Attachment_3_-_Past_and_Present_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA9301-13-R-0007

**When filled in this document is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104**

The 412th Contracting Squadron (AFTC/PZIOA), Edwards AFB, CA is conducting a source selection for the Base Supply Services 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 official source selection records and protected in accordance with FAR 3.104 and 2.101. Please email the completed questionnaire to both of the following:

Cindy Keim, Contracting Officer: cindy.keim@edwards.af.mil Tylan McBride, Buyer: tylan.mcbride@edwards.af.mil

Evaluator, please complete, date and sign the following:

SECTION 1: CUSTOMER OR AGENCY IDENTIFICATION

Date Evaluation Completed: _______________________________________________ Location of Contract Performance: __________________________________________ Evaluator Name: _________________________________________________________ Position Title and Grade: __________________________________________________ How long have you worked directly with Contractor?:____________________________ Address: ________________________________________________________________ Phone Number (DSN and Commercial): _______________________________________ Email Address: __________________________________________________________ Are you aware of another POC that might be appropriate for completion of this questionnaire? If so, please provide any information you can. _______________________________________

Evaluator’s Signature Date

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SECTION 2: CONTRACT IDENTIFICATION

A. Contractor: ___________________________________________________________ B. Cage Code: ____________________________________________________________ C. Subcontractor(s): _______________________________________________________ D. Cage Code: ___________________________________________________________ E. Contract number: _______________________________________________________ F. Contract type: _________________________________________________________

G. Contractor Performed as the Prime Contractor Subcontractor Key Personnel

H. Total original contract cost/value: ___________ Total current cost/value: ___________ reason for difference________________________________________________________________

I. Period of Performance -- From: ___________________ To: _____________________

J. Title and brief description of services provided—If this is a BOS contract, please try to extrapolate the effort performed by this Contractor and it applies to Base Supply

K. Does this contract provide for the accomplishments of all requirements in a Standard Base Supply Services account? (If not, what does the contract provide?)

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

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SECTION 3: EVALUATION

The following is an explanation of the evaluation codes:

PERFORMANCE LEVEL CODES

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met 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/met 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/met 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.

does not meet/did 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.

Performance does not meet/did 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.

EVALUATION AREAS

For each of the following questions, place an “X” in the appropriate block using the scale provided to the right of each question which best reflects your assessment of the contractor’s performance. Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. In the event a question is not applicable to your contract, mark N. Please provide a narrative explanation for performance deemed “Exceptional”, “Marginal”, or “Unsatisfactory”. If more comment space is needed please attach additional pages.

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Quality of Service

3a. Quality of Service E G S M U N

3a1. Quality of LMCA (Logistics Material Control Activity) services Comments:

E G S M U N

3a2. Quality of Hazmat Pharmacy services Comments:

E G S M U N

3a3. Quality of shipping and receiving services Comments:

E G S M U N

3a4. Quality of "Reparable Assessment Management Section" services Comments:

E G S M U N

3a5. Quality of Customer Services function/desk?

Comments:

3a. Q uality of Service - Continued E G S M U N

3a7. Quality of warehouse management services Comments:

E G S M U N

3a8. Quality of Mission Capable (MICAP) services Comments:

E G S M U N

3a9. Quality of Mobility bag services Comments:

E G S M U N

3a10. Quality of pickup and delivery services

3a. Quality of Service - Continued E G S M U N

3a11. How well did the contractor implement an orderly transition from the incumbent contractor?

Comments:

E G S M U N

3a12. How well did the contractor comply with contractual terms and conditions including the preparation of any required reports?

Comments:

E G S M U N

3a13. How well did the contractor provide courteous and responsive customer service to base customers?

Comments:

E G S M U N

3a14. How well did the contractor measure customer satisfaction?

3a. Quality of Service - continued E G S M U N

3a15. How well did the contractor do in providing experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements?

Comments:

E G S M U N

3a16. How well did the contractor delegate authority to project managers and supervisors commensurate with contract requirements?

Comments:

E G S M U N

3a17. How well did the contractor attract and retain qualified and fully trained personnel at all levels within their organization to ensure contract compliance?

Comments:

E G S M U N

3a18. How well does the contractor’s organization provide the necessary manning to meet requirements?

Comments:

E G S M U N

3a19. When an employee vacancy occurred, were vacancies filled within a timely manner?

3a. Quality of Service - continued E G S M U N

3a20. How would you rate the contractor’s home office participation in resolving local issues?

Comments:

E G S M U N

3a21. Rate the contractor’s ability to respond to workload fluctuations.

Comments:

E G S M U N

3a22. How effective was the contractor in identifying and solving technical issues in a timely manner and in accordance with their quality control procedures?

Comments:

E G S M U N

3a23. How well did the contractor use performance measurements and reporting systems to track performance?

Comments:

E G S M U N

3a24. How effective and efficient were the contractor’s quality assurance processes?

Timeliness of Performance

3b. Timeliness of Performance E G S M U N

3b1. How well did the contractor perform timely completion of contractual requirements to include required reports?

Comments:

E G S M U N

3b2. How would you rate the timeliness, quality and completeness of the contractor’s post-award proposals?

Comments:

E G S M U N

3b3. How would you rate the timeliness and accuracy of the contractor’s submitted invoices?

Comments:

Business Relations

3c. Business Relations E G S M U N

3c1. How willing was the contractor to improve and correct noncompliance issues or concerns?

Comments:

E G S M U N

3c2. How would you rate the overall customer satisfaction rating?

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3c. Business Relations - continued E G S M U N

3c3. How well does the contractor satisfactorily interface with Government personnel and/or other existing support contractors?

Comments:

E G S M U N

3c4. Rate the contractor’s overall management of subcontracts.

Comments:

E G S M U N

3c5. How would you rate the overall performance of the contractor under this contract?

Comments:

General

3d. General (Answer YES, NO or N/A) YES NO N/A

3d1. Were there any contract modifications submitted for equitable cost adjustment by the contractor after the initial contract start date? If so, please explain in detail.

Comments:

YES NO N/A

3d2. Given the choice, would you award a contract to this contractor again?

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3d. General - continued YES NO N/A

3d3. Is the contractor rated in CPARS? If not, please explain below.

Comments:

YES NO N/A

3d4. Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact if known in the space provided Comments:

YES NO N/A

3d5. Were there any notable innovative or “forward-thinking” ideas initiated and demonstrated by the Contractor?

Comments:

YES NO N/A

3d6. Government Contracts Only : Has a show cause or cure notice ever been issued, the contract been partially or completely terminated for default or convenience, or are there any pending terminations or was an option not exercised due to performance? If yes, please explain why.

Comments:

YES NO N/A

3d7. Did the contractor develop an effective means to measure customer satisfaction?

Comments:

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NARRATIVE SUMMARY

3f. What were the contractor’s most positive aspects in the performance of the contract?

3g. What were the contractor’s most negative aspects in the performance of the contract?

COMMENTS

3h. Please provide any additional comments concerning this contractor’s performance, as desired, use additional paper if needed.

The performance assessment rating will be based upon an assessment of performance risk and represents the government’s confidence in the offeror’s probability of successfully performing as proposed. Therefore, an honest assessment with regard to this Contractor’s performance is critical. Thank you very much for taking the time to complete this questionnaire.

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