Attachment 3 Past Performance Questionnaire.docx

FA461020Q0033

PAST PERFORMANCE QUESTIONNAIRE

The 30th Contracting Squadron is requesting Past Performance information. One of these organizations has identified you as a reference to validate their past performance.

Solicitation no. FA461020Q0033 is for commercial, non-personal services to provide tree trimming services at Vandenberg AFB, CA.

Please complete the following questionnaire to assist our evaluation of the contractor’s past performance, and return directly via email no later than 15 September 2020, 1:00 PM PDT to jordan.feliciano.1@us.af.mil and dana.johnson.5@us.af.mil

RESPONDENT INFORMATION:

Agency/Organization Name:

Point of Contact (POC):

Title of POC:

Telephone:

Email:

CONTRACTOR’S REFERENCE INFORMATION:

Contractor Name:

Point of Contact (POC):

Telephone Number:

Email:

CONTRACT INFORMATION:

Contract Number:

Task Order No. (if applicable):

Type of Contract:

Performance Period: (Base plus any options):

Description of Services:

MAGNITUDE

Annual Contract Value:

Total Contract Dollar Value:

COMPLEXITY

Number of employees:

Number of trees removed:

Number of stumps grinded:

Number of trees treated with herbicide:

Contractor performed on this contract as:

Please refer to the following assessment definitions to assess the Contractor’s performance in each of the areas listed in this questionnaire:

(E) Exceptional - Performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance 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 Government’s benefit. The contractual performance 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 contained some minor problems for which corrective actions taken by the contractor appear or were resolved satisfactorily.

(M) Marginal - Performance does not meet some contractual requirements. The contractual performance 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 contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

(N) Not Applicable – Unable to assess the area.

CPARS “Quality of Service” Rating Area

Provided qualified employees IAW the terms and conditions of the contract.

Completed tree trimming/removal on time.

Completed the project and maintained the grounds (cleanup, covering of ruts, etc.).

If other than “Satisfactory,” explain how the performance exceeded or did not meet contractual requirements:

CPARS “Schedule” Rating

Provide qualified staff on time IAW the Terms and conditions of the contract.

Provided timely and complete reports and documentation IAW the Terms and conditions of the contract.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

CPARS “Management” Rating

Retained qualified staff without frequent turnover and minimal operations disruption IAW the terms of the contract.

Minimized amount of and/or resolved customer complaints or performance deficiencies.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

Would you award this firm another contract:

If you answered “No” provide an explanation:

Was the contract terminated for default or cause:

If you answered “Yes” provide an explanation:

Additional Comments:

Signature: _________________________________________ Date: __________________

Print Name: ________________________________________

Title: ______________________________________________

Telephone: _________________________________________

Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.