ATTACHMENT L-4 PAST PERFORMANCE QUESTIONNAIRE amendment 01.docx
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- Attached to
- Advanced Research and Engineering Services (ARES) III Federal contract opportunity
- Solicitation number
- FA9300-11-R-0002
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ATTACHMENT L-4 PAST PERFORMANCE QUESTIONNAIRE amendment 01
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ATTACHMENT L-4: PAST PERFORMANCE QUESTIONNAIRE SOLICITATION NUMBER: FA9300-11-R-0002 WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104 The Air Force Flight Test Center (AFFTC/PKTB), Edwards AFB, CA is conducting a source selection for the Advanced Research and Engineering Services (ARES III) contract. Please complete and return this questionnaire within 5 workdays. Handwritten responses are sufficient. Do not send a copy of the completed questionnaire to the contractor being assessed. You may be contacted by our office to review the results of the questionnaire. The questionnaire information will be used in the evaluation of the Past Performance Factor contained in the Instructions to Offerors of the solicitation. Completed questionnaires will become part of the office source selection records and protected in accordance with FAR 3.104.
Evaluator please complete the following:
| Date Evaluation Completed: | ____________________________________________ | |||||
| Location of Contract Performance: | ____________________________________________ | |||||
| Evaluator Name: | ____________________________________________ | |||||
| Title: | ____________________________________________ | |||||
| # of years evaluator worked on contract: | ____________________________________________ | |||||
| Customer/Agency Name: | ____________________________________________ | |||||
| Phone Number: | ____________________________________________ | |||||
| FAX Number: | ____________________________________________ | |||||
| Email Address: | ____________________________________________ |
SECTION 1: CONTRACT IDENTIFICATION
| A. | Contractor: ____________________________________________________________ |
| B. | Subcontractor(s): _______________________________________________________ |
| C. | Cage Code of contractor contract was awarded to: _____________________________ |
| D. | Contract number: _______________________________________________________ |
| E. | Contract type: __________________________________________________________ |
| Was this a competitive contract? Yes _____ No _____ | |
| F. | Period of performance: ___________________________________________________ |
| Initial contract cost: $____________________________ | |
| G. | Current/final contract cost: $ ______________________ |
| H. | Reasons for differences between initial contract cost and final contract costs: ______________________________________________________________________________________________________________________________________________________________________________________________ |
I. Description of service provided: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
| A. | Customer or agency name:_____________________________________ |
| B. | Customer or agency description:_________________________________ |
| 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
The following is an explanation of the evaluation codes:
| CODE | PERFORMANCE LEVEL | |
| B | BLUE/OUTSTANDING – The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. | |
| P | PURPLE/GOOD – The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. | |
| G | GREEN/ACCEPTABLE – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory. | |
| Y | YELLOW/MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented. | |
| R | RED/UNACCEPTABLE – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective. | |
| N | NOT APPLICABLE – Unable to provide a score. |
EVALUATION AREAS
1. For each of the following questions, rate the contractor’s performance by placing an “X” in the appropriate block which best reflects your assessment of the contractor’s performance. In the event a question is not applicable to your contract, mark N. Please provide a narrative explanation for performance deemed “Outstanding,” “Marginal,” or “Unacceptable.” If more comment space is needed please attach additional pages.
| Technical Performance |
| B |
| P |
| G |
| Y |
| R |
| N |
T1 Ability to meet technical dead lines
T2. Quality of technical system testing designs
T3 Quality/integrity of technical data/report preparation efforts
T4 Understood and complied with customer objectives and technical requirements
T5 How well did the contractor understand and adhere to technical requirements defined in the SOW
T6 Adequacy/effectiveness of environmental and/or safety procedures
T7 Rate the contractor’s overall performance
| Program Management |
| B |
| P |
| G |
| Y |
| R |
| N |
P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)
P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)
P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance
P4. Successfully responded to emergency and/or surge situations
P5. Quality/effectiveness of sub-contracted efforts
P6. Effectiveness of material management (including Government Furnished Property or Material)
P7. Effectiveness of acquisition management
P8. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer
P9. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.
P10. If the contractor developed any intellectual property, did they effectively manage the process
P11. Rate the contractor’s safety performance. If they had safety incidents, please explain.
P12. How well did the contractor perform in an export controlled environment
P13. If this is an award fee contract, please provide the adjective rating for the last six evaluation periods (not to exceed three years).
P14. Adequacy / effectiveness of environmental and safety procedures.
P15. How was the contractor’s overall compliance with contract terms and conditions.
P16. Did the contractor have safety (OSHA), security, environmental, and/or hazardous material handling violations/incidents
| Transition/Phase-in |
| B |
| P |
| G |
| Y |
| R |
| N |
T/PI1. Contractor ability to smoothly transition resources and personnel.
T/PI2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.
| Employee Retention/Attraction |
| B |
| P |
| G |
| Y |
| R |
| N |
E1. Ability to hire/apply a qualified workforce to this effort.
E2. Ability to retain a qualified workforce on this effort.
E3. Effectiveness of employee compensation towards quality of work.
| Cost Performance |
| B |
| P |
| G |
| Y |
| R |
| N |
C1 Accuracy in forecasting contract costs
C2 Ability to meet forecasted costs and perform within contract costs
C3 Ability to alert Government of unforeseen costs before they occur
C4 Sufficiency and timeliness of cost reporting
2. Additional comments for Exceptional, Marginal, or Unsatisfactory responses to the questions above (use additional sheets, if necessary).
3. Government Contracts Only: Has/was 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
1. What were the contractor’s most positive aspects in the performance of the contract with regards to quality of work?
2. Explain any negative aspects in the performance of the contract? Were there any issues regarding the quality of work? __________________________________________________________________________________________________________________________________________________________________________
3. Would you award another contract to this contractor in the future or having them perform one of your critical and demanding programs?
4. 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:
AFFTC/PKTB
Attn: Aimee Buckless
| 5 South Wolfe Ave, Bldg 2800 | Or FAX to: |
| Edwards AFB, CA 93524-1185 | Attn: Aimee Buckless, 661-275-3383 |
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