Attachment 10 - Past Performance Questionnaire.pdf

Solicitation No.: FA446024R0005

Source Selection Information -- See FAR 2.101 and 3.104

Past Performance Questionnaire

The 19th Contracting Squadron of the Air Force Air Mobility Command is in the process of competitively selecting a source for a construction program. This requirement is for the IDIQ Civil Works contract, Little Rock Air Force Base, Arkansas. The contractor is required to provide all services necessary for the completion of the projects.

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. We request your written response no later than 10 calendar days prior to proposal due date to meet the acquisition milestones. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations. However, we will accept responses no later than the proposal due date and time.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to kali.finke.2@us.af.mil and rachel.italiano.1@us.af.mil. 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.

Signature Amanda N. Davenport Contracting Officer

Attch Past Performance Questionnaire

Attachment 10

Past Performance Questionnaire

MEMORANDUM FOR (Offeror please add reference information)

FROM: 19 CONS/PKA

642 THOMAS AVENUE

LITTLE ROCK ARB AR 72099-4971

SUBJECT: Request for Past Performance Questionnaire Information for FA446024R0005 Little Rock Air Force Base Civil Works Contract

1. You have been identified as a reference point of contact for past and/or present performance evaluation of the firm listed on the attached questionnaire form. This firm is currently interested in providing a proposal for the above reference project.

2. Please complete the attached survey questionnaire. You should e-mail the survey back to Kali Finke at kali.finke.2@us.af.mil. Also send a copy to Ms. Rachel Italiano at rachel.italiano.1@us.af.mil. If you have any questions, please contact Kali Finke at (501) 987-3379 or Ms. Rachel Italiano at (501) 987-3853. Your information MUST be submitted by 22 Feb 2024 @ 1:00PM LOCAL (CST). Your expedient attention regarding this matter is greatly appreciated. Thank you in advance.

Amanda N. Davenport Contracting Officer

1. Attach Past Performance Questionnaire

Solicitation No.: FA446024R0005

Attachment 10

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: _______________________________

Telephone Number: ______________________________

Fax Number: ____________________________________

Point of Contact: _________________________________

Project Title: ___________________________________________________________________

Description of Work: ___________________________________________________________*

Contract Number: ______________________ Dollar Amount: _________________________*

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

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 5 years, please complete separate evaluation forms for those contracts as well.

Contract 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):

B. RESPONDENT INFORMATION:

Customer or Agency Name: ____________________________

Name of Respondent: _________________________________

Title: ______________________________________________

Telephone Number: __________________________________

Fax Number: _______________________________________

Email Address: ______________________________________

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

C. EMAIL COMPLETED SURVEY FORM TO: Kali Finke at kali.finke.2@us.af.mil and Rachel Italiano at rachel.italiano.1@us.af.mil.

Source Selection Information -- See FAR 2.101 and 3.104

Solicitation No.: FA446024R0005

D. 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.

The Contractor: E V S M U N/A

1. Demonstrated the ability to submit all required submittals throughout the duration of the contract.

SUPPORTING INFORMATION:

2. Demonstrated the ability to set up and maintain Storm Water Pollution Prevention measures during construction.

SUPPORTING INFORMATION:

Solicitation No.: FA446024R0005

The Contractor: E V S M U N/A

3. Demonstrated the ability to submit accurate As-Built and/or GIS data, SDSFIE compliant, post construction.

SUPPORTING INFORMATION:

4. Demonstrated ability complete asphalt paving construction and repair projects.

SUPPORTING INFORMATION:

5. Demonstrated ability to develop and implement traffic control plans for road projects consistent with Arkansas Highway Transportation Department standards.

SUPPORTING INFORMATION:

6. Demonstrated the ability to complete sidewalk construction projects including meeting ADA requirements.

SUPPORTING INFORMATION:

7. Demonstrated the ability to complete full depth asphalt road and cold milling projects.

SUPPORTING INFORMATION:

8. Demonstrated the ability to successfully place concrete in adverse conditions to include cold temperatures, hot temperatures and/or windy conditions.

SUPPORTING INFORMATION:

9. Demonstrated cooperativeness to replace or correct failed areas of work such as cracked concrete.

SUPPORTING INFORMATION:

10. Demonstrated the ability to finish various concrete surface construction.

SUPPORTING INFORMATION:

11. Demonstrated ability to properly saw cut concrete and asphalt.

SUPPORTING INFORMATION:

Solicitation No.: FA446024R0005

The Contractor: E V S M U N/A

12. Demonstrated the ability to meet pavement smoothness and grade control requirements on new and repair construction projects.

SUPPORTING INFORMATION:

13. Demonstrated the ability to meet subgrade and base course compaction requirements.

SUPPORTING INFORMATION:

14. Demonstrated the ability to meet asphalt compaction, grade, and thickness requirements.

SUPPORTING INFORMATION:

15. Demonstrated the ability to establish sod or hydro-seed post construction.

SUPPORTING INFORMATION:

16. Demonstrated the ability to meet drainage requirements by grading and piping.

SUPPORTING INFORMATION:

17. Demonstrated the ability to layout and paint new street and parking lot markings.

SUPPORTING INFORMATION:

18. Demonstrated ability to accurately keep installed quantities and submit for payment quantities on a line-item contract.

SUPPORTING INFORMATION:

19. Demonstrated flexibility and cooperativeness with phasing work to meet user needs and coordination with all project stakeholders.

SUPPORTING INFORMATION:

Solicitation No.: FA446024R0005

The Contractor: E V S M U N/A

20. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

SUPPORTING INFORMATION:

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

SUPPORTING INFORMATION:

22. Delegated authority to project managers and supervisors commensurate with contract requirements.

SUPPORTING INFORMATION:

23. Home office participated in solving significant local problems.

SUPPORTING INFORMATION:

24. Followed approved quality control plan.

SUPPORTING INFORMATION:

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

SUPPORTING INFORMATION:

26. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

SUPPORTING INFORMATION:

27. Provided timely resolution of contract discrepancies.

SUPPORTING INFORMATION:

28. Identified problems as they occurred.

SUPPORTING INFORMATION:

29. Suggested alternative approaches to problems.

Solicitation No.: FA446024R0005

The Contractor: E V S M U N/A

SUPPORTING INFORMATION:

30. Displayed initiative to solve problems.

SUPPORTING INFORMATION:

31. Developed realistic progress schedules.

SUPPORTING INFORMATION:

32. Met established project schedules.

SUPPORTING INFORMATION:

33. Provided timely resolution of warranty defects.

SUPPORTING INFORMATION:

34. Was responsive to contract changes.

SUPPORTING INFORMATION:

35. Provided adequate project supervision.

SUPPORTING INFORMATION:

36. Obtained consent of surety for increases in bonding as work-in-progress increased.

SUPPORTING INFORMATION:

37. Paid subcontractors/suppliers in a timely manner.

SUPPORTING INFORMATION:

38. Provided accurate and complete line-item cost proposals including all aspects of work required for each task.

SUPPORTING INFORMATION:

Solicitation No.: FA446024R0005

The Contractor: E V S M U N/A

39. Cooperated with Government personnel after award.

SUPPORTING INFORMATION:

40. How would you rate the contractor's overall performance?

SUPPORTING INFORMATION:

41. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.

EXPLANATION:

☐ Yes ☐ No

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

EXPLANATION: ☐ Yes

☐ No

43. Is the contractor rated in CPARS? ☐ Yes ☐ No

Additional remarks:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Solicitation No.: FA446024R0005

Source Selection Information -- See FAR 2.101 and 3.104

For additional comments please see use the space below: