understanding of these terms.

3. Complete Questionnaire Sections I-IV below.

4. For a Government respondent, if the information contained within the most recent CPARs represents the offeror’s performance, please state, “See most recent CPAR”. However, if the offeror’s performance has changed since the most recent CPAR, please fill out the questionnaire.

1. EVALUATOR IDENTIFICATION:

1.1. Customer or Agency Name:

1.2. Evaluator’s Name/Title:

1.3. Email:

1.4. Phone:

2. CONTRACT IDENTIFICATION:

2.1. Name of Company Being Rated:

2.2. Relationship to Program:

2.3. Cage Code of Contractor contract was awarded to:

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2.4. Initial Contract Cost:

2.5. When was this work accomplished (period of performance)? _____________________

2.6. Current Status? ( ) Active ( ) Complete

2.7. Was contract terminated prior to the agreed upon period of performance? ( ) Yes ( ) No

2.7.1. If YES, please explain in space provided:

2.8. What was the dollar amount of the contract (Base Period and all Options)? __________

2.9. What is the current/obligated contract cost to date? ____________________________

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

2.11. What was the contract type? (T&M, FFP, IDIQ, CR, e.g.)? _______________________

2.12. If applicable:

2.12.1. Number of Task Orders:______________________________________________

2.12.2. Dollar Amount: _____________________________________________________

2.12.3. Number of Locations: ________________________________________________

2.12.4. Task Order POC: ____________________________________________________

2.13. Number of years evaluator worked on subject contract: __________________________

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2.14. Name/Phone # of Government or Corporate Contracting Officer:

3. BACKGROUND

3.1. Did the contractor perform work as the prime or as a sub on this contract?

( ) Prime ( ) Sub

3.2. Please describe the functions performed by the contractor on this contract:

3.3. Where was the work performed (i.e., local, nationwide, worldwide)? ______________

3.4. If the contractor was the prime and subs were used, approximately what percentage of the contract was subcontracted?____________________________________________

3.5. Have any major contract requirements been terminated or rescheduled as a result of the contractor’s inability to perform?

3.6. Have any cure or show cause notices ever been issued? ( ) Yes ( ) No

3.6.1. If YES, explain why and describe any corrective actions taken by the contractor to remedy the situation.

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3.7. Has your organization elected to not exercise an option for this contractor?

( ) Yes ( ) No

3.7.1. If YES, please explain:

3.8. Were there any claims or litigation? ( ) Yes ( ) No

3.8.1. If YES, please explain:

3.9. Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

3.9.1. Terminations: ( ) Yes ( ) No Default: ( ) Convenience ( ) Pending

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

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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. Provide comments in the block below each item if rated SATISFACTORY or below. This scale is defined as follows:

CODE

DEFINITION

PERFORMANCE LEVEL

E EXCEPTIONAL/Blue The contractor’s performance meets contractual requirements with many requirements exceeded to the Government’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

VG VERY GOOD/Purple The contractor’s performance meets contractual requirements with some requirements exceeded to the Government’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY/Green The contractor’s performance meets contractual requirements.

The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

M MARGINAL/Yellow The contractor’s performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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/Red The contractor’s performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE Unable to provide a score for this contractor ‘s performance that is applicable to the effort being performed.

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Performance E VG S M U N/A P1. How well did the contractor meet the technical requirements of the C ?

Comments:

P2. How well did the contractor provide and retain qualified personnel to meet program requirements?

P3. How effective was the contractor at integrating various functions of the contract at multiple locations, if applicable?

P4. How effective was the contractor at meeting on-time graduation and student throughput requirements?

P5. How well did the contractor transition from the previous contractor and/or transition to the successor contractor?

P6. How effective was the contractor at providing aircrew training systems support, modifications, and obsolescent recommendations?

P7. How effective was the contractor with providing concurrency management?

P8. How effective was the contractor at performing or supporting cybersecurity responsibilities?

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P9. How well did the contractor meet device availability requirements?

P10. Were required reports/documents and proposals complete, accurate, and delivered on time?

NARRATIVE SUMMARY

E

N1. In a competitive situation, all other factors being equal, would you award this contractor another contract based on their performance?

Comments:

N2. What were the contractor's most positive aspect in the performance of the contract?

Comments:

N3. What was the contractor's most negative aspect in the performance of the contract?

Comments:

N4. Overall, how satisfied was your organization with the work accomplished by this company?

Comments:

N5. Please provide any additional comments concerning this contractor's performance, as desired.

(Attach additional sheets as needed, Label additional sheet as “Additional Comments Narrative Summary: N5”) Comments:

Evaluators Signature:

Date:

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION INFORMATION IAW

FAR 2.101 & 3.104.

E-Mail to:

Attn: Jon M. Snyder (Jon.Snyder.2@us.af.mil) In the Subject Line Please Use: Source Selection Information See FAR 2.101 and 3.104