ITO Attachment 1.1.2. Past Performance Questionnaire.docx

ITO ATTACHMENT 1.1.2

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

1. Contractor: ______________________________________________________________________________

1. Cage Code of contractor contract was awarded to: _________________________________

1. Contract number: _______________________________________

1. Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)

1. Was this a competitive contract? Yes _____ No _____

1. Period of performance: _________________________________________________________

1. Initial contract cost: $____________________________

1. Current/final contract cost: $_______________________________

1. Reasons for differences between initial contract cost and final contract costs: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Description of service provided: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

1. Customer or agency name: _________________________________________________________________

1. Customer or agency description (if applicable): _______________________________________________________________

1. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3. EVALUATOR IDENTIFICATION

1. Evaluator's name: _________________________________________________________________________________

1. Evaluator's title: __________________________________________________________________________________

1. Evaluator's phone/fax number:_______________________________________________________________________

1. Evaluator’s email: ________________________________________________________________________________

E. Number of years evaluator worked on subject contract: _____________________________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

B BLUE/EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds some or 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.

G GREEN/SATISFACTORY – 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/UNSATISFACTORY – 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.

Subfactor 1 XXXXX

P1. Did the contractor adequately provide a qualified, experienced program manager who is knowledgeable and able to meet program milestones, requirements, resolve problems, communicate with customer and report program status.

P2. Did the contractor adequately document and manage quality standards and maintain FAA requirements.

P3. Did the contractor adequately manage and smoothly transition resources and personnel during contract phase-in.

P4. Did the contractor adequately provide a knowledgeable, qualified and experienced FSR capable of providing technical analysis and guidance, troubleshooting assistance, and maintenance instruction/training.

Subfactor 2 XXXX

S1. Did the contractor adequately manage and supply all parts, tools and support equipment needed to meet fleet requirements.

S2. Did the contractor adequately furnish FAA certified spares and parts in the proper configuration.

S3. Did the contractor adequately operate and maintain an inventory and supply ordering system.

S4. Did the contractor adequately provide parts and spares to locations away from the MOB, to restore aircraft to operational status.

Factor 3 Price Performance

CP1. Were funds status reporting accurate and timely? If not, please explain.

CP2. Did the contractor submit timely proposals for additional customer and/or unscheduled requirements and perform within proposed prices? If not, please explain.

CP3. Did the contractor promote savings for the customer and ensure best value commercial pricing in proposals? Please explain.

CP4. Did the contractor adhere to contract price/cost? If not, please explain.

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response 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?

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

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

What were the contractor’s most negative aspect in the performance of the contract? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

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:

DEPARTMENT OF THE AIR FORCE

OFFICE ATTN: Name