Past_Performance_Questionnaire_-_Attachment_6.docx

DOCX document 14 KB Posted

Attached to
Air Force Contracting Information Systems (AFCIS) Federal contract opportunity
Solicitation number
FA8771-13-R-0002
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hanscom Air Force Base

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Past Performance Questionnaire in Microsoft Word

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FA8771-13-R-0002.pdf PDF

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References ONLY should submit completed Past Performance Questionnaire to yolanda.dixon@gunter.af.mil and lashunya.johnson-vinson@gunter.af.mil.

PAST PERFORMANCE QUESTIONNAIRE

1. Contractor Name:
2. Contract Number:
3. Contractor Address:
4. Contract Type: __Firm Fixed Price

____Cost Reimbursement ___ Other (Please Specify)

5. Agency Name:
6. Agency POC/Phone/Fax:

7. Period of Performance:

8. Dollar Amount of Award: $ Total Dollar Value with Mods:

9. Title of Contract:

10. Description of Contract Service:

11. Complexity of Work: Difficult: ____________ Routine: ____________

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor
13. Comments (Attach additional sheets, if necessary.)
14. Rating

a. Quality of Work

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Cost/Budget Control

15. Would you select this firm again? Please explain. (Attach additional sheet if necessary.)

16. Name & Date:
17. Title:

PAST PERFORMANCE RATING GUIDELINES

Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Poor, Fair, Good, or Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings
Quality of Work/

Personnel/Service

-Compliance w/contract requirements -Accuracy of reports -Appropriateness of personnel -Technical excellence

Cost Control

-Within budget -Current, accurate, complete billings -Relationship of negotiated costs to actual -Cost efficiencies -Change orders issued Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time Business Relations/Sub Contractor Mgmt

-Effective Mgmt -Businesslike correspondence -Responsive to contract reqmnts -Prompt notification of problems -Reasonable/ cooperative -Flexible -Pro-active -Effective SB/SDB Subcontract Program

Unsatisfactory
Nonconformances

are comprising the achievement of contract reqmnts

Cost issues are comprising performance
Delays are compromising achievement of contract reqmts
Response is not effective
Poor
Nonconformances

require major agency resources to ensure achievement of contract reqmnts

Cost issues require major agency resources to ensure achievement of contract reqmnts
Delays require major agency resources to ensure achievement of contract reqmnts
Response is marginally effective
Fair
Nonconformances require minor agency resources to ensure achievement of contract reqmnts
Cost issues require minor agency resources to ensure

achievement of contract reqmnts

Delays require minor agency resources to ensure achievement of contract reqmnts
Response is somewhat effective
Good
Nonconformances

do not impact achievement of contract reqmnts Cost issues do not impact achievement of contract reqmnts

Delays do not impact achievement of contract reqmnts
Response is usually effective
Excellent
There are no quality problems
There are no cost issues
There are no delays
Response is effective

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