ATTACHMENT_5_-_Past_Performance_Questionaire_(002).docx
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- Advanced Helicopter Flight Training Support
- Solicitation number
- W9124G18R0009
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Revised - Attachment 5 PPQ
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ATTACHMENT 5
PERFORMANCE AND RISK ASSESSMENT QUESTIONNAIRE
In accordance with the Federal Acquisition Regulation (FAR) 15.605, Past Performance is an evaluation factor in all solicitations. Your organization has been identified for participation in past performance evaluation on a current solicitation at Mission and Installation Contracting Command, Mission Contracting Office (MCO) – Fort Eustis, Fort Eustis, Virginia. This information contained in this survey will be used to evaluate the past performance for the contractor and contracting action identified below.
Your candid response to the questions is important to our evaluation effort and may affect the award outcome. Please indicate "NA" in any area that was not applicable to work performed on your contracting action. In accordance with FAR 15.610(c)(6) and 15.1004(e)(4), the names of individuals supplying past performance information will remain confidential and are not releasable under the Freedom of Information Act (FOIA).
The completed form may be submitted by electronic mail or facsimile transmission (provided the complete form is transmitted under the agency/company cover and the telephone number on the transmittal verifies that the agency/company facsimile was used).
1. If submitting by electronic mail return to: Ms. Terri Buonfigli at terri.l.buonfigli.civ@mail.mil.
The following information pertains to the Solicitation under evaluation. If you have any questions/ concerns pertaining to this survey/the requested information please contact the person identified below.
Solicitation
Address
Point of Contact
Telephone Number
Thank you for your time and effort in completing this survey.
BACKGROUND INFORMATION
1. Contractor Information:
Contractor
Address
Point of Contact
Telephone Number
2. The following information concerns the agency/individual completing this survey:
Agency/Company Name
Telephone Number
3. The following information pertains to the contract for which the information is requested.
Contract #
Type of Contract
Period of Performance
Years Remaining
Type of Product/Service
Award Amount
Current Value
Projected Final
DEFINITIONS.
Please use the following definitions when completing the Past Performance Questionnaire:
Past Performance Confidence Assessment Ratings
| Rating |
| Description |
| Substantial Confidence |
| Based on the offeror’s recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort. |
| Satisfactory Confidence |
| Based on the offeror’s recent/relevant performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort. |
| Neutral Confidence |
| No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. The offeror may not be evaluated favorably or unfavorably on the factor of past performance. |
| Limited Confidence |
| Based on the offeror’s recent/relevant performance record, the Government has a low expectation that the offeror will successfully perform the required effort. |
| No Confidence |
| Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort. |
Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Substantial Confidence, Satisfactory Confidence, Neutral Confidence, Limited Confidence, No Confidence. For ratings of “Limited Confidence” or “No Confidence,” please provide a brief explanation.
| Substantial Confidence |
| Satisfactory Confidence |
| Neutral Confidence |
| Limited Confidence |
| No Confidence |
OVERALL PERFORMANCE RATING
Please provide an overall rating of the Contractor’s performance for the referenced contract/delivery order.
a.) Quality of Product or Service: Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence b.) Timeliness or Scheduling of Supplies/Deliveries: Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.
c.) Business Relations/Customer Satisfaction: Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business subcontracting program and satisfaction with Contractor’s service.
d.) Key Personnel and Staffing (Including Subcontractors): Qualified personnel, effective performance and conduct.
Would you hire this Contractor to provide supplies/services for your organization in the future? Yes |_| No |_| Please provide comments using additional pages if desired.
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