Attachment_6_PERFORMANCE_RISK_ASSESSMENT_QUESTIONAIRE_REV.pdf

ATTACHMENT H: PERFORMANCE RISK ASSESSMENT QUESTIONAIRE, SOLICITATION NUMBER

W911SF-19-R-0014, AVIATION MAINTENANCE MANAGEMENT, FT. BENNING, GA

Performance Risk Assessment Questionnaire

Please provide your candid responses. The information that that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does.

Please return the completed Questionnaire either by mail within 3 days to

Mission and Installation Contracting Command (MICC) – Fort Benning ATTN: Ms. Brenda Clark Solicitation Number: W911SF-18-R-0014 6650 Meloy Drive, Suite 250 Fort Benning, GA 31905

Or electronically to:

Contracting Officer: Ms. Louise Bethay louise.j.bethay2.civ@mail.mil

And

Contract Specialist: Ms. Brenda Clark Brenda.j.clark24.civ@mail.mil

Adjectival Rating Definitions:

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

mailto:louise.j.bethay2.civ@mail.mil mailto:Brenda.j.clark24.civ@mail.mil

ATTACHMENT H: PERFORMANCE RISK ASSESSMENT QUESTIONAIRE, SOLICITATION

NUMBER W911SF-19-R-0014, AVIATION MAINTENANCE MANAGEMENT, FT. BENNING, GA

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

Acceptable Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

B. Effectiveness of Project Management (to include use and control of subcontractors).

Acceptable Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables.

Acceptable Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

Acceptable Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

Acceptable Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

F. General Comments. Provide any other relevant performance information.

G. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

H. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number

Address:

E-mail Address:

PART III. RETURN INFORMATION

Please return this completed Questionnaire to the address identified above.

Thank you for your assistance.