PAST_PERFORMANCE_QUESTIONNAIRE.pdf

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

PAST PERFORMANCE QUESTIONNAIRE

Within 2 weeks from receipt of this questionnaire please return this form Attn: Mr. Harold Kostem, to e-mail address Harold,Kostem@usmc.mil. If you have any questions please feel free to call me at 910-451-1244 (W).

1. CONTRACTOR IDENTIFICATION

a. Contractor:

b. Program Title:

c. Contract Number:

d. Type of Contract: Percent Complete:

Note: Whether identified or not, if you have any knowledge of other contracts for the identified contractor, you are requested to complete a questionnaire for each contract or subcontract similar to this acquisition.

2. RESPONDENT IDENTIFICATION

a. Name:

b. Agency:

c. Position:

d. Relation to Program:

e. Phone/Fax Number/Email Address:

3. PROGRAM CHARACTERISTICS

3a. Please provide a short description of the subject contract.

3b. Please check those activities which are applicable to your program:

PowerLine:

Remove and replace engines Yes___________ No____________

Troubleshoot engines Yes___________ No____________

Remove and replace tires Yes___________ No____________

Perform scheduled servicing on engines Yes___________ No____________

Remove and replace Airframe Mounted Accessory Drive Yes___________ No____________

Remove and replace AMAD mounted accessories such as fuel pumps, generators, air turbine starters Yes___________ No____________

Remove and replace defective engine components such as engine cables, igniters, fuel pumps, engine control assemblies Yes___________ No____________

Rig throttles Yes___________ No____________

Perform scheduled inspections on engines Yes___________ No____________

Perform O-Level modifications in accordance with the Technical Directives

Program Yes___________ No____________

Perform towing operations in support of maintenance actions Yes___________ No____________

Airframes:

Remove and replace flight control surfaces such as rudders, leading edge flaps, trailing edge flaps, stabilators, ailerons Yes___________ No____________

Remove and replace flight control servocylinders for the previously listed

Surfaces Yes___________ No____________

Remove and replace hydraulic components such as reservoirs, pumps, filter housings, and lines Yes___________ No____________

Remove and replace landing gear components such as struts, trunnions, axles, axle levers, drag braces Yes___________ No____________

Remove and replace tailhook system components Yes___________ No____________

Troubleshoot flight controls Yes___________ No____________

Troubleshoot hydraulics Yes___________ No____________

Troubleshoot landing gear Yes___________ No____________

Rig landing gear Yes___________ No____________

Rig flight controls Yes___________ No____________

Perform scheduled inspections on airframe and components Yes___________ No____________

Perform O-Level modifications in accordance with the Technical Directives

Avionics:

Troubleshoot problems with displays, computers, radios, wiring, combat

Systems Yes___________ No____________

Remove and replace items such as mission computers, flight control computers, RADAR components, relays, relay panels, power distribution Yes______No_____

Perform scheduled inspections on airframe and components Yes___________ No____________

Perform O-Level modifications in accordance with the Technical Directives

4. PERFORMANCE LEVELS

4.1 PERFORMANCE GRADES (Use these grades to provide the overall rating where requested below).

Exceptional - Performance meets contractual requirements and exceeds many to the Government’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal - Performance does 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. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

4.2 QUESTIONS

4.2.1. TECHNICAL AND QUALITY PERFORMANCE (including Aviation Safety) a.. What kind of technical performance problems or strengths were experienced by the contractor?

b. What was the cause of these technical problems or strengths?

c. To what extent have corrective actions been taken to correct problem(s) identified above and to what extent have the corrective actions been effective? Describe the progress made to date. Also explain to what extent the corrective actions addressed the root cause of the problem(s) and led to systemic improvement such that similar problems would not reoccur.

d. Overall, the contractor's technical performance is rated ______________

4.2.2: SCHEDULE PERFORMANCE

a. What kind of delivery/schedule problems or strengths were experienced by the contractor?

b. What was the cause of these delivery/schedule problems or strengths?

c. To what extent have corrective actions been taken to correct problem(s) identified above and to what extent have the corrective actions been effective? Describe the progress made to date. Also explain to what extent the corrective actions addressed the root cause of the problem(s) and led to systemic improvement such that similar problems would not reoccur.

d. Overall, the contractor's delivery/schedule performance is rated _________________

4.2.3. COST PERFORMANCE (including controlling material, labor, inventory, over & above costs.)

a. What kind of Cost problems or strengths were experienced by the contractor?

b. If the contractor experienced an overrun please provide the percentage..

c. What was the cause of these Cost problems or strengths?

d. Overall, the contractor's Cost performance is rated ___________________

4.2.4 MANAGEMENT

4.2.4.1 MANAGEMENT RESPONSIVENSS

a. What was the contractor’s record of timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, engineering change proposals, or other undefinitized contract actions), the contractor's history of reasonable and cooperative behavior, effective business relations, and customer satisfaction?

4.2.4.3 PROGRAM MANAGEMENT AND OTHER MANAGEMENT

a. To what extent does the contractor discharge their responsibility for integration and coordination of all activity needed to execute the contract; identify and apply resources required to meet schedule requirements; assign responsibilities for tasks/actions required by contract; and communicate appropriate information to affected program elements in a timely manner?

b. What were the contractor’s risk management practices, especially the ability to identify risks and formulate and implement risk mitigation plans?

c. If applicable, identify and provide information on any other areas that are unique to the contract, or that cannot be captured elsewhere under the Management Assessment.

4.2.4.4 Overall Management Assessment

a. Overall, the contractor's management performance is rated __________________

4.2.5. OTHER. Is there any other information regarding this acquisition that you think would be helpful to our evaluation? If so please explain. Examples of additional information that could be helpful to our evaluation include information on (1) key personnel related problems or strengths, (2) business relationship types of problems or strengths with regard to management of subcontracts, cooperation with business partners/customers, customer satisfaction, etc., (3) Aviation and Industrial Safety related problems or strengths, (4) and information related to

OSHA Violations.

4.3 SUMMARY: If you had the option, knowing what you know today, would you (pick one), 1) definitely would not, 2) probably would not, 3) might, 4) might not, 5) probably would, 6) definitely would award this contract to this contractor, given the choice?