PastPerformanceQuestionnaire.pdf

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

RFP Number: SPRHA1-20-R-7003

Please provide the following information about yourself:

Name/Signature and Role Relative to Contract (e.g. Buyer, Program Manager):

Agency or Business:

Address:

Telephone Number: Fax Number:

Return your completed questionnaire either electronically, by fax or by email to:

Rachelle Martinez Contract Specialist

DLA Aviation Ogden 385-519-8202 rachelle.martinez@us.af.mil

Notice: When completed, this questionnaire will be considered source selection sensitive information IAW FAR 3.104.

PART I. SPECIFIC PROGRAM INFORMATION

Contractor/Business: CAGE Code:

Program Title and Brief Description:

Role in the Program/Work Performed As: Prime _ Subcontractor Vendor/Supplier

Contract Number: Number of Years: Basic: Option:

Contract Type(s): List all applicable contract types, i.e. Firm-Fixed-Price, Time & Materials, Cost,etc.

mailto:kyle.swaner@us.af.mil

PART II. GENERAL PROGRAM INFORMATION

Period of Performance:

1. Original Schedule (assuming all options exercised):

Beginning Date _ through

2. Current Schedule (assuming all options exercised):

Beginning Date through

3. Reason for difference (if applicable):

(WHEN COMPLETED) SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND

3.104. FOR OFFICIAL USE ONLY

Contract Dollar Value:

1. Original MAX Contract $ Value (assuming all options are exercised):

2. Current MAX $ Value (assuming all options exercised):

3. Primary Causes of Changes:

Note: In Part III, should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 4.

PART III. PERFORMANCE ASSESSMENTS

(Question should be tailored to match you factors and subfactors)

Please check the appropriate rating for each of the following questions:

N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory V=Very Good E=Exceptional

N/A U M S V E

1. Extent to which the Company’s products and/or services met the specification /performance requirements:

2. Configuration management (first product delivered same as last):

3. Quality of Completed Product:

4. Overall management of subcontracting efforts:

5. Quality of technical manuals or commercial manuals:

6. Customer’s Satisfaction with warranty response times and corrective actions:

7. Adequate number of dedicated resources for your program:

8. Timely recognition and notification of administrative, engineering, production, problems affecting the program:

9. Company performed independently without significant customer direction/oversight?

10. Monitoring of program schedules and critical milestones:

11. Completed work on time:

12. Company demonstrated positive responsiveness to unscheduled requirements or contract changes:

13. Ability to meet forecasted cost and perform within contract costs.

14. Ability to meet delivery dates.

15. Ability to meet or exceed small business and small disadvantage business goals set forth in the approved subcontracting plan.

16. Has action been initiated to cancel or terminate the contract for default? If yes, explain.

17. Have there been any disputes/claims relative to the contract? If yes, explain.

18. Describe the contractor’s or company’s strong and/or weak points identified as a result of technical performance and any technical performance risk identified during the life of the contract.

19. If given a choice, would you award to this contractor again? If not, please explain.

20. Do you feel you “got what you paid for”? Please explain.

21. Additional Remarks: