W91B4N-12-R-5010_PP_Survey.docx

DOCX document 19 KB Posted

Attached to
Seismic Data Collection and Processing in Afghanistan Federal contract opportunity
Solicitation number
W91B4N-12-R-5010
Issued by
Department of the Army

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Past Performance Survey

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Other files for this federal contract opportunity

Other files attached to Seismic Data Collection and Processing in Afghanistan, newest first.
File Type Posted
W91B4N-12-R-5010-0001.pdf PDF
ConstructionCompany.pdf PDF
TFBSO_Vendor Registration Process_20 June 2012_.pptx PPTX presentation
AISA_License_Small_Medium_Large Company.pdf PDF
JCCS Vendor Registration.ppt PPT presentation
EFT Form DFAS Rome.xls XLS spreadsheet
W91B4N-12-R-5010 Solicitation.pdf PDF
1 HN_NHN_Vendor Registration Process_29 April 2012_.pptx PPTX presentation
2 Task Force 2010 - Corporate Company Questionnaire_KO_-- March 6 2012 - Privacy Act Reviewed.xlsx XLSX spreadsheet
3 Vendor_Family_Detail_Form_30 March 2012.xls XLS spreadsheet

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PAST PERFORMANCE SURVEY

Bagram Regional Contracting Center Bagram Airfield, Afghanistan

THE OFFEROR SHALL PROVIDE THIS ATTACHMENT TO CUSTOMER OF THE FIVE MOST RECENTLY AWARDED PROJECTS THAT ARE SIMILAR IN SIZE, SCOPE, OR OTHERWISE RELATED TO THIS PROJECT.

RETURN COMPLETED SURVEY FORM TO Adam Goldstein (Contractor-CACI) at adam.r.goldstein@afghan.swa.army.mil NLT 1600 Kabul Time (0730 Eastern) on 9 JUL 2012.

A. GENERAL INFORMATION:

Contractor’s Name:

Point of Contact:

Email Address:

Telephone Number:

Contract Number:

Dollar Amount:

Project Title or Brief Description of Work:

Contract Period or Dates of Performance:

Detailed Description of Work performed by the Offeror on this project:

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

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Name of Company:

Address:

Telephone Number:

Email:

D. PERFORMANCE INFORMATION: (Completed by the Respondent) Choose the rating that most accurately describes the contractor’s performance. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY FAIL (F) RATING.

Pass (P) Neutral (N) Fail (F)

SATISFACTORY

PERFORMANCE

UNKNOWN

PERFORMANCE

UNSATISFACTORY

PERFORMANCE

Performance met contract requirements. Any corrective actions taken by the contractor were satisfactory.
No performance record is identifiable.
Performance did not meet most contractual requirements. There were serious problems and corrective actions were ineffective.
The CONTRACTOR:
P
N
F
1.
Performed required services in accordance with work specifications.
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2.
Performed services in accordance with established deadlines.
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3.
Provide adequate training on the use of the equipment.
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4.
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
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5.
Did contractor personnel conduct themselves in a professional manner during the contract performance?
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6.
Provided timely resolution of contract discrepancies.
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7.
Identified problems as they occurred.
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8.
Displayed initiative to solve problems.
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9.
Was responsive to contract changes.
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10.
Provided adequate project supervision.
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11.
Cooperated with Government personnel after award.
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12.
How would you rate the contractor's overall performance?
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19.
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in the space below this question:
|_| YES
|_| NO
20.
Would you award another contract to this contractor? If no, explain in the space below this question:
|_| YES
|_| NO

Add any additional remarks below:

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