13._TLOSS_Sec_L-_attch_L1_-_Past_Performance_Questionnaire.pdf

TLOSS Sec L Attachment L1 Past Performance Questionnaire

Section L, Attachment L1: PAST PERFORMANCE QUESTIONNAIRE

1. 1. OFFEROR’S HISTORICAL DATA:

A: OFFEROR IDENTIFICATION:

Offeror: Click here to enter text. Contract Number: Click here to enter text.

Division:

B: CONTRACTURAL INFORMATION. Please provide the following information regarding contractor and contract number identification in 1. A above:

Contracting Agency / Customer:

Contracting Officer Contact Information:

Name:

Address:

Email:

Phone:

Contract Type: Click here to enter text. TIN #:

Contract Purpose:

☐Support Service ☐Research and Development ☐Other (Describe): Click here to enter text.

Contract Award Date:

Click here to enter a date.

Period of Performance:

From Click here to enter a date. to Click here to enter a date.

Total Contract Value: Click here to enter text.

Value of Contractor ShareClick here to enter text.

Was the Offeror a Prime Contractor?

☐ Yes ☐ No

Was the contract a competitive award?

☐ Yes ☐ No Was this contract a follow on effort?

☐ Yes ☐ No

Is the contract currently in an overrun situation?

☐ Yes, Explain: Click here to enter text.

☐ No Is the contract currently in an underrun situation?

☐ Yes Explain: Click here to enter text.

☐ No Program Title and nature of the effort. Describe the scope of the effort, the type of tasks involved, labor skills used, and products/support delivered.

Click here to enter text.

Offeror comments regarding compliance with contract terms and conditions:

Offeror comments regarding any known performance deemed unacceptable to the customer; or not in accordance with the contract terms and conditions:

2. RATINGS AND QUESTIONS FOR GOVERNMENT OFFICIAL

A. RATINGS:

Please review and complete this questionnaire based on the following guidance.

1. Return the completed questionnaire within five working days to Brent Jorgensen, TLOSS Contracting officer (brent.jorgensen.1@us.af.mil). A telephone interview may be conducted to obtain your responses or for clarification purposes.

2. You are urged to read the questionnaire and supplement your own knowledge of the offeror’s performance with the judgment of others (e.g., coordinated effort between the Contracting Officer and the Technical Point of Contact) in your program. In addition to providing the information for the contract or order identified, we solicit your comments on other similar contracts or orders that your activity has with this offeror.

3. For each item requesting a rating, respond with the rating that best describes the contractor’s performance for the referenced contract or order. If an item is not applicable to your contract order, or if you do not know how the contractor performed/is performing on that item, please respond N/A. The rating scale is defined as:

Excellent Consistent record of exceptional past performance by the offeror.

and any proposed major subcontractors on work identical or very similar to the work requirements of the proposed contract. Many strengths and no weaknesses.

Very Good Consistent record of successful past performance by the offeror and any proposed major subcontractors on work identical or very similar to the work requirements of the proposed contract. Strengths far outweigh any weaknesses.

Good Successful past performance by the offeror and any proposed major subcontractors on work similar to the work requirements of the proposed contract. Strengths outweigh any weaknesses.

Neutral Neutral score. Assigned to offerors with no relevant past performance.

Weak Weaknesses outweigh strengths.

Poor Weaknesses far outweigh strengths.

Fails Significant weaknesses with no strengths.

B. QUESTIONS:

1. Has this contract or tasks been partially or completely terminated or subject to litigation?

☐Default ☐Convenience ☐Litigation If yes, please explain: Click here to enter text.

2. Changes in the contract dollar value throughout the life of the contract are/were attributable to:

☐Government issued change orders ☐Claims submitted by contractor ☐Other Government Actions ☐Other Contract Action

☐Not Applicable Please Explain: Click here to enter text.

3. Have you experienced problems with the contractor wanting change orders issued because they feel the work you need done is not covered in the contract?

☐Yes ☐No

4. Approximately how many people are/were employed under this contract?

Click here to enter text.

5. What has been the key personnel turnover rate under this contract?

Click here to enter text.%

6. This contract included support in the following areas: check all that apply ☐ Software Engineering ☐ System Engineering ☐ IT System Administration ☐ Hardware Engineering ☐ Facility Management ☐ Operations Support ☐ System Integration and Capability Deployment

7. Further define the type of support this contractor provided, based upon Question 6 above.

Click here to enter text.

8. What technical areas described below do you feel the contractor would have a strong rating?

☐ Software Engineering ☐ System Engineering ☐ IT System Administration ☐ Hardware Engineering ☐ Facility Management ☐ Operations Support ☐ System Integration and Capability Deployment

9. What technical areas described below do you feel the contractor would have a weak rating?

☐ Software Engineering ☐ System Engineering ☐ IT System Administration ☐ Hardware Engineering ☐ Facility Management ☐ Operations Support ☐ System Integration and Capability Deployment Technical Performance Questions

10. Rate the overall technical quality of this contractor for your contract.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

11. Rate the contractor’s record in completing tasks/milestones/deliverables within establishing time schedules.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

12. Rate the contractor’s record in establishing, maintaining and implementing a Configuration Management System (CM).

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

13. Rate the contractor’s record in design, development, and validation of hardware systems.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

14. Rate the contractor’s record in design, development, and validation of software systems.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

15. Rate the contractor’s record in maintaining materials/spares, and maintaining current database inventory documentation.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

16. Rate the contractor’s record in supporting the insertion of new technology.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

Contract Management and Administration Questions

17. Rate the contractor’s record in accurately estimating and managing resources required to perform the assigned in accordance with requirements.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

18. Rate the contractor’s performance in dealing with problems and implementing corrective actions.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

19. Rate the contractor’s record in establishing and maintaining an effective quality assurance program and meeting quality improvement requirements.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

20. Rate the contractor’s record in managing complex projects at multiple, geographical dispersed sites.

Comments: Click here to enter text.

☐ Excellent ☐Very Good ☐ Good ☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

21. Rate the contractor’s record in identifying key positions, filling these positions with individuals with the necessary skills, and providing backups.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

22. Rate the contractor’s record in recruiting, managing and maintaining a workforce with a mix of various skills. Consider Secret and TS/SCI staffing as well.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

23. Rate the contractor’s record in effectively managing subcontractors.

☐ Neutral ☐ Weak ☐ Poor ☐ Fails ☐ N/A

Other Questions:

24. In your opinion, what, if any, would you consider the contractor’s strengths and what did you like most about them?

Click here to enter text.

25. In your opinion, what, if any, would you consider the contractor’s weak points and what did you like least about them?

Click here to enter text.

26. If you know any further information that was not covered by this questionnaire, but you feel is important, please provide this information?

Click here to enter text.

3. RESPONDENT INFORMATION:

Name: Click here to enter text. Phone Number: Click here to enter text.

Email Address: Click here to enter text. Office Designation: Click here to enter text.

Position/Title: Click here to enter text. Relationship to Program: Click here to enter text.

Length of Involvement in Program:

Click here to enter text.