Attachment 3c - PPQ.docx

ATTACHMENT 1

SECTION L

PAST PERFORMANCE QUESTIONNAIRE

**When completed, this document is Source Selection Information JAW FAR 3.104**

SECTION I: CONTRACT IDENTIFICATION (TO BE COMPLETED BY OFFEROR)

A. Contractor__________________________________________________________________________

B. Contractor Cage Code________________________________________________________________

C. Role (check): __Prime __Subcontractor __Teaming Partner __Joint Venture Partner __ Other (specify)________________________________________________________

If subcontractor, partner or other, who is the Prime?

D. Contract/Blanket Purchase Agreement (BPA) Number_______________________________________

Task/Call/Delivery/Purchase Order Number_______________________________________________

Note: If the referenced contract is an overarching ID/IQ or BPA, the Government will only assess performance at the ID/IQ level and not performance on each individual underlying task/delivery order. If the Offeror would like assessment of the single task/cafl/delivery/purchase order, the Offeror shall submit that as a separate reference.

E. Contract Type (FFP, CPFF, IO/IQ (include types), LH, etc.)__________________________________ A&AS __Yes __No If Yes, A&AS type: __Management& Professional Support Services __Studies Analyses and Evaluations __Engineering & Technical Services

F. Period of Performance________________________________________________________________

G Place(s) of Performance:_______________________________________________________________

Multiple locations? __Yes __No If yes, specify locations:___________________________________________

__CONUS __OCONUS __Both Provide details:__________________________________________________

__State __Federal __DoD __Other Provide details:__________________________________________________

H. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)_________________

I. Has a CPAR (or more than one CPAR) been completed for this contract? __Yes __No If Yes, provide dates covered by CPARs:____________________________________________________

*****FOLLOWING SECTIONS COMPLETED BY CONTRACTING AGENCY*****

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name ____________________________________________________________

B. Customer or Agency Description _______________________________________________________

C. Description of Service(s) provided (Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or Commercial work)

SECTION 3: EVALUATOR IDENTIFICATION

A. Name _____________________________________ B. Title________________________________ C. Phone/Fax __________________________________ D. E-mail ______________________________ E. Years worked on Subject Contract ______________________________________________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Ability of Contractor to: provide accurate deliverables/reports; meet service specifications of the contract; provide timely proposals; respond to short notice requirements; provide and adhere to quality control/management plan (when required)

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: provide deliverables/reports required by the E contract on time

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: provide accurate contract costs/estimates; track and control costs; meet and perform within negotiated costs; provide current, accurate and complete invoices/billing; submit cost reporting information in a timely manner

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: maintain effective relationship between key Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate changes in mission-related requirements

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements; manage subcontractors to include identification and resolution of subcontractor problems; ensure continuation of services doting personnel absences or vacancies; replace/fill vacancies within timeframe specified; maintain training/certification currency

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: comply with Small Business Subcontracting Plan (Large Businesses only); meet Small Business subcontracting goal as stated in the contract (Large Businesses only); meet the Limitations on Subcontracting in accordance with FAR 52.219-14

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: obtain appropriate company and personnel security clearances in a timely manner; ensure personnel comply with applicable security requirements; safeguard classified materials

Explanation:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Ability of Contractor to: detect, disclose, avoid, and mitigate OCI issues/risks; ensure company/employee compliance with non-disclosure policy

Ability of Contractor to: obtain and retain required clearances and documentation for OCONUS performance; adhere to applicable guidance, instructions, directives for OCONUS performance

Ability of Contractor to: Overall meet contractual and performance requirements

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or are there any pending terminations? (Place an “X” by all that apply.)

__Yes __No __Default __Convenience __Pending Terminations

If Yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

B. Would you have any reservations about having this Contractor perform again on one of your critical and demanding programs?

Evaluator’s Signature Date

WHEN COMPLETE EMAIL THIS QUESTIONNAIRE TO MR. CHARLES HERTENSTEIN AT:

AMIC ACC AMIC/PK OL-JWAC

ATTN: MR. CHARLES HERTENSTEIN

E-MAIL: charles.f.hertenstein2.civ@mail.mil

PHONE: 540-653-1422

PAST PERFORMANCE QUESTIONNAIRE COVER LETTER

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS AIR COMBAT COMMAND

ACQUISITION MANAGEMENT AND INTEGRATION CENTER

LANGLEY AIR FORCE BASE, VIRGINIA

25 August 2020

FOR OFFICIAL USE ONLY

The Air Combat Command (ACC) Acquisition Management and Integration Center (AMIC) is in the process of selecting Contractors for the Capabilities Contract program.

One of the considerations in proposal evaluation is the verification of each Offeror’s past and present performance on contracts, which reflect the Offeror’s ability to perform on the proposed effort. We depend on information received from agencies such as yours, having had first-hand experience with an Officer, for the evaluation of the Offeror’s refinance on those contracts.

Our areas of interest in the Offeror are summarized in the enclosed questionnaire Request your written response no later than XX, Xxx 2020. This schedule will allow us enough 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 by hand and emailed to Charles Hertenstein at charles.f.hertenstein2.civ@mail.mil and the undersigned at john.t.seamon.civ@mail.mil. .

Please contact either me 540-653-0819 or Mr. Hertenstein at 540-653-1422, if you have any questions. Your completed questionnaire will become a part of the official source selection records, and the Government may contact you to discuss your inputs.

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.

JOHN T. SEAMON

Contracting Officer

1 Atch:

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