Attach 7 - Past Performance Questionnaire_17 Nov 21.docx
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FA300221R0012
Attachment 7 17 Nov 2021
CUI – SOURCE SELECTION INFORMATION
See FAR 2.101 and 3.104
PAST/PRESENT PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
1. The contractor listed in Section 1 below (to be completed by the offeror) is being considered in a Source Selection by the Air Education and Training Command 338th Enterprise Sourcing Squadron, JBSA-Randolph, TX. You have received this questionnaire because you have been identified as a source of Past Performance Information for that offeror. One of the considerations in proposal evaluation is the verification of an offeror’s past performance on contracts or other work efforts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts. Any comments you can provide regarding the past performance of the contractor providing this form are greatly appreciated.
2. Please complete the attached questionnaire for the contractor and program described in Section 1 below. Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response DDMMYYYY.
3. To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to Melissa Gonzalez and Pamela Bryerton via e-mail at melissa.gonzalez.6@us.af.mil, pamela.bryerton@us.af.mil. Do not send the completed questionnaire to the contractor. The completed questionnaire will become a part of the official Source Selection records. We appreciate your help.
PLEASE FILL IN ALL SECTIONS. STATE “NOT APPLICABLE” IF QUESTION DOES NOT APPLY OR YOU HAVE NO COMMENT. YOUR PROMPT RESPONSE WILL BE ONE OF THE KEYS TO THE SUCCESSFUL AND TIMELY COMPLETION OF THE SOURCE SELECTION.
| //SIGNED// |
| Melissa Gonzales |
| Contracting Officer |
1. Attachment Past/Present Performance Questionnaire
PAST/PRESENT PERFORMANCE QUESTIONNAIRE
SECTION 1: CONTRACT IDENTIFICATION (TO BE COMPLETED BY THE OFFEROR)
1. Contractor:
1. Cage Code of contractor contract was awarded to:
1. Role (check): ☐ Prime ☐ Subcontractor ☐ Teaming Partner ☐ Joint Venture Partner ☐ Other (specify)
If subcontractor, partner or other, who is the Prime?
1. Contract Number:
1. Contract Vehicle: (IDIQ Contract, IDIQ Task Order)
1. Contract Type: (CPFF, CPIF, CPAF, FFP, T&M, Other)
1. Contract Clearance Requirement (e.g. Unclassified, NAC, Secret, Top Secret):
1. Was this a competitive contract? ☐ Yes ☐ No
1. Period of performance:
1. Initial contract cost: $
1. Current/final contract cost: $
1. Reasons for differences between initial contract cost and final contract costs:
1. Description of service provided:
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
1. Customer or agency name:
1. Customer or agency description (if applicable):
1. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3: EVALUATOR IDENTIFICATION
1. Respondent’s name:
1. Respondent’s title:
1. Respondent’s phone and email:
1. Respondent’s position (e.g., Program Manager, PCO/ACO, COR, etc.):
1. Number of years evaluator worked on subject contract:
1. Other suggested points of contact:
SECTION 4: EVALUATION
1. Indicate a rating, based on the description below, for the contractor’s performance on the identified program. Underline the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels.
Exceptional E Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good V Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory S Performance meets contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal M Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s actions appear only marginally effective or were not fully implemented.
Unsatisfactory U Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Not Applicable N Unable to provide a score. Performance in this area is not applicable to the effort assessed.
2. Please provide narrative explanations to support your ratings particularly for high or low ratings. Space for your remarks is provided after each area.
3. In addition to completing the attached questionnaire for the identified program, please provide comments on any other programs for which your activity has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.
FOR EACH OF THE QUESTIONS LISTED BELOW, IDENTIFY WITH AN “X” IN THE APPROPRIATE BLOCK USING THE SCALE PROVIDED TO THE RIGHT OF EACH QUESTION.
| Assessment Elements |
| E |
| V |
| S |
| M |
| U |
| N |
Technical Proficiency
1. Rate the contractor’s ability to understand and perform processes and procedures required to perform Mission Support Services requirements for Operations, Installation Management / Engineering, Supply, Human Resources, and Weather.
Summary of Technical Proficiency
2. Rate the contractor’s ability to manage/update/configure legacy systems/replacement systems.
Summary of Technical Proficiency
3. Rate the contractor’s ability to comply with energy savings requirements?
Summary of Technical Proficiency
4. Rate the contractor’s ability in understanding and performing preventative maintenance.
Summary of Technical Proficiency
5. Rate the contractor’s knowledge and performance in management of real property assets to ensure requirements are understood and incorporated into real property planning, construction, and renovation.
Summary of Technical Proficiency
6. Rate the contractor’s knowledge and performance in the function of critical assets from a training and operational mission perspective to prevent instances of personal safety hazards, security breaches, inability of aircraft to take off or land at the airfield at any time, large scale property damage or data loss for an organization, inability to collect and disseminate critical time-sensitive information, and an installation-wide loss of a widely used service.
Summary of Technical Proficiency
7. Rate the contractor’s ability to prepare for and respond to natural disasters.
Summary of Technical Proficiency
8. Rate the contractor’s ability to safeguard Government Property, personnel, and the environment.
Summary of Technical Proficiency
Program Management / Staffing
9. Rate the contractor's knowledge on subcontractor teaming arrangements or joint ventures that satisfactorily addresses organizational relationships and responsibility divisions between the prime contractor and subcontractor(s).
a) Did the contractor demonstrates knowledge and ability for cross-utilization as well as contingency plans for one-deep positions to include staffing to meet the changing, unscheduled, urgent, and surge requirements.
b) Provided a defined organizational structure, including organizational charts that includes roles and responsibilities for each organizational element?
c) Described recruiting (both locally and nationally), training, qualifying, and certifying employees to sustain a qualified workforce throughout the life of the contract?
d) Demonstrated that key positions will have the relevant experience and qualifications to effectively manage the services for which they will be responsible?
Summary of Technical Proficiency
Performance Management / Quality Control (QC)
10. Rate the contractor’s knowledge and performance on the following:
a) Internal QC strategy that defines clear processes too effectively: a) identify, b) assess c) track, d) document deficiencies, trends and risks, e) develop and implement corrective actions and, f) analyze corrective action effectiveness.
b) QC organization that evaluates compliance, documents deficiencies, monitors corrective actions, ensures timely problem resolution, and addresses how problem recurrence problems will be prevented.
Summary of Technical Proficiency
Heating, Ventilation, and Air Conditioning (HVAC)
11. Rate the contractor’s knowledge and performance on the following:
1. Maintaining and operating commercial HVAC systems, to include but not limited to air handlers, pumps, chillers, controls and chiller plants to include specifically HVAC system monitoring, using Energy Management and Control Systems (EMCS) and controls maintenance/operations for the afore mentioned systems.
1. Responding timely to HVAC system outages while minimizing impact to facility owner’s mission.
1. Use of best commercial practices, innovations, and cost reduction measures that would result in lower operation and maintenance costs while maintaining excellent performance.
Summary of Technical Proficiency
Engineering / Design
12. Rate the contractor’s knowledge and performance of the Operations Engineering and Installation Engineering requirements with at least the following elements:
a) Labor. Organizing and equipping the Operations and Installation Engineering sections with full time professionally registered qualified architects and engineers in each of the required disciplines.
b) Programming. Developing Asset Management Project Program, determining project requirements, and developing programming documents.
c) Records Management. Generating, maintaining, updating, and managing project documents within the approved data collection systems.
d) Design. Standards and procedures, which meet all requirements and regulations.
e) Construction Management. Bidder standards and procedures, which meet all PWS requirements and Air Force regulations.
f) Estimation. Generating project programming and project design cost estimates, which meet all PWS requirements and Air Force regulations.
Summary of Technical Proficiency
Additional Questions
13. Rate the contractor's ability to successfully comply with the contract requirements, and performance work statement, etc.
Summary of Technical Proficiency
14. Rate the contractor on how well did the contractor adhere to the agreed-to schedule? What were the causes of any schedule variances? Were data deliverables and reports submitted on time?
Summary of Technical Proficiency
Please provide a summary of the Technical Performance ratings you provided paying particular attention to the definitions provided above for E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above. Please provide any information in areas where the contractor performed exceptionally well or has unsatisfactory performance.
Cost Performance
15. Rate the contractor's ability to control cost and deliver at the agreed-to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).
Summary of Cost Performance
Please provide a summary of the Cost Performance ratings you provided paying particular attention to the definitions provided above for E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above. Please provide any information in areas where the contractor performed exceptionally well or has unsatisfactory performance.
| 4. Overall |
| E |
| V |
| S |
| M |
| U |
| N |
Overall, how satisfied are you with the contractor’s performance?
Comments:
4. Government Contracts Only: Has/was this contract been partially or completely terminated for convenience or default or are there any pending terminations?
☐ Yes ☐ No ☐ Convenience ☐ Default ☐ Pending Terminations
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).
SECTION 5: NARRATIVE SUMMARY
Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? ☐ No ☐ Yes
If known, please provide another source that has knowledge of this contractor’s performance?
Name / Company:
Phone Number:
Please provide any additional comments concerning this contractor’s performance, as desired.
Evaluator’s Signature Date
Thank you for your prompt response and assistance!
Please return this completed questionnaire via email to:
Email: melissa.gonzalez.6@us.af.mil and pamela.bryerton@us.af.mil
CUI – SOURCE SELECTION INFORMATION
See FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .