Attachment 3 - Past Performance Questionnaire (PPQ).pdf

Attachment 3

Past Performance Cover Letter/Questionnaire

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 2.101 AND 3.104

FA5000-20-R-0016 JBER-E Boiler Maintenance

SUBJECT: Request for Past Performance Questionnaire

TO: Whom It May Concern

We are currently participating in a proposal in response to the Government’s Request for Proposal No. FA5000-20-R-0016 for a firm fixed price contract for Boiler Maintenance at Joint Base Elmendorf-Richardson, Alaska.

The Government will be evaluating contractors for this service based on several selection factors.

One of the key factors in the Government’s final decision is past performance. To assist the Government in its assessment of our past performance, we are required to identify previous contracts and clients who are familiar with our past performance. For the purpose of this questionnaire, past performance is defined as contracts performed and/or being performed for any customer within the last three (3) years from the issuance date of the solicitation.

As one of our customers for past contracting work on _________________________, we are requesting that you complete the attached questionnaire regarding our past performance. This letter authorizes you to discuss our past performance with the Government and to release information regarding our past performance as directed.

Your prompt attention in completing the attached questionnaire will ensure we receive full consideration in this competition. Please return the completed form to the Government’s point of contacts identified below, to arrive no later than 4:30 P.M. local Alaska Time on Friday, April 4, 2020.

Please use the point of contact information below to email the completed questionnaire:

MSgt Daniel Morphew at daniel.morphew@us.af.mil, and Mr. Robert Peters at robert.peters.11@us.af.mil

Thank you for your assistance.

(Signature and title of individual having the authority to sign for and legally bind the offeror.)

mailto:daniel.morphew@us.af.mil mailto:robert.peters.11@us.af.mil

Contract Title:

SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference listed on the Past and Present Performance References form (Attachment 3)

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Contractor Company Name: Address: Cage Code:

Duns Number:

Telephone Number:

Name: Title: Company/Organization:

SECTION B - RESPONDENT INFORMATION: To be completed by each reference providing information in Sections C & E. This is a 2-page questionnaire---please complete both pages.

Brief Description of Services:

Reason for Difference Between Initial & Current/Final Contract Costs, if any exists:

Initial Contract Value: Current/Final Contract Value:

YES NO

Total Value:

Period of Performance: Competitive Contract: (Check Yes/No)

Contractors Role:Contract being evaluated as Prime/Sub:

SECTION C - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeated from Section A and is requested only to confirm the information.

EMAIL COMPLETED QUESTIONNAIRE TO: robert.peters.11@us.af.mil and daniel.morphew@us.af.mil

Contract Type (Firm Fixed Price, Cost Reimbursement, etc.):Contract Number:

Physical Address (Street, City, State, Zip Code): Telephone Number (to include area code): Email Address:

Signature: Date:

Email Address: Point of Contact:

DEFINITION

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.

SECTION E: Contractors Performance Ratings (Recency, Relevancy & Administration Information):

To be completed by each reference using the rating scale in Section D, YES/NO answers, or a brief response as indicated.

YES NO N/A

Exceptional Satisfactory Marginal Unsatisfactory

Steam Hydronic Condensing Multi Boiler Configuration

Residential Commercial Industrial

Remarks:

7. How well would you rate communication and feedback conducted within the term of the contract?

10. Please select the types of boilers covered in your service contract?

(Select all that apply)

11. Please select the application of the types of boilers serviced under your contract? (Select all that apply)

SECTION D - EVALUATION CONFIDENCE RATING SCALE:

RATING

Exceptional Performance meets contractual requirements and exceeds many to the Government’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.

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.

QUALITY OF SERVICE

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.

QUESTIONS

1. Did your service contract include any temporary or portable heating capabilities in case of an unscheduled outage.

4. Did this contract contain industrial application boiler maintenance and operations?

2. Did the contractor have the ability to provide satisfactory service during rapidly changing weather events?

3. Did the contractor demonstrate the ability to effectively conduct chemical and stack anaysis on boilers?

5. How would you rate the contractor's ability to maintain surplus parts and provide expedient repairs?

6. How would you rate the contractor’s ability to follow and adhere to OSHA guidelines for safety and regulatory compliance?

9. How would you rate the contractors ability to maintain a schedule, meet specific response times, and adjust to varying work load?

COMPLEXITY (Types)

8. How would you rate the contractor's ability to hire, maintain & replace if necessary qualified personnel during the contract period?