Atch 4 Past Performance Questionnaire.docx

CUI

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 49TH WING (AETC) HOLLOMAN AIR FORCE BASE, NEW MEXICO

MEMORANDUM FOR

6 June 2023 (respective federal agency or commercial customer)

FROM: 49 CONTRACTING SQUADRON/PKA

490 First Street, Ste. 2130 (Bldg. 29) Holloman AFB, NM 88330

SUBJECT: Past Performance Questionnaire

1. One of the integral considerations in proposal evaluations is the verification of the offeror’s past and present performance on contracts, which reflect the offeror’s ability to perform. We depend on information received from agencies such as yours that have had first-hand experience with the offeror, and for the evaluation of their performance. Therefore, we request the attached questionnaire be completed concerning the offeror’s past and present performance.

2. The Government’s areas of interest in the offeror are summarized in the enclosed questionnaire. Considering your association with the offeror, you are urged to submit comments on Integrated Solid Waste Management Services or similar programs for which your activity has contracts or administers contracts with the offeror. Any additional information you think would benefit the Government in our evaluation of the offeror’s proposal would be appreciated. Please note we may contact the offeror on problems or areas of concerns identified to see what corrective actions have been taken or will be taken. Even though the offeror was required to provide points of contact for each reference provided to the Government, the individual’s name completing this questionnaire will not be disclosed to the offeror.

3. Due to time constraints, it is imperative that the questionnaire be completed and electronically returned not later than 26 June 2023 to both of the following:

Mr. Erik Montgomery, Contracting Specialist at erik.montgomery.10@us.af.mil and Mr. Joshua Moody, Contracting Officer at joshua.moody.8@us.af.mil;

NOTE: E-mail Subject shall be listed as follows: "SSS-ISWM RFQ -23Q0006, Your Company Name" The completed document becomes Source Selection Sensitive (SSS).

If additional information is required, do not hesitate to contact Mr. Erik Montgomery at (575) 572-2203.

DEAN.1127447264

)MOODY.JOSHUA.

Digitally signed by MOODY.JOSHUA.DEAN.11274472

Date: 2023.06.06 13:53:42 -06'00' JOSHUA D. MOODY, Civ, DAF Contracting Officer

CUI

COMBAT AIRPOWER STARTS HERE

PAST PERFORMANCE QUESTIONNAIRE

49 CONS/PKA SOLICITATION NO.: FA480123Q0006

INTEGRATED SOLID WASTE MANAGEMENT (ISWM)

Please complete one questionnaire for every contract submitted as past performance.

This Questionnaire is provided for Company Name:

This Questionnaire is completed by Company Name:

Contract Number:

Contracting Officer Name:

Contract Name/Reference Number:

Description of contract scope:

Once

Completed, this document is considered

SOURCE

SELECTION

SENSITIVE

MATERIAL

IAW

Source

Selection

Information

FAR

2.1 and

3.104

Attachment

Past

Performance

Questionnaire

Cover Sheet Page of

CONTRACTOR PERFORMANCE QUESTIONNAIRE

Project Name:

UNIT/COMPANY

NAME:

CONTRACT/REFERENCE

NUMBER:

PERFORMANCE INFORMATION: When responding to the following statements, choose the letter(s) on the scale, which most accurately describes the contractor’s performance. Comment or remark sections are highly encouraged to be filled out. The numbers correspond to the following ratings:

(6) Exceptional Performance meets contractual requirements and exceeds many requirements. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

(5) Very Good Performance meets contractual requirements and exceeds some requirements. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(4) Satisfactory Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(3) Neutral No performance record identifiable (see FAR 15.305(a)(2)(iii) and (iv)

(2) Marginal Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

(1) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

(N/A) Not Applicable Did not apply to this acquisition, or questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

For any neutral, marginal, or unsatisfactory rating please provide explanatory narratives in the remarks block. You are encouraged to add your comments on exceptional or very good performance that would assist us in our evaluation. These narratives need not be lengthy, just detailed. Space for narrative comments is included on the last page of survey. If more space is needed attach additional pages.

Once

Completed, this document is considered

SOURCE

SELECTION

SENSITIVE

MATERIAL

IAW

Source

Selection

Information

FAR

2.1 and

3.104 Sol. # FA480123Q0006, ISWM

Attachment

Past

Performance

Questionnaire Page of

A. QUALITY CONTROL

1. Describe the quality of workmanship, adequacy contractor's quality control plan, documentation and implementation of their quality plan?

COMMENTS/REMARKS

2a. Was identification/correction of deficient work accomplished in a timely manner?

COMMENTS/REMARKS

2b. Were suggested solutions adequate and did the contractor display initiative to implement solutions?

COMMENTS/REMARKS

3. How well did the contractor provide effective quality control resulting in a quality service?

COMMENTS/REMARKS

4. Rate the contractor's overall quality control?

COMMENTS/REMARKS

B. TIMELY PERFORMANCE

1. How would you describe the contractor’s timeliness/effectiveness of contract problem resolution without extensive customer guidance?

COMMENTS/REMARKS

2. Rate how Contractor implemented responsive flexible processes to improve quality and timeliness of service?

COMMENTS/REMARKS

3. Was the required performance of the contract consistently met in a timely manner?

COMMENTS/REMARKS

4. Were required contract documentation and responses to contracting officers requests submitted in a timely manner?

COMMENTS/REMARKS

5. Rate the contractor's overall timeliness of performance?

COMMENTS/REMARKS

C. MANAGEMENT EFFECTIVENESS

1. How well did the contractor provide experienced managers and supervisors that possessed the technical and administrative abilities needed to meet contract requirements?

COMMENTS/REMARKS

2. The contractor cooperated to resolve problems by attending meetings,(as applicable). How were communications maintained to assure satisfactory resolution?

COMMENTS/REMARKS

3. The contractor provided proposals that accurately represented the work required?

COMMENTS/REMARKS

4. Rate how accurate, complete and reasonable supporting price/cost information was provided for modifications (not over inflated or under estimated)?

COMMENTS/REMARKS

5a. How well did the Contract Manager ensure compliance with contract requirements and safety regulations?

COMMENTS/REMARKS

5b. How well did they act promptly to resolve problems and ensure work quality?

COMMENTS/REMARKS

6a. Did the Contract Manager have sufficient authority to make decisions or take action during project performance?

COMMENTS/REMARKS

6b. Were they consistently present on site, as required, while work was being performed?

COMMENTS/REMARKS

7. How reasonable and cooperative was the Contractor in dealing with your staff (including the ability to successfully resolve disagreements/disputes)?

COMMENTS/REMARKS

8. How was the overall Management/Effectiveness of the performance?

COMMENTS/REMARKS

D. CUSTOMER SATISFACTION OVERALL

1. How long have you received this type of service from the contractor?

COMMENTS/REMARKS

2. How would you describe your customer’s overall satisfaction with the contractor?

COMMENTS/REMARKS

3. How would you describe the contractor's fulfillment of all requirements in your contract?

COMMENTS/REMARKS

4. Has the contractor ever given inadequate service, that wasn’t re-performed satisfactorily? If yes, please comment?

COMMENTS/REMARKS

5. Overall, describe the contractor’s performance.

· I would enter into another contract with this contractor.

· I might enter into another contract with this contractor.

· I would not enter into another contract with this contractor.

ADDITIONAL COMMENTS:

Please return Questionnaire (Pages 2 through 8) as indicated on the Cover Page (page 1) image1.jpeg