SAM Attachment 10 - RDIF Past Performance Questionnaire.docx

ATTACHMENT 5 – RDIF PAST PERFORMANCE QUESTIONNAIRE

(Note: Offeror: Send directly to the points of contact for each contract submitted using Attachment 4 – RDIF Past Performance Information Tool. Contacts: Please answer and send directly to the Government Contracting Officer by email or regular mail) Contracting Officer Info:

When filled in this document is source selection sensitive information IAW FAR 3.104

BACKGROUND:

A. Government POC’s Name: __________________________________________________

B. Offeror Name (Company/Division):______________________________________________

C. Program Title: _______________________ Reference Number:_______________________

D. Department/Agency/Customer Name: _______________________________________________

E. What Entity Performed the Work Under This Contract

1. Company Name:__________________________________________________________

2. DUNS Number:__________________________________________________________

3. CAGE Code:_____________________________________________________________

F. Was the work performed by the vendor on this contract (check all that apply):

1. Related to aircraft modification/integration? ( ) Yes ( ) No

2. Related to the manufacture of aircraft components? ( ) Yes ( ) No

3. Related to the manufacture of aircraft cables? ( ) Yes ( ) No

4. Related to design/development of new aircraft systems/parts? ( ) Yes ( ) No

5. Related to prototyping of new aircraft systems/parts? ( ) Yes ( ) No

6. Performed at a Government-Owned-Government-Operated facility? ( ) Yes ( ) No

7. Performed at a Government-Owned-Contractor-Operated facility? ( ) Yes ( ) No

8. If none of the above are applicable, what type of work was performed? _____________

G. When was this work performed: ____________________________________________________

H. Is the project complete? ( ) Yes ( ) No

I. Was the contract terminated prior to the agreed upon period of performance? ( ) Yes ( ) No

If Yes, Explain: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

J. Did a difference exist between initial contract cost and final contract cost? ( ) Yes ( ) No

If Yes, explain the cause of the difference: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

K. Did this firm employ any subcontractor(s) to accomplished required work? ( ) Yes ( ) No

If Yes, was the subcontractor’s performance acceptable? ( ) Yes ( ) No

If No, explain why the subcontractor’s performance was not acceptable: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ If subcontractors were used, did this firm effectively manage subcontractors? ( ) Yes ( ) No If No, explain: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

L. Have any major contract requirements been terminated or rescheduled as a result of the contractor’s inability to perform? ( ) Yes ( ) No

If Yes, explain: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

M. Have any cure or show cause notices ever been issued? ( ) Yes ( ) No

If Yes, explain:

N. Has your organization ever elected to not exercise an option for this contractor? ( ) Yes ( ) No

If Yes, explain:

O. Were there any claims or litigation? ( ) Yes ( ) No

If Yes, explain:

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. Provide comments and specific examples in the block below each item if rated above or below SATISFACTORY. This scale is defined as follows:

Performance Assessment Rating/Color Description

T1. How well did the contractor meet the technical requirements of the contract?

Comment:

T2. How effective was the contractor at meeting schedule and mitigating disruptions or unforeseen delays to the schedule?

Comment:

T3. Overall, how effective was the contractor at manufacturing components?

Comment:

CS1. Overall, how satisfied was your organization with the work accomplished by this company?

Comment:

Comment:

NARRATIVE SUMMARY

N1. What were the contractor's most positive aspects in the performance of the contract?

Comment:

N2. What were the contractor’s most negative aspects in the performance of the contract?

Comment:

N3. Please provide any additional comments concerning this contractor's performance, as desired.

Comment: