Past Performance Questionaire.docx

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COBRA DANE Systems Life-Cycle Sustainment (SLS) formerly known as SE&I
Solicitation number
FA8723-23-R-0001
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Contract Number:

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contract

Number:

Contractor’s Name:

Address:

Project Title and Brief Description of Work:

Telephone Number: Fax Number:

Point of Contact:

Contract Number Provided by Offeror:Dollar Amount: $ Contract Period or Dates of Performance Provided by Offeror:
Contractor performed as thePrime ContractorSub-ContractorKey Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

C. EMAIL COMPLETED SURVEY FORM TO:

Contract Administrator:

COMM Phone:

Email:

Alt Email:

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS. The contracting officer reserves the right to give the written narrative greater weight than the “scale” rating alone and may adjust the rating based on the narrative.

E
G
S
M
U
N
Exceptional
Good
Satisfactory
Marginal
Unsatisfactory
Neutral
Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or
Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub- element being
Performance meets contractual requirements. The contractual performance of the element or sub- element contains some minor problems for which corrective actions
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of
Performance was not observed or not applicable to the current effort being reported against.
sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.
assessed was accomplished with no more than some minor problems for which corrective actions taken by the

contractor were effective.

taken by the contractor were satisfactory.
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.
the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

CONTRACTOR’S NAME: CONTRACT NUMBER:

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor:
E
G
S
M
U
N
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
3.
Delegated authority to project managers and supervisors commensurate with contract requirements.
4.
Home office participated in solving significant local problems.
5.
Provided effective cost controls with accurate/timely cost reports.
6.
Provided effective quality control and/or inspection procedures to meet contract requirements.
7.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
8.
Provided timely resolution of contract discrepancies.
9.
Identified problems as they occurred.
10.
Suggested alternative approaches to problems.
11.
Displayed initiative to solve problems.
12.
Developed realistic progress schedules.
13.
Met established project schedules.
14.
Ensured safeguarding of classified and controlled information and materials with no security incidents.
15.
Was responsive to contract changes.
16.
Worked effectively with other functionals/offices within organization and stakeholders/customers outside of organization.
17.
Obtained and maintained security clearances for personnel in a timely manner.

Contract

Number:

The contractor:
E
G
S
M
U
N
18.
Ensured personnel were current on required training and certifications.
19.
Provided accurate and complete line-item cost proposals including all aspects of work required for each task.
20.
Cooperated with Government personnel after award.
21.
How would you rate the contractor's overall performance?
22.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES NO

23.
Would you award another contract to this contractor? If not, explain in “remarks.”
YES NO
24.
Is the contractor rated in CPARS?
YES NO
25.
Did the contractor provide any of the following capabilities specific and relevant to a Ground Based Radar (GBR): (Please specify GBR in notes.)

a) Engineering Services?

b) Sustaining Engineering & Integrated Logistics Support?

c) Technical Services?

d) Subject Matter Expertise?

YES NO

YES NO

YES NO

26.
Did the contractor provide any of the following Software Support Capabilities:

a) Contractor owned and operated classified lab and communications?

b) GBR mission performance analysis and reporting tools?

c) Sustainability/sparing analysis and reporting tools?

d) GBR mission software emulation and scenario generation?

YES NO

YES NO

27.
Did the contractor:

a) Conduct any extensive special study(ies)? If so, please specify in notes.

b) Write and deliver a Supportability Analysis Report (SAR)?

28.
Whether the contractor was required to transition from a prior contract or establish new services:

a) Was the contractor able to provide a smooth Phase-in transition?

b) Was the contractor able to fully support requirements after the transition period?

c) How long was the contractual transition period? _____ days.

d) How long did the contractor actually require before meeting all requirements? ______ days.

CONTRACTOR’S NAME: CONTRACT NUMBER:

Remarks:

FIRST MI. LAST, Rank, USAF

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