19AQMM20R0366_Attachment 4_PPQ.docx

19AQMM20R0366 – ATTACHMENT 4 – 28 SEP 2020

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104

WHEN COMPLETED, FOR OFFICIAL USE ONLY

ATTACHMENT 4 – 28 SEPTEMBER 2020

PAST PERFORMANCE QUESTIONNAIRE

Offeror Instructions: Complete Transmittal Letter and Section 1 of the Past Performance Questionnaire (PPQ) and send to the assessor(s). Ensure assessor returns a copy of the completed questionnaire to the Department of State POCs identified below prior to the solicitation closing date and time.

Assessor Instructions: Confirm accuracy and completeness of Section 1 of the PPQ. Complete Section 2 of the PPQ and submit Sections 1 and 2 directly to the Contracting Officers. Do not forward a copy of the completed questionnaire to the vendor whose performance you are evaluating. To be considered, the information must be received by the Government prior to the solicitation closing date and time.

INSERT DATE

SUBJECT: Past Performance Questionnaire for (PROGRAM TITLE/DESCRIPTION) concerning contract number (CONTRACT AND ORDER NUMBER (IF APPLICABLE) TO BE EVALUATED). The effort was performed by (SPECIFIC ENTITY THAT PERFORMED THE WORK) under (CAGE code/DUNS#).

1. We are currently responding to the US Department of State’s Request for Proposal (RFP) 19AQMM20R0366 for a helicopter wet lease IDIQ in support of INL Bogota programs. The Government is placing increased emphasis on past performance in order to obtain best value in source selections.

2. We have identified the subject contract as relevant to this acquisition and you as our POC. As such, please take a few moments of your time to fill out the attached questionnaire and forward it directly to the US Department of State. DO NOT RETURN THE COMPLETED QUESTIONNAIRE TO US. The information contained in the completed questionnaire is considered Source Selection Information (See FAR 2.101 and FAR 3.104) and may not be released to us.

3. The completed questionnaire (Sections 1 and 2) should be sent directly to the US Department of State not later than (DATE TO BE INSERTED BY OFFEROR). The questionnaires must be emailed to FernandezJM@state.gov.

4. If you have any questions regarding the questionnaire, you may contact Juan M. Fernandez of the US Department of State at (202) 255-2328 or via email at FernandezJM@state.gov. Thank you for your timely assistance.

Sincerely, (TITLE AND NAME OF COMPANY OFFICIAL)

Attachment: Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

SECTION 1 – TO BE COMPLETED BY OFFEROR

This Past Performance Questionnaire is submitted in response to solicitation 19AQMM20R0366 as part of <insert name of prime offeror> proposal.

1. Company Information: Include name, address, and cage code of company (i.e. offeror, partner, or subcontractor) for which this reference will be provided.

2. Program Title:

3. Contract Number (including Task Order number if applicable):

4. Contract Award Basis: |_| Competitive |_| Non-Competitive

5. Contract Date:

6. Role: |_| Prime Contractor |_| Subcontractor |_| Other: (Specify)

If other than a prime contractor, provide the prime contractor’s name, address, and cage code:

7. Name and Address of Contracting Activity / Customer:

8. Primary Points of Contact: Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals. If this is a commercial reference Offeror should change the Title, if appropriate, to commercial equivalents.

1. PCO

2. ACO

3. COR / CORT

4. Other (Please Specify)

9. Contract Type(s): List all that apply (e.g. FFP, FPIF, CPFF, CPIF, LH, T&M).

10. Contract Value:

a. Awarded Total Contract Value:

(Including all options)

b. Current Total Contract Value:

(Including all options)

c. Explanation for difference between awarded and current contract values:

11. Period of Performance:

a. Current (including all exercised options): MM/DD/YEAR to MM/DD/YEAR

b. Potential (including all options): MM/DD/YEAR to MM/DD/YEAR

12. Performance Location: List all that apply.

13. Scope of work

· Number and type of aircraft utilized (include serial or tail numbers):

· Name and POC information of aircraft owner:

· Description of personnel and cargo transported:

· Did your company perform maintenance on the aircraft? If so, describe what maintenance was performed? If not, provide the name and location of the maintenance facilities and a brief description of the work performed by each.

· Did your company accomplish all logistical requirements (sourcing of fuel, aviation parts, coordination with local aviation authorities, etc.) necessary for mission completion? If so, describe what logistical requirements were completed by your company. If not, list the companies that provided support and specify their roles.

· Were the assigned aircrew your company’s employees? If not, who did they work for?

· Briefly describe the nature of the missions accomplished (day / night flight, visual / non-visual flight, altitude, terrain, permissive / non-permissive environment, etc.):

14. What were key positive attributes about your performance?

15. What were the less than positive attributes and how were these resolved? The offeror is required to clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems rectified. Comment on any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions.

16. Has this contract been partially or completely terminated for cause or convenience?

|_| Yes |_| No

If yes, please provide additional details:

17. Are there any pending terminations?

|_| Yes |_| No

If yes, please provide additional details:

SECTION 2 – TO BE COMPLETED BY ASSESSOR

Your feedback is requested by the US Department of State, Office of Acquisition Management. In efforts to expedite receipt of the requested information, the Contracting Officer respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire (both Section 1 and Section 2) to FernandezJM@state.gov. You may contact Juan M. Fernandez at (202) 255-2328 should you have any questions.

DO NOT RETURN THE COMPLETED QUESTIONNAIRE TO THE OFFEROR. The information contained in the completed questionnaire is considered Source Selection Information (See FAR 2.101 and FAR 3.104) and may not be released to the Offeror.

EVALUATED BY:

I, the undersigned, being familiar with the work and the performing organization I’m providing information about, have responded to the best of my knowledge and belief. I understand that a representative of the Department of State may contact me for confirmation of my responses to this questionnaire.

1. Is the information completed by the Offeror in Section 1 of this questionnaire complete, current, and accurate?

If no, please explain:

2. Performance Evaluation

Assign a rating to each area based on the ratings guidelines below. Please provide a narrative explanation for any unsatisfactory or exceptional rating.

a. Quality of Services:

1. Did performance conformed to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional standards)?

2. Was contractor proactive in identifying, notifying the Government, and resolving performance issues/concerns?

3. Did the proposed aircrew, safety, maintenance, and quality control personnel meet contract qualification requirements?

b. Compliance with Schedule:

1. Did contractor performed services in a timely manner?

2. Did contractor submit reports and deliverables on time?

c. Cost Control:

1. Did contractor completed performance within the established cost parameters?

2. Were contractor invoices timely and accurate?

d. Business Relations:

1. Did contractor demonstrate reasonable and cooperative behavior throughout the contract?

2. Did contractor demonstrate dedication to customer satisfaction?

3. Did contractor submit viable and timely task order proposals and/or contract modification proposals?

4. Did contractor effectively adapt to changes in mission requirements and priorities?

e. Management

1. Did contractor effectively managed subcontractors?

2. Did contractor effectively managed employees?

3. Did contractor communicate effectively with Government?

3. Identify the contractor’s overall strengths and weaknesses:

4. Did the Contractor failed to meet established airlift times?

If yes, please explain:

5. Did the Contractor experience any maintenance and/or safety issues / violations?

|_| Yes |_| No

If yes, please explain:

6. Would you have any concerns working with this firm again?

|_| Yes |_| No

If yes, please explain:

7. Additional information not included above:

SBU - CONTRACTING AND ACQUISITIONS

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104

WHEN COMPLETED, FOR OFFICIAL USE ONLY