PPQuestionaireDOS.doc

DOC document 116 KB Posted Jun 8, 2010

Attached to: UH1 Retrofit and Avionics Upgrade
Solicitation number: SAQMMA10R0206
Issued by: Department of State Office of Acquisition Management

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Other files

File	Type	Posted
SAQMMA10R0206 Responses to Questions Set Twozda.docx	DOCX document	Jul 6, 2010
SAQMMA10R0206 Amendment 003.pdf	PDF	Jun 21, 2010
SAQMMA10R0206 Questions and Answerszda	—	Jun 16, 2010
SAQMMA10R0206 Amendment 002.pdf	PDF	Jun 11, 2010
SAQMMA10R0206 Amendment 001.pdf	PDF	Jun 9, 2010
SAQMMA10R0206 set aside w-attachments.pdf	PDF	Jun 3, 2010
SAQMMA10R0206 All.pdf	PDF	Mar 31, 2010

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Request for Quote (RFQ) 8200NBS001

SAQMMA10R0206

PAST PERFORMANCE QUESTIONAIRE

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

Contractor’s Name:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror:

Dollar Amount Contract Period or Dates of Performance Provided by Offeror:

*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.

Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

C. Instructions on how to forward questionnaire. When you have completed your portion of this questionnaire, forward it to Patrick Murphy, 4:00 pm EST by June 30, 2010. It is preferred that you forward this via electronic means to murphypj@state.gov . It is advised that you use return receipt, to ensure form is received.

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

Unsatisfactory

Marginal

None

Satisfactory

Very Good

Exceptional

Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

No record of past performance or the record is inconclusive.

Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner

QUALITY OF SERVICE

a. Ability to meet minimum quality standards specific for performance

FORMCHECKBOX

b. Ability to effectively control the quality of services provided

FORMCHECKBOX

c. Quality of parts provided for maintenance

FORMCHECKBOX

d. Overall rating of contractor’s quality of service

FORMCHECKBOX

TIMELINESS OF PERFORMANCE

a. Ability to meet specific response time and scheduled time-frames for completion of specific tasks

FORMCHECKBOX

b. Responsiveness/timeliness for providing administrative reports/documents required by the contract

FORMCHECKBOX

c. Availability and delivery of ordered parts in required time-period

FORMCHECKBOX

d. Ability to correct problems and prevent or mitigate potential problems in a timely manner

FORMCHECKBOX

e. Willingness to improve and correct noncompliance issues or concerns

FORMCHECKBOX

f. Ability to use effective approaches and provide technical expertise and resources to solve contract problems

FORMCHECKBOX

g. Extent to which the contractor has demonstrated reasonable and cooperative behavior

FORMCHECKBOX

h. Working relationship with the Contracting Officer, quality assurance personnel, and customers

FORMCHECKBOX

i. Flexibility in satisfying the requirements of its customers

FORMCHECKBOX

j. Extent to which the contractor provided prompt and courteous service when responding to customer complaints

FORMCHECKBOX

k. Overall rating of customer satisfaction

FORMCHECKBOX

l. Overall rating of business relations

FORMCHECKBOX

MANAGEMENT OF KEY PERSONNEL

a. Ability to select and retain cooperative and effective key personnel, such as contract manager and quality control personnel

FORMCHECKBOX

b. Extent key personnel were knowledgeable about contractual requirements

FORMCHECKBOX

c. Ability to meet appropriate staffing levels with qualified personnel in order to provide required services

FORMCHECKBOX

d. Ability to effectively manage subcontractors

FORMCHECKBOX

e. Overall rating of contractor’s management of key personnel

FORMCHECKBOX

COMPLIANCE WITH ENVIRONMENTAL, SAFETY, HEALTH, AND SECURITY REQUIREMENTS

YES

a. Has the contractor ever received Notices of Violations for noncompliance with environmental laws or regulations?

FORMCHECKBOX

b. Compliance with environmental requirements

FORMCHECKBOX

c. Compliance with safety requirements

FORMCHECKBOX

d. Compliance with health requirements

FORMCHECKBOX

e. Compliance with security requirements

FORMCHECKBOX

CONTRACTUAL CONSIDERATIONS

YES

a. Has an election ever been made not to exercise an option or continue relations because of contractor’s poor performance?

FORMCHECKBOX

b. Has a Contract Discrepancy Report ever been issued?

FORMCHECKBOX

c. Has a cure notice or show cause notice ever been issued?

FORMCHECKBOX

d. Extent to which the contractor provided reliable supportable cost estimates or proposals

FORMCHECKBOX

e. Overall rating of contractor’s performance under this contract

FORMCHECKBOX

YES

f. Would you award another contract to this contractor? If not, explain in “remarks.”

FORMCHECKBOX

Remarks (use additional pages if required):

File details come from the government source that posted it. Updated Nov 14, 2017.