Attachment 08 Past Performance Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

Part A is to be completed by Offeror; the offeror’s reference is to send questionnaire to the Contract Specialist identified below. Questionnaires submitted by the offeror will NOT be reviewed.

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a Mechanical IDIQ contract at Arnold AFB, TN.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at james.laney.3@us.af.mil.

JAMES B. LANEY

Contract Specialist

1 Atch Past and Present Performance Questionnaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

C. E-MAIL COMPLETED QUESTIONAIRE NO LATER THAN

2:00 PM Central Daylight Time on 26 May 2023 TO:

Arnold AFB, TN 37389

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, VG, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

Contractor took timely corrective action.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Place an “X” in the appropriate column using the definitions matrix above. Design specific questions are indicated by a * and may not be applicable to Design/Bid/Build where contractor executed project bid with 100% design provided.

29.

Were modifications/change orders warranted and a reasonable cost?

If No, explain in “remarks.”

YES/NO

If yes please explain below.

YES/NO

Remarks:___________________________________________________________________________________________________________________________________________________ Reference Evaluator’s Signature Date Thank you for your prompt response and assistance!