Past Performance.pdf

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 Attachment 1 to

Roofing ACQ Plan

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a Roofing Repair/Replacement contract at Edwards AFB, CA.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at (insert contractor phone number).

Please submit completed questionnaire to the Government Contract Specialists identified on the attached questionnaire.

Offeror’s Signature

1 Atch Past and Present Performance Questionnaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: ___________________ Telephone Number:___________________ Address: _________________________ Fax Number:________________________ Point of Contact: _____________________________

Project Title and Brief Description of Work:

Contract Number Provided by Offeror: _________________ Dollar Amount:_________*

Contract Period or Dates of Performance Provided by Offeror:

______________________Contractor performed as the Prime Contractor Sub- Contractor Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ___________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number: _____________________ _____________________________ Email Address: _____________________

C. SEND COMPLETED SURVEY FORM TO:

Steve Ostrander Myogene Park

95 CONS/PKB 95 CONS/PKB

Steve.Ostrander@edwards.af.mil Myogene.Park@edwards.af.mil

(661) 277-2047 (661)277-0247

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

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 were satisfactory.

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element being assessed 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.

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.

was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _______________ CONTRACT #: _______________

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified, licensed, certified personnel during the contract period.

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Responsive to warranty work requests.

5. Provided submittals in a timely manner.

6. Followed approved quality control plan and asbestos/lead abatement plans.

7. Provided effective quality control and/or inspection procedures to meet contract requirements.

8. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

9. Provided timely resolution of contract discrepancies.

10. Displayed initiative to solve problems.

11. Developed realistic progress schedules.

12. Met established project schedules.

13. Was responsive to contract changes.

14. Was able to obtain bonding and liability insurance.

15. Paid subcontractors/suppliers in a timely manner.

16. Provided accurate and complete line item proposals including all aspects of work required for each task.

17. Cooperated with Government personnel after award.

18. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

19. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Remarks:________________________________________________________________