Section_L_Attachment_4_-_Past_Performance_Questionnaire.pdf

FA8630-14-R-5030

Section L, Attachment 4 – Past Performance Questionnaire

6 March 2015

Attachment 4: Past Performance Questionnaire

WHEN COMPLETED THIS DOCUMENT IS SOURCE SELECTION SENSITIVE

INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ______________________________________

B. Contractor CAGE Code: ______________

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 (highlight any specific experience with diminishing manufacturing sources and material shortages (DMSMS), supporting legacy systems, mitigating obsolescence issues, etc.):

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

E 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.

V 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.

S 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.

M 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.

U 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.

E V S M U N

Technical Performance T1 Ability to source, select, and monitor qualified vendors for nonstandard items

T2. Ability to receive, source, store, package and ship standard and nonstandard items for Foreign Military Sales

a. Classified parts

b. Hazardous Materials

c. Ozone Depleting Substances

d. Cartridge Actuated Device/Propellant Actuated Device (CAD/PAD)

e. Sensitive items such as night vision goggles T3 Quality/integrity of technical data/report preparation efforts (CDRLs)

T4. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements

T5. Ability to identify & account for Government Furnished Equipment

(GFE)

T6. Ability to effectively communicate with customers

Program Management P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

P4. Understand/complied with customer objectives & technical requirements

P5. Successfully responded to emergency and/or surge situations P6. Quality/effectiveness of sub-contracted efforts P7. Effectiveness of material management (including Government Furnished Property or Material)

P8. Effectiveness of acquisition management P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors benefitting the customer

P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

E V S M U N

Transition/Startup T/S1. Contractor ability to smoothly transition resources and personnel.

T/S2. Contractor effectiveness on maintaining continuity of support while transitioning/startup of resources and personnel to support other efforts.

Employee Retention/Attraction E1. Ability to hire/apply a qualified workforce to this effort.

E2. Ability to retain a qualified workforce on this effort.

E3. Effectiveness of employee compensation towards quality.

Small and Small Disadvantaged Business Participation S1. Ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan

S2. Ability to effectively manage small business participation to meet technical performance.

Competition/Negotiation C1. Ability to promote and obtain competition C2. Ability to determine a fair and reasonable price using cost and price analysis

C3. Ability to adequately document procurement (PCM/PNM) C4. Ability to alert organization of unforeseen costs before they occur

(GFE)

1. Please discuss each response for which you indicated M (Marginal) or U (Unsatisfactory) in the questions above (use additional sheets, if necessary). If applicable, please provide supporting rationale for any ratings higher than Satisfactory.

2. 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

Describe the contractor’s most positive aspects in the performance of the contract.

Describe 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:

Mailing Address:

Ms. Tracy Riley, Contracting Officer AFSAC PROS V Program

FA8630-14-R-5030

Bldg. 209 5454 Buckner Road Wright-Patterson AFB, OH 45433-5337

Email Address:

tracy.riley@us.af.mil

Or FAX to: 937-656-1155 mailto:tracy.riley@us.af.mil