Sec_L _Attachment_12_-_PAST_PRESENT_PERFORMANCE_QUESTIONNAIRE-_1_Jun.pdf

FA8629-12-R-2400

Section L, Attachment 12

1 Jun 12

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

When filled in, 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 (and contract name if applicable):

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. Was a CPAR or other official evaluation completed?

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

K. Description of product or service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

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

1 Jun 12

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Number of year’s 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 - During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

P PURPLE/VERY GOOD- During the contract period, contractor is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some.

Some minor problems encountered. Contractor took timely corrective action.

G GREEN/SATISFACTORY – During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

Y YELLOW/MARGINAL – During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

R RED/UNSATISFACTORY – During the contract period, contractor performance is failing (or fail) to meet most contract requirements. Serious problems encountered Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

N NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

1 Jun 12

SYSTEMS INTEGRATION B P G Y R N

How well did the offeror integrate defense, survivability, force protection, or communication subsystems?

How well did the offeror perform software development for defense, survivability, force protection, and communication subsystems?

SYSTEMS ENGINEERING / PROGRAM

MANAGEMENT

B P G Y R N

How well did the offeror meet contractual requirements for the execution of program schedule?

How well did the offeror meet contractual requirements for system reliability?

How well did the offeror meet small business goals?

TRAINING SYSTEMS B P G Y R N

How well did the offeror maintain concurrency of a training system with its aircraft?

How well did the offeror develop a Weapon System Trainer with full preservation of visual and motion fidelity and crew resource management?

PRODUCT SUPPORT B P G Y R N

How well did the offeror provide logistic support (ICP, CLS, ICS, Provisioning) for fielded systems?

GENERAL

How would you describe the contractor’s overall performance?

Would you award similar contracts to this contractor?

Did the system delivered or services provided meet all security requirements and minimum specification requirements?

Please discuss each and every response for which you indicated Blue/Exceptional, Purple/Very Good, Yellow/Marginal, or Red/Unsatisfactory in response to the questions above (use additional sheets, if necessary).

1 Jun 12

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s greatest strengths in the performance of the contract?

What were the contractor’s greatest weaknesses 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:

E-mail:

ATTN: LISA MEYER (CRH SOURCE SELECTION)

E-Mail: CRHPastPerformance@wpafb.af.mil

In the subject block of the e-mail, please include:

“Source Selection Information - See FAR 2.101 and 3.104”

OR

Mail: CRH Contracting Officer

ATTN: LISA MEYER (CRH SOURCE SELECTION)

Building 570, Room 101 1755 Eleventh Street Wright Patterson AFB OH 45433-7404

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104