Attachment 3 - PP Questionnaire.docx

2 September 2020

MEMORANDUM FOR CONTRACTING ACTIVITY

FROM: 18 CONS/PKB

Bldg. 95, Beerbower Road Kadena Air Base, Okinawa City, JP

SUBJECT: Present/Past Performance Questionnaire

FOR OFFICIAL USE ONLY

The 18th Contracting Squadron of the United States Air Force, Kadena AB, Japan is in the process of competitively selecting a source for a Registered Nurse Personal Services Contract (PSC).

One of the considerations in proposal evaluation is the verification of the offerors' present/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. Our schedule is extremely tight and we desire your written response no later than 24 September 2020. This schedule will allow us sufficient time to analyze the data prior to evaluations. Your completed questionnaire will become a part of the official Source Selection records.

Present/Past Performance Questionnaires (PPQs) shall be directed to the contract administrators via e-mail to primary POCs is TSgt Darrell Thornburgh at darrell.thornburgh@us.af.mil, and the alternate is Mr. Don Hoover at don.hoover.1@us.af.mil.

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.

DON HOOVER

Contracting Officer

Attachment:

Present/Past Performance Questionnaire Attachment 3 - Past Performance Questionnaire Solicitation No. FA527020R0008

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

FROM: 18 CONS/PKB

Bldg. 95, Beebower Road Kadena Air Base, Okinawa, Japan

1. INSTRUCTION: The contractor, who sent this survey, has provided the following project as a reference for their present/past performance. Please provide frank, concise comments regarding your assessment of the contractor’s performance regarding this project. When responding to the descriptive statements, choose the rating that most accurately describes the contractor’s performance or situation. The ratings correspond with the following descriptive values. In accordance with FAR 15.306(e)(4), the names of individuals providing reference information about an offeror’s past performance shall not be disclosed. Additionally, if available, please provide any Contractor’s Performance Assesment Reports (CPARS) for the contract in which you are submitting information.

(End Instructions)

RATING SCALE

(E)xceptional : Performance meets contractual requirements and exceeds many to the customer’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

(V)ery (G)ood : Performance meets contractual requirements and exceeds some to the customer’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(S)atisfactory: Performance meets contractual requirements. The contractual performance of the element or sub-element being assessed contains some minor problems for which corrective actions taken by the contractor were satisfactory.

(N)eutral : Did not observe performance in this area.

(M)arginal： Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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.

(U)nsatisfactory : Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-elements being assessed reflects a serious problem for which corrective actions were not accomplished. The contractor did not take any corrective actions.

(End Ratings Scale)

2. CONTRACT INFORMATION: The below listed contractor has identified that they provided or are currently providing services for your company/agency.

a. Contractor (Company/Agency) :

b. Contractor Address/Phone:

c. Prime contractor or subcontract:

Attachment 3 - Past Performance Questionnaire Solicitation No. FA527020R0008

d. Title of Program/Contract:

FOR OFFICIAL USE ONLY

1) Contract Number:

2) Period of Performance :

3) Services Provided (explain in detail the type of services provided by the contractor):

e. Total Contract Amount:

3. RESPONDENT IDENTIFICATION: (This information will be kept confidential in accordance with FAR 15.306(e)(4). You may be contacted for additional information pertaining to past or present performance of the contractor identified in section 1 above.

a. Company’s Name:

b. Name and Title:

c. Phone Number : FAX :

d. E-mail Address : ___________________________________

e. Address:

f. Relationship to Project : ______________________________

g. Length of Involvement in Project :

h. Date Questionnaire Completed :

FOR OFFICIAL USE ONLY

4. Quality Assessment Criteria (Circle One)

a. (Quality of Work) Were you satisfied with the quality of service performed or items supplied? E VG S N M U

b. (Quality of Work) How effective did the contractor’s quality control and/ E VG S N M U or inspection procedures operate?

c. (Timely Performance/Schedule) Did the contractor provide timely response to any inquiries/requests to perform the best service?

E VG S N M U

d. (Timely Performance/Schedule) Did the contractor provide the required service in a timely manner and on schedule?

E VG S N M U

e. (Management Effectiveness) How did the contractor maintain/manage contractor personnel training records?

E VG S N M U

f. (Effectiveness of Management for Resolution of Issues, Problems, and Customer Complaints) How well did the contractor resolve Issues/ Problems/Customer Complaints?

E VG S N M U

g. (Compliance with the Applicable Rules, Regs, Laws, including Safety Standards) How efficient was the contractor in abiding by all Rules, Regulations, Laws, and Safety Standards?

E VG S N M U

h. How well did the company orient their employees to contract and position requirements, to include proof that this orientation was completed before the employee is filling the necessary position?

E VG S N M U

i. How well did the contractor reduce the governments burden of training and inprocessing new individuals, either from turnover, vacancies, or newly required positions?

E VG S N M U

j. Contractors plan on how well did the company source their personnel in order to expedite fill timelines for replacements and newly required positions?

E VG S N M U

k. Were the tools and resources used to fill required positions adequate? E VG S N M U

l. How well did the contractor keep the government informed of the status(es) of filling a vacant position(s)?

E VG S N M U

m. How well did the Contractor ensure qualifications of personnel were complete and accurate before either submission for approval or before the personell filled the required position?

E VG S N M U

n. How well did the contractor ensure timelines in regards to active communication on status updates, replacements, and pending contractual issues/problems.

E VG S N M U

o. Additional Comments/Remarks:

p. Would you hire this contractor again? If no, why? YES NO

q. Overall Rating: E VG S N M U

Please e-mail completed questionnaires to the individuals shown below:

Primary (TO):

TSgt Darrell Thornburgh E-mail: darrell.thornburgh@us.af.mil

Alternated (CC):

Don Hoover E-mail: don.hoover.1@us.af.mil Thank you very much for your cooperation.