Atch 6- PPQ.docx

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Atch 6-Past Performance Questionnaire – FA3020-22-R-0005 – Washers and Dryers Maintenance, Repair and Lease PPQ: Due 24 June 2022 NLT 4:00 pm CDT Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contract Number:

C. Period of Performance

1. Beginning Date: through

D. Contract Scope

1. Quantity how many total Washers provided and maintained under contract:

2. Quantity how many total Dryers provided and maintained under contract:

3. Quantity how many service calls (work orders) for repair and nonoperational appliances were issued under this contract to the contractor annually:

4. Did the contract require contractor to install and relocate appliances throughout the life of the contract: YES/ NO, If YES, state average quantity per year: /

5. Did the contract require the contractor to provide preventive maintenance or a form of operational checks? If so, what frequency:

6. Did the contractor own the appliances or were they agency furnished?

7. Was the contractor required to clean the interior and the exterior of the appliances to include permanent and flexible exhaust dryer ducts and between and around the appliances to include floor surfaces to remove all lint, dust, dirt, and debris? If so, what frequency and what was required to be cleaned?

9. If management was not local what was the method provided to ensure quality control?

E. Was this a competitively awarded contract? ☐ Yes ☐ No

F. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Note: If offeror holds or has held other contracts with your agency/organization in the last three (3) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Description of work performed under this contract:

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

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

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

E. Other suggested points of contact:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S 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.

M 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.

U 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 – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

1. Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

SUPPORTING INFORMATION:

2. Provided effective quality control and/or inspection procedures to meet contract requirements.

3. Submitted schedules on time and followed established performance schedules.

4. Responded to and completed Service Repair Tickets (work orders) on time.

5. Cooperated with customer personnel after award.

6. How would you rate the contractor's overall performance on this contract?

7. Would you award another contract to this contractor? If not, explain.

EXPLANATION:

☐ Yes ☐ No

IF THIS WAS A GOVERNMENT CONTRACT:

Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what was promised in the proposal, I [ click and select an item ] award to the contractor today given that I had a choice.

Additional remarks:

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: young.kim.28@us.af.mil and shyvonne.yarbrough@us.af.mil

For Official Use Only Page 2 of 4