Attachment 4 - Past Performance Questionnaire.pdf

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

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Section L Attachment: Past Performance Questionnaire

The 628th Contracting Squadron, Joint Base Charleston, is in the process of competitively selecting a source for a Joint Base Custodial Contract. The contractor will provide all personnel and equipment, to include contractor owned vehicles, supplies, materials, and supervision necessary to support custodial services for Joint Base Charleston. Joint Base Charleston is geographically separated with the Air Force Base located in North Charleston, SC and the Naval Weapons Station, located in Goose Creek, SC. This requirement comprises multiple cleaning level standards (Level 1 Prestige, Level 2 Basic, Level 3 Academic, and Level 4 Special Requirements) and includes 237 facilities with 1.5M SF.

One of the considerations in proposal evaluation is the verification of the offeror’s 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 no later than 27 May 2026.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed or by hand and faxed to the Point of Contact(s) identified below.

Your completed questionnaire will become 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

Terry G. Harrelson Contracting Officer

1 Atch Past Performance Questionnaire (pgs 2-8) 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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Section 1: Contract Identification

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. Provide Brief Program Description:

G. Scope. Please answer questions:

Did this project support multiple levels of cleaning standards?

(Level 1 Prestige, Level 2 Basic, Level 3 Academic, Level 4 Special Requirements)

YES NO Comment:

Did contractor provide cleaning products and submit SDS for approval to have on site?

YES NO

Did contractor provide restroom supplies?

(hand soap, paper towels, toilet tissue, trash can liners)

YES NO

Did contractor provide equipment?

(Vehicles, mops, brooms, buffer, vacuums, wet floor signs, etc)

YES NO

Did the project include geographically separated areas? YES NO

Did contractor replace or maintain restroom dispensers? YES NO

Did contractor empty desk side trash receptacles? YES NO

Did this contract provide for services to bring restrooms back to standard following sewer back up?

YES NO

G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date through

2. Current Schedule (assuming all options exercised):

Beginning Date through

3. Reason for difference (if applicable):

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I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

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

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

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Section 4: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

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Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed 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 the

Government’s benefit. The contractual performance being assessed 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 being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

The Contractor: E V S M U N/A

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

SUPPORTING INFORMATION:

Cooperated reasonably to resolve concerns, attended meetings as needed and maintained communication with the government to maintain positive customer service.

Maintained records / reported data on time.

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Provided and maintained equipment and adequate supplies for employees to effectively perform their job.

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

Delegated authority to project managers and supervisors commensurate with contract requirements.

Home office participated in solving significant local problems.

Provided effective quality control and/or inspection procedures to meet contract requirements.

Corrected deficiencies in timely manner and pursuant to the contract and their quality control procedures.

Met all applicable environmental requirements.

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Suggested alternative approaches to potential problems, i.e. displayed initiative to report and solve problems

Met established project schedules.

Was responsive to contract changes.

Paid subcontractors/suppliers in a timely manner.

Provided accurate and complete line item cost proposals including all aspects of work required for each task.

Cooperated and was responsive with Government personnel after award.

How would you rate the contractor's overall performance on this contract?

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Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

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

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I _________________ (would/would not) award to them today given that I had a choice. REMARKS:

Please provide any additional comments concerning this contractor’s performance, as desired.

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Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: stephanie.woods.7@us.af.mil http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:stephanie.woods.7@us.af.mil