Atch 4 - Past Performance Questionnaire.docx

Dryer Vent Cleaning Services

SUBJECT: Request for Past Performance Questionnaire

TO: Whom it May Concern

We are currently participating as a quoter in response to the Government’s Request for Quote No. FA500025Q0015 for Dryer Vent Cleaning Services at Joint Base Elmendorf-Richardson, Alaska.

One of the factors in the Government’s decision is past performance. To assist the Government in its assessment of contractor past performance, we are required to identify previous projects and clients who are familiar with our past work. For the purposes of this questionnaire, past work is defined as contracts performed and/or being performing for any customer within the last three (3) years from the issuance day of the solicitation (14 March 2025).

As one of our customers for past contracting work on __________________________________, we are requesting that you complete the attached questionnaire regarding our past performance. This letter also authorizes you to discuss our past performance with the Government and to release information regarding our past performance to the Government.

Your prompt attention in completing the attached questionnaire will ensure we receive full consideration in this competition. Please return the completed form to the government representative point of contact identified below, to arrive no later than 2:00 P.M. Alaska Daylight Time (AKDT) on Tuesday, 01 April 2025.

Please use the point of contact information below to email the completed questionnaire:

Maureen Badey – maureen.badey.1@us.af.mil

Brian Chambers – brian.chambers.5@us.af.mil

Thank you for your assistance.

(Signature and title of individual having the authority to sign for and legally bind the respondant)

Attachment : Past Performance Questionnaire

Section 1: Contract Specifics

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Description of Services Performed:

G. Period of Performance:

H. Final Contract Dollar Value:

I. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor

J. If contractor performed as subcontractor, please explain what portion of the work was performed by them:

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/fax number/e-mail address:

D. Other suggested points of contact:

Section 4: Evaluation Rating Scale

Section 5: Performance Information

1. Does your contract involve maintenance, inspection, and cleaning of dryer vent equipment?

2. Writing electronic inspection reports and documentation of work completed?

3. Was the scheduling dryer vent preventive maintenance required?

4. How would you rate the contractor’s ability to follow and adhere to OSHA guidelines for safety and regulatory compliance?

5. How well would you rate communication and feedback conducted within the term of the contract?

6. How would you rate the contractor’s ability to complete the required service in the time allotted?

7. How would you rate the contractor's ability to hire, maintain & replace if necessary qualified personnel during the contract period?

8. How would you rate the contractor’s ability to quickly adhere to schedule adjustments (flexibility)?

Controlled Unclassified Information (CUI) Page 4 of 4