ATCH_9_PAST_PRESENT PERFORMANCE SURVEY.docx
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- Attached to
- Aerial Delivery Services Federal contract opportunity
- Solicitation number
- HTC711-12-R-R001
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Attachment 9 Past Present Performance Survey
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Solicitation No. HTC711-12-R-R001
PAST AND PRESENT PERFORMANCE SURVEY
When Filled In This Document Is Source Selection Sensitive Information IAW FAR 3.104 & 2.101
REQUEST INFORMATION BE TYPED TO ENSURE READABILITY
A. CONTRACT INFORMATION FOR PRESENT OR PAST PERFORMANCE EFFORT BEING SUBMITTED FOR CONSIDERATION: (To be completed by Offeror)
Offeror’s Company Name:__________________________________________________________________
Address:____________________________________________ Telephone Number: ________________________
Offeror Point of Contact/Email address:_____________________________________________________________
Project Title: __________________________________________________________________________________
Contract Number: ______________________________________________________________________________
Annual Dollar Amount : $_______________________________________________________________________
Total Dollar Amount of Overall Effort (to include all options) $__________________________________________
Place of Performance: ___________________________________________________________________________
Contract Start Date:________________Contract End Date (to include all options): _____________________
Did the offeror perform services as the Prime Contractor or as a Sub-Contractor on the above referenced effort?
If performed as a Sub-Contractor, please provide a description of the tasks performed: __________________________________________________________________________________________________________________________________________________________________________________________
Annual Dollar Amount of Sub-Contracted tasks performed: $___________________________________________
B. RESPONDENT INFORMATION (To be completed by Respondent):
Note: If any of the information in Section A is incorrect, please make necessary changes. Also, if offeror holds or has held other relevant contracts with your agency/organization in the last 5 years, please complete separate surveys for those contracts as well.
Detailed Description of Services provided. Please include workload information that provides a full picture of the level of effort for the referenced contract.
Name of Respondent: _________________________________Title:______________________________________
Address: _____________________________________________________________________________________
Telephone Number: _____________________________________________________________________________
Fax Number:______________________________ Email Address: _____________________________________
C. FAX OR E-MAIL COMPLETED SURVEY FORM TO:
Jon Brunick/Joyce Pavlak – Fax (618) 220-7028 or DSN 770-7028 or E-mail jonathan.brunick@us.af.mil and joyce.pavlak@ustranscom.mil
When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104
NOTE: PPIRS may be reviewed. Although you may have filed a Contractor Performance Assessment Report (CPARS) for the contract listed, we would appreciate your response to this questionnaire because some of the questions relate to areas not covered by CPARS.
D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| UNSATISFACTORY |
| MARGINAL |
| SATISFACTORY |
| VERY GOOD |
| EXCEPTIONAL |
| NEUTRAL |
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| Performance met contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the customer’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the customer’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner. |
| No record of performance or the record is inconclusive. |
The contractor:
| 1 |
| Successfully transitioned resources and personnel to ensure prompt implementation and performance. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 2 |
| Demonstrated ability to hire and maintain qualified personnel during the contract period. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 3 |
| Provided an Information Control Center function to manage information and resources required to support an aerial delivery training schedule. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 4 |
| Prepare (rig) and inspect aerial delivery platforms utilizing the Type V platform. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 5 |
| Prepare (rig) and inspect Container Delivery System bundles. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 6 |
| Inspected, cleaned, stored, repaired, and packed cargo/extraction parachutes. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 7 |
| Performed aircraft loading / offloading. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 8 |
| Performed recovery of aerial delivery assets from a drop zone. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 9 |
| Provided accurate accounting of funds. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 9 |
| Completed timely and accurate reports. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 10 |
| Maintained accurate records. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 11 |
| Maintained customer furnished equipment. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 12 |
| Performed contract requirements according to written directives. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 13 |
| Maintained adequate and effective safety programs. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 14 |
| Complied with security procedures. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 15 |
| Reacted to and overcame stressful situations caused by unforeseen events. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 16 |
| Provided experienced managers and supervisors with the technical and/or administrative abilities needed to meet contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 17 |
| Provided effective quality control and/or inspection procedures. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 18 |
| Contract Discrepancies: |
a) Provided timely resolution of contract discrepancies.
b) Implemented corrective action to prevent reoccurrence.
N/A N/A
| 19 |
| How would you rate the contractor’s overall performance? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 20 |
| Was the contractor ever issued a letter of concern, cure, or show cause notice under the referenced contract? If yes, explain outcome below. |
YES
NO
| 21 |
| Would you award another contract to this contractor? If not, explain below. |
| YES |
| NO |
REMARKS
PLEASE PROVIDE A PARAGRAPH SUPPORTING YOUR ABOVE RATINGS. EXPLAIN THE CONTRACTOR’S GREATEST STRENGTHS AND/OR WEAKNESSES AND YOUR RATIONALE FOR WHY YOU WOULD OR WOULD NOT AWARD A FUTURE CONTRACT TO THEM.
Evaluator’s Signature Date
Thank you for your prompt response and assistance!
ATTACHMENT 9
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