Attach 9 - Past Performance Questionnaire.docx

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

Past Performance Questionnaire The 28th Contracting Flight at Ellsworth AFB, SD is in the process of competitively selecting a source for Contractor Operated Civil Engineer Supply Store (COCESS). The Contractor shall provide all necessary labor, supervision, equipment, supplies, transportation and materials to support a Contractor Operated Civil Engineer Supply Store (COCESS) located on Ellsworth AFB, SD. The Contractor shall source, purchase, receive, issue, deliver and stock a variety of materials, equipment, parts and supplies for construction and facility maintenance and repair for use by authorized Civil Engineer Squadron (CES) personnel and Facility Managers as defined in the Statement of Work (SOW), and in accordance with contract requirements.

One of the considerations in proposal evaluation is the verification of the offerors' 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.

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 no later than SOLICITATION CLOSE DATE. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to samantha.hough.2@us.af.mil and mark.salyer@us.af.mil). Fax transmissions may also be received at (605) 385-1759 (Attention: Samantha Hough and Mark Salyer). Please call Samantha Hough at (605) 385-1730 prior to fax transmission or if you have any questions. Your completed questionnaire will become a part of the official Source Selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Respectfully, //signed// Mark A. Salyer, USAF Contracting Officer

1 Atch Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

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

E. Program or Contract Title:

F. Brief Program or Contract Description:

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

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

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

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services 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 number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

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

F. Other suggested points of contact:

Section 4: Performance Information

In the tables 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.

Quality

Contractor provided effective quality control and/or inspection procedures to meet contract requirements.

Comments:

Contractor provided well researched and clearly identified submittals that matched contract requirements.

Comments:

Contractor completed all work with good workmanship and in conformance with the specifications.

Comments:

Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan.

Comments:

Timeliness

Contractor provided on-time reports and/or submittals as required.

Contractor provided purchased items in a reasonable amount of time.

Employee Retention / Management

Contractor was effectively able to hire/apply a qualified workforce to this effort.

Contractor was able to retain a qualified workforce on this effort.

Comments:

Contractor provided experience/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

Comments:

Small and Small Disadvantaged Business Participation

To what degree was the contractor able to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan?

S2. How effectively did the contractor manage small business participation to meet contract performance?

Government Contracts Only: 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

1. What were the contractor’s greatest strengths in performance of this contract?

2. Were there any performance issues regarding the contractor’s work? If yes, please explain.

3. Given what you know today, would you award to the contractor again?

Please provide any additional comments concerning this contractor’s performance, as desired.

[click and pick the date]

Respondent’s Signature Date Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Email (preferred): samantha.hough.2@us.af.mil and mark.salyer@us.af.mil

FAX to: (605) 385-1759 (Attention: Samantha Hough and Mark Salyer). Please call Samantha Hough at (605) 385-1730 prior to fax transmission