L-3 Past Performance Questionnaire 01AUG10.pdf

Attachment L-3: PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _______________________________________________________

B. Cage Code of contractor contract was awarded to: ________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Period of performance (including all options/extensions & the completion of all task orders):

F. Initial contract cost/price: $____________________________

G. Current/final contract cost/price: $_______________________________

H. Reasons for differences between initial contract cost/price and final contract cost/prices: __________

I. Description of service provided:

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 circling the appropriate rating using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered.

Contractor took immediate and effective corrective action.

VG VERY GOOD- During the contract period, contractor is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some. Some minor problems encountered. Contractor took timely corrective action.

S SATISFACTORY – During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

M MARGINAL – During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

U UNSATISFACTORY – During the contract period, contractor performance is failing (or failed) to meet most contract requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive customer oversight and involvement was required.

N NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

Please ensure, at a minimum, that you provide supporting rationale for any M (Marginal) or U (Unsatisfactory) rating in the following questionnaire (use additional sheets, if necessary).

A. Technical Performance

1. Rate the contractor’s overall technical performance. E VG S M U N

Rationale:

2. How well did the contractor demonstrate expert knowledge of and innovative approaches to facility design and fabrication, especially of facilities capable of handling high pressure gases; cryogenics; or chemical and propellant combinations considered toxic, volatile, flammable, shock-sensitive, spark-sensitive, heat-sensitive, light-sensitive, or explosive?

E VG S M U N

Rationale:

3. How well did the contractor demonstrate competence in handling explosives, including approaches for static grounding, transportation, storage compatibility, and general handling?

E VG S M U N

Rationale:

4. How well did the contractor demonstrate competence regarding the operation, maintenance, and repair of mechanically-driven and steam-driven vacuum systems?

E VG S M U N

Rationale:

5. How well did the contractor demonstrate competence with regard to the repair and service of flow components (e.g. valves)?

E VG S M U N

Rationale:

6. How well did the contractor respond when technical problems were encountered?

E VG S M U N

Rationale:

7. Rate the quality/integrity of technical data/report preparation efforts? E VG S M U N

Rationale:

8. How well does the contractor respond to direction and changes to requirements?

E VG S M U N

Rationale:

9. How well does the contractor respond to changes in work load, budget and other unexpected constraints?

B. Program Management

1. Rate the contractor’s overall management performance. E VG S M U N

2. Was the contractor effective in interfacing with the government staff (including ability to successfully resolve disagreements/disputes)?

E VG S M U N

Rationale:

3. Was the contractor’s procurement system timely? E VG S M U N

Rationale:

4. Was the management information system used by the contractor satisfactory to the customer?

E VG S M U N

Rationale:

5. How well does the contractor plan, organize, and implement work efforts? E VG S M U N

Rationale:

6. How well has the contractor managed funds from multiple sources? E VG S M U N

Rationale:

7. How well has the contractor managed and monitored joint ventures, teaming and/or subcontracting arrangements?

E VG S M U N

Rationale:

8. Rate your satisfaction with contractor’s security performance and International Traffic in Arms Regulations (ITAR) compliance.

E VG S M U N

Rationale:

9. If this is an award fee contract, please provide the adjective rating for the last 6 evaluation periods (not to exceed three years).

Ratings:

10. Rate the effectiveness of the contractor's material management (including Government Furnished Property or Material).

E VG S M U N

Rationale:

11. How well did the contractor avoid violations of federal/state/local environmental, safety, and hazardous materials laws/regulations?

E VG S M U N

Rationale:

12. Rate the contractor's ability to recruit and retain specialized, critical and unique personnel and maintain a stable high quality workforce (to include key management).

E VG S M U N

Rationale:

13. Rate the contractor's ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan.

C. Transition

1. How well did the contractor provide a workforce with the correct skills, skill mix and experience level at contract start-up?

E VG S M U N

Rationale:

2. Rate the contractor’s ability to smoothly transition resources and personnel. E VG S M U N

D. Cost/Schedule Performance

1. How would you rate the contractor’s overall cost/schedule performance? E VG S M U N

2. How accurately did the contractor estimate task costs and schedules? E VG S M U N

Rationale:

3. How well did the contractor estimate direct and indirect rates? E VG S M U N Rationale:

4. How well did the contractor alert the Government to cost and schedule impacts before they occurred?

E VG S M U N

Rationale:

5. How well did the contractor propose innovative methods or processes that reduced cost, improved maintainability or other factors that benefited the customer?

Government Contracts Only: Has 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 overall compliance with contract terms and conditions.

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspects in the performance of the contract?

Would you have any reservations about awarding to this contractor in the future? (If yes, please explain.)

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: AFFTC/PKTB Attn: Cynthia Randall 5 South Wolfe Avenue Edwards AFB, CA 93524-1185 Reference: FA9300-10-R-0001

Or FAX to: 661-275-3376