Attachment_3_-_ATAC_Past_Performance_Survey.docx
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- HTC711-15-R-R004
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PAST PERFORMANCE SURVEY
When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101 & 3.104
A. GENERAL INFORMATION: (To be completed by Offeror)
Contractor’s Name:
Address:
Telephone Number:
Email:
Point of Contact:
Project Title and Brief but Detailed Description of Work (including workload estimates):
Contract Number :
Contract Value (Base & Option Years): $
Place of Performance:
Period of Performance:
Contractor Performed as the Prime Contractor Sub-Contractor.
B. RESPONDENT INFORMATION (To be completed by Respondent):
Name of Respondent: _Title:
Address:
Telephone Number:
HTC711-15-R-R004
ATTACHMENT
Page of
Fax Number:
Email Address:
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 3 years, please complete separate evaluation forms for those contracts as well.
C. FAX OR E-MAIL COMPLETED SURVEY FORM TO:
Please email the completed survey to the below address no later than: 15 June 2015 /4:00 PM CT to:
USTRANSCOM/TCAQ-R
ATTN: Ms. Denise Cameron and Ms. Christine Peart Email: denise.e.cameron.civ@mail.mil Email: christine.m.peart.civ@mail.mil Direct survey completion questions/comments to the above address/individual(s)
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 survey because some of the questions relate to areas not covered by CPARS and are specifically related to this acquisition.
D. QUALITATIVE INFORMATION:
1. Describe the contractor’s efforts at consolidating various shipments to multiple locations while taking into account varying transit time requirements.
2. Did the contractor provide air shipment service? Yes/No If Yes, were any of those shipments to Hawaii?
3. Did the contractor provide Intransit Visibility (ITV)? Yes/No If Yes, how was this service provided?
4. Describe the contractor’s ability to perform on-call and daily delivery service in multiple locations throughout the United States?
5. Did the contractor provide service to Canada? Yes/No If Yes, describe the type of service provided and your level of satisfaction with that service.
6. Did the Contractor provide proof of Delivery and Proof of Shipment service? Yes/No How was this service provided?
E. 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.
| Performance did not meet some contractual requirements. There were serious problems. |
| Performance met contractual requirements. There were some minor problems. No significant weaknesses. |
| Performance met contractual requirements and exceeded some to the customer’s benefit. There were a few minor problems. No significant weaknesses identified. |
| Performance met contractual requirements and exceeded many to the customer’s benefit. No significant weaknesses identified. |
| No record of performance or the record is inconclusive. |
THE CONTRACTOR:
| 1 |
| Has the contractor performed the requirements of the contract? Please discuss if the contractor has received letters of concern, contract discrepancy reports, cure notices, or show cause letter. (Quality of Service) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 2 |
| Does the contractor meet the terms of the contract within the contractually agreed price? Please discuss any claims and equitable adjustments. (Cost Control) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 3 |
| Is the contractor proactive in their approach to meeting contract requirements, changing mission requirements, issues, concerns, and problems? (Business Relations) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 4 |
| Does the contractor perform contract requirements on schedule, such as timely pickup and delivery of packages? (Timeliness of Performance) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 5 |
| Does the contractor have a high turnover rate for any management and non-management positions? Please discuss how this effects efficient performance of contract requirements. (Personnel) |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 6 |
| Did the contractor demonstrate their ability to provide accurate and timely Intransit Visibility (ITV) from origin pick-up to destination delivery? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 7 |
| Did the contractor provide effective quality control and/or inspection procedures to meet contract requirements? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
GENERAL:
| 8 |
| How would you rate the contractor’s overall performance? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| N/A |
| 9 |
| 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.
Survey Respondent’s Signature Date
Thank you for your prompt response and assistance!
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