Attachment_6_-_Past_Performance_Questionnaire.pdf

SECTION I. ADMINISTRATIVE INFORMATION

A. Project Identification (To be filled out by the Offeror)

Company Name:

Representative Name:

Title:

Address:

E-mail:

Phone Number:

Reference Contract Number/Order Number:

Project Title:

Total Period of Performance, Including Options:

MM/YYYY - MM/YYYY or MM/YYYY - Present

B. Customer Information (To be filled out by the Assessor) Name:

Title:

Agency or Customer:

Phone Number:

E-mail:

Small Business Enterprise Application Solutions (SBEAS)

PAST PERFORMANCE QUESTIONNAIRE

SECTION II. PERFORMANCE EVALUATION (To be completed by Assessor or Assessor’s representative listed in Section I.B) Sections A through D, the Assessor must choose one (1) Adjectival Rating by entering the rating in the rating box, as applicable. Section E shall be an overall assessment of the contractor's performance. At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating.

Adjectival Rating

Definition

Exceptional Performance meets contractual requirements and exceeds many to the Organization’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance meets contractual requirements and exceeds some to the Organization’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory 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 appear or were satisfactory.

Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory 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.

Project Summary:

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

Section J Attachment 6 Past Performance Questionnaire

FA8771-17-R-1000

Performance Evaluation Elements Rating

Comments

At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating.

A. Quality Of Service

B. Schedule

C. Cost Control

D. Management

E. OVERALL QUALITY

Organization:

Shaneka.Brown@us.af.mil

SUBMIT COMPLETED QUESTIONNAIRES TO THE FOLLOWING POCS:

AFLCMC/HIK

Name:

Britney.Jenkins@us.af.mil Thomas.Corum@us.af.mil

Britney B. Jenkins Thomas E. Corum

Shaneka K. Brown Email: Title:

PCO

Contract Specialist Contract Specialist

SECTION III. DISTRIBUTION OF QUESTIONNAIRE

SECTION IV. CERTIFICATION

Digital or Wet Signature Of Assessor: (Rating must be provided by Program Manager or Contracts Representative with cognizance over the project for the period of performance)

AFLCMC/HIK

AFLCMC/HIK

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

Section J Attachment 6 Past Performance Questionnaire

FA8771-17-R-1000

1076080905C Typewritten Text

1076080905C Typewritten Text