Attachment 12 - Past Performance Cover Letter and Questionnarire.pdf

Controlled Unclassified Information (CUI)

When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Section L Attachment: Past Performance Questionnaire

FA5000-21-R-0022

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Controlled Unclassified Information

The 673 Contracting Squadron (CONS) is in the process of competitively selecting sources for an Exterior Paint

IDIQ contract.

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 be sent ten (10) calendar days prior to the solicitation closing 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 the point of contacts listed on page 7. 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

Contracting Officer

1 Attachment

Past Performance Questionnaire http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

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Controlled Unclassified Information

Section 1: Contract Identif ication

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

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

E. Program Title:

F. Brief Program Description:

G. Period of Performance:

H. Total Contract Dollar Value:

I. Brief Description of work performed:

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

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

Section 2: Customer or Agency Identif ication

A. Customer or Agency name:

B. Customer or Agency description (if applicable):

C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other

Commands):

D. Place of Performance:

Section 3: Respondent Identif ication

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

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Controlled Unclassified Information

In the tables below, indicate what capabilities were included in the contract/project by placing an “X” in the appropriate block below each question. Provide supporting information for each response in the space provided.

Attach additional pages if more space is needed.

Contractor Capabilities (May select more than one capability)

Included exterior coating systems of metal surfaces

Included exterior coating systems of wood surfaces

Included exterior coating systems of concrete surfaces

Included exterior coating systems of

Concrete

Masonry Units

(CMU)

Included exterior coating systems of Exterior

Insulation and

Finish Systems

(EIFS)

Included removal/ installation of exterior security lighting

Unknown

Numbers of Stories (One (1) story = 10 feet) Three or more stories

(3+) Two stories (2) One story (1) Unknown

Contract Location Above the 60th Parallel Below the 60th Parallel Unknown

Residential or Commercial Building Exterior Painting of a Residential

Building

Exterior Painting of a Commercial

Building Unknown

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Controlled Unclassified Information

Definition of EXCEPTIONAL: Performance meets contractual requirements and exceeds many to the

Agency/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Definition of VERY GOOD: Performance meets contractual requirements and exceeds some to the

Agency/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Definition of SATISFACTORY: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear, or were, satisfactory.

Definition of MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor's proposed actions appear only marginally effective, or were not fully implemented.

Definition of UNSATISFACTORY: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor's corrective actions appear or were ineffective.

Please address the following questions regarding the overall quality of the contract/project.

Quality Control:

What was the quality of the completed project/contract?

Were the punch list items properly addressed and in a timely matter?

Has the contractor had to perform any re-work or work after project completion, thus falling under warranty?

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Please provide any additional information you feel would be pertinent to this area–

Schedule:

Did the contractor start work timely?

Did the contractor meet the required completion date?

Were any extensions requested by the contractor? If so, why?

Please provide any additional information –

Overall Quality Control of Contract Exceptional Very Good Satisfactory Marginal Unsatisfactory

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Controlled Unclassified Information

Management:

Was proper documentation submitted accurately and timely throughout the duration of the contract/project?

Did the contractor exhibit appropriate communication during the contract/project?

Were additional concurrent exterior commercial paint contracts/projects being worked with your organization?

Please provide any additional information –

Overall Schedule of Contract

Overall Management of Contract

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Regulatory Compliance:

Were there any regulatory compliance issues, i.e. OSHA, Environmental and/or DOL? If so, please explain.

Additional remarks:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: hannah.tolbert.1@us.af.mil daniel.swoyer.1@us.af.mil

Overall Regulatory Compliance of Contract

Overall Quality of Contract mailto:hannah.tolbert.1@us.af.mil mailto:daniel.swoyer.1@us.af.mil