J-4 Past Performance Questionnaie.pdf

FA5000-20-Q-0035

Youth Sport Officials and Score Keepers

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference

CONTRACTOR COMPANY NAME: ADDRESS: CAGE CODE:

DUNS NUMBER:

POINT OF CONTACT: TELEPHONE NUMBER: FAX NUMBER:

CONTRACT NUMBER: CONTRACT TITLE:

SECTION B - RESPONDENT INFORMATION: To be completed by each reference providing information in Sections C, D, & E.

This is a 3-page questionnaire---please complete all 3 pages.

TYPED/PRINTED NAME: TITLE: COMPANY/ORGANIZATION:

ADDRESS (Street, City, State, and Zip Code): TELEPHONE NUMBER (to include area code):

FAX NUMBER (to include area code):

E-MAIL ADDRESS: SIGNATURE: DATE:

RETURN COMPLETED QUESTIONNAIRE TO THE INDIVIDUAL LISTED BELOW:

POINT OF CONTACT AND E-MAIL ADDRESS:

Jonathan Garcia, Jonathan.Garcia.27@us.af.mil Daniel Swoyer, Daniel.Swoyer.1@us.af.mil

MAILING ADDRESS:

673 CONS/LGCB

10480 Sijan Ave, Ste 363

JBER, AK 99506

TELEPHONE

NUMBERS

VOICE: (907) 552-

SECTION C - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeat from Section A and is requested only to confirm the information.

CONTRACT NUMBER CONTRACT TYPE (Firm-

Fixed Price, Cost

Reimbursement, etc.):

PERIOD OF

PERFORMANCE:

COMPETITIVE CONTRACT?

YES NO

INITIAL CONTRACT VALUE: CURRENT/FINAL CONTRACT

VALUE:

CONTRACT BEING EVALUATED AS (indicate which):

PRIME CONTRACTOR SUBCONTRACTOR

CONTRACT TITLE:

BRIEF DESCRIPTION OF SERVICES:

REASON FOR DIFFERENCE BETWEEN INITIAL AND CURRENT/FINAL CONTRACT COSTS:

COMPLETE & RETURN PRIOR TO

May 18 2020, 1000 am AKST mailto:nicholas.tapp@us.af.mil mailto:seth.stambaugh@us.af.mil mailto:christina.wolf.4@us.af.mil

FA5000-20-Q-0035

Youth Sports Officials and Score Keepers

Date Evaluator's Name / Signature

Thank you for your prompt response and assistance!

SECTION D – PERFORMANCE INFORMATION: To be completed by each reference.

Yes No

1. Does your contract involve sport officials and score keepers or similar services?

2. Does your contract require any of the following certifications; National Youth Sports Coaches Association (NYSCA) Sports Officials Certification, United States Officials Association, and National Association of Sports Officials (NASO) ?

SECTION E - QUALITY ASSESSMENT RATINGS: To be completed by each reference.

RATING DEFINITION

S Satisfactory

During the contract period, contractor performance is meeting (or met) contract requirements. For any problems encountered, contractor took effective corrective action.

U Unsatisfactory

During the contract period, contractor performance is not meeting (or did not meet) contract requirements. For any problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented.

Customer involvement was required.

N/A Not Applicable Used if the rating(s) are not going to be applied to a particular area for evaluation.

QUALITY OF SERVICE S U N/A

4. How would you rate the contractor's ability to meet and maintain sport official retainanility to ensure contract success?

5. How well did the Contractor respond to any outages, emergencies or unschedules changes regarding the contract?

6. How would you rate the contractor's to meet all timelines/deadlines?

MANAGEMENT

7. How would you rate the contractor's overall effectiveness in managing the contract including environmental, safety health and security requirements?

8. How would you rate the contractor's ability to effectively communicate with you regarding all aspects of the contract?

OVERALL ASSESSMENT

9. What is your overall assessment of this past performance for this contractor?

10. Would you hire this contractor again? If not, please explain.