PAST_PERFORMANCE_SURVEY_V2.docx

PAST PERFORMANCE SURVEY for:

Simplified Acquisition of Base Engineering Requirements (SABER)

Offerors: Complete Sections 1 and 2 of this survey, and then forward the survey to references for completion and submission to the Government. Only provide surveys for those contracts defined as RELEVANT or MORE RELEVANT per the solicitation. In your proposal submission (Part I), include copies of Sections 1 or 2 that were sent to references so the Government is aware of what organizations were sent surveys.

References: You have been provided as a reference in regards to the Simplified Acquisition of Base Engineering Requirements (SABER) source selection at the Air Force Research Laboratory, Rome Research Site, Rome, NY. In order for the Government to evaluate the past performance of the firm providing you as a reference, please complete Sections 3 and 4 of this survey and forward to the AFRL/RIKO Contract Specialist below to arrive no later than the proposal submission deadline:

AFRL/RIKO

Cody Owens, Contract Specialist 26 Electronic Pkwy Rome, NY 13441-4514

COM: (315) 330-2921

FAX: (315) 330-2555

DSN: 587-2921

Email: Cody.Owens@us.af.mil

SECTION 1 – CONTRACT IDENTIFICATION

1. Contractor (Name, Address): _________________________________________

7. Description, location, and relevancy of work:

(Feel free to provide a copy of the Statement of Work to help better assess the relevancy to the current acquisition)

8. Was the Contractor the Prime Contractor _____ or Subcontractor _____?

13. If amounts from 11 and 12 differ, provide explanation: _________________________________

14. Type and Extent of Subcontracting: _________________________________________________

15. Indefinite Delivery/Indefinite Quantity (IDIQ) Contracts only:

a. If yes, explain (e.g. Type, Reason, etc): ________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

1. Customer or agency name: ____________________________________________________

2. Points of Contact, if known (Name/Title, Telephone Number, Mailing/e-mail Address):

a. Technical: ___________________________________________________________

b. Contracting Officer: ____________________________________________________

SECTION 3: EVALUATOR AND CONTRACT INFORMATION

1. Please provide information for primary individual(s) completing this survey:

a. Evaluator Name(s)/Title, Telephone Number, Mailing/e-mail Address:

i. Technical: ____________________________________________________

SECTION 4: EVALUATION

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

2. In the area titled “Additional Comments” after each evaluation area, please discuss each and every response for which you indicate B, Y, or R in response to the questions (use additional sheets, if necessary)

a. QUALITY CONTROL

Provided Quality of Workmanship

Provided and Followed Effective Quality Control (QC) Plan

Provided Effective Inspection Procedures to Meet Contract Requirements

Stored Materials Properly

Used Materials Specified

Ordered and Used Adequate Materials

Provided Adequate Submittals

Provided Adequate As-Build Drawings

Identified/Corrected Deficient Work in a Timely Manner

Suggested Solutions and Displayed Initiative to Implement Solutions

Additional Comments:

Provided Submittals in a Timely Manner

Researched Submittals Well and Clearly Identified Proposed Items

Matched Submittals Accurately to Contract Requirement

Met Established Allotted Work Schedule

Met Established Cost Control; Performed Work Within Allotted Budget

Resolved Delays

Completed Punchlist Items Timely

Completed Punchlist Items Adequately

Completed Work Within Performance Period

Developed Realistic Progress Schedules

Additional Comments:

General Business Practices

Provided Experience Managers and Supervisors With the Technical and Administrative Abilities Needed to Meet Contract Requirements

Hired Experienced Subcontractors

Paid Subcontractors in a Timely Manner

Provided Well Substantiated Pricing Data for Modifications

Completed All Contract Work Prior to Requesting Final Inspection. Left no Major Discrepancies

Provided Timely and Satisfactory Response to Warranty Issues After

Completion of Project

Cooperated to Resolve Problems, Attending Meetings (as Applicable), and Maintained Communication to Ensure Satisfactory Resolution

Provided Timely Resolution of Contract Discrepancies

Obtained Consent of Surety for Increases in Bonding as Work in Progress

Increased

Pricing

Submitted Proposals That Accurately Represented the Work Required

Provided Supporting Price/Cost Information for Modifications That

Were Accurate, Complete, and Reasonable (Not Overinflated or

Underestimated)

Contractor's Overall Pricing Performance:

Site Manager Ensure Compliance With Contract Requirements and Safety

Site Manager Acted Promptly to Resolve Proglems and Ensure

Work Quality

Delegated Sufficient Authority to Site Manager to Make Decisions or

Take Actions During Project Performance

Site Manager Consistently Present On Site When Work was Performed

Contractor's Overall Management Effectiveness:

Additional Comments:

Submitted Payrolls in a Timely Manner

Completed Payrolls Correctly

Complied with Labor Laws and Regulations with Specific Attention to the Davis-Bacon Act

Additional Comments:

Provided Adequate Safety Plan

Properly Implemented Safety Plan

Additional Comments:

Assessment of Liquidated Damages (Frequency, Circumstances, etc)?

Based on the Contractor's Overall Performance, Would you Re-hire This

Contractor? If not, Explain in "Additional Comments"

Was the Contractor Cooperative in Negotiating Modifications so that

They Would Result in Fair and Reasonable Contract Cost Adjustments?

Did the Contractor Provide all Deliverables in a Timely/Accurate Manner?

Have There Been Any Labor Disputes or Public Law Violations?

Have There Been Any Indicators That the Contractor Has Had Any

Financial Difficulties?

Was the Contractor Ever Issued a Cure or Show Cause Notice Under the Referenced Contract? If yes, Explain in "Additional Comments"

Additional Comments:

SECTION 5: ADDITIONAL INFORMATION

Do you know any other contracts performed by this Contractor? If yes, please provide the following contract information, if known:

Additional pages may be attached where space provided is insufficient for a complete and accurate response.

Thank you for your prompt response and assistance!

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104 (WHEN COMPLETED)

SOLICITATION FA8751-13-R-0014

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