Attachment 4 Past Performance Questionnaire.pdf

CUI - For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Attachment 5, Solicitation FA558722R0001: Past Performance Questionnaire

**Once completed, this is Source Selection Information – see FAR 2.101 and 3.104

MEMORANDUM FOR QUESTIONNAIRE POCs

FROM: 48th Contracting Squadron (48 CONS/PKB) Unit 5120 Box 270

APO AE 09461-5120

SUBJECT: Request for Source Selection Information

1. 48 CONS/PKB is in the process of selecting contractors for solicitation FA558722R0001 for the Fleet Service and Baggage Handling Services for RAF Mildenhall and RAF Lakenheath. Detailed information regarding this solicitation may be found in SAM.gov.

2. One of the considerations in proposal evaluation is the verification of the Offeror’s present and past performance on contracts, which reflects the Offeror’s ability to perform on the proposed effort. We depend on information received from agencies that have had first-hand experience with the Offeror when evaluating the Offeror’s performance.

3. Our areas of interest are summarized in the attached past performance questionnaire. We request your response prior to the time specified in Block 8 of the SF 1449. This schedule will allow our acquisition team sufficient time to analyze the data and complete the source selection process. It is crucial that you return the completed questionnaire directly to the Government.

4. To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and emailed to tawana.Jackson.1@us.af.mil, maria.calimlim@us.af.mil, and bobbie.dobberstein.1@us.af.mil. Your completed questionnaire will become part of our official source selection records.

5. Thank you in advance for your support in this matter. Please direct questions regarding the past performance questionnaire to the undersigned at tawana.Jackson.1@us.af.mil.

//SIGNED//

TAWANA E. JACKSON

Contracting Officer

48 CONS/PKB

A. GENERAL INFORMATION

Offeror’s Name: ________________________________________________________________

Contact Number(s): _____________________________________________________________

Address: ______________________________________________________________________

Email address:__________________________________________________________________

Description of Service Provided: (Please include scope and magnitude) ____________________

Contract Name/Number:______________________ Total Value $/£ Amount:_______________

Period of Performance (Ex: DD/MMM/YY to DD/MMM/YY): __________________________

Contractor performed as the Prime Contractor Sub-Contractor

B. CUSTOMER RESPONDENT INFORMATION:

Name of Respondent: ____________________________________________________________

Title: _________________________________________________________________________

Company/Organization:__________________________________________________________

Telephone Number(s): ___________________________________________________________

Address: ______________________________________________________________________

Email address:__________________________________________________________________

C. E-MAIL COMPLETED SURVEY(S) FORM TO:

bobbie.dobberstein.1@us.af.mil, tawana.jackson.1@us.af.mil, and maria.calimlim@us.af.mil

D. PERFORMANCE INFORMATION. Choose the appropriate evaluation of past performance information on the scale that most accurately describes the offeror’s performance or situation for your organization.

Place an “X” in the appropriate column using the definitions matrix above.

The Contractor: E VG S M U N

1. Effective managed at least two (2) separate locations simultaneously

2. Serviced six (6) aircraft simultaneously

3. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and adequate project supervision at the place of performance

4. Implemented and maintained an effective training program

5. Successfully executed 60 days or less phase-in plan for contract/project start up

6. Demonstrated ability to hire, retain, and/or replace, if necessary, qualified personnel during the contract period

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

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

9. Displayed initiative to solve problems

10. Performed services in a timely manner

11. Responsive to contract changes

12. Offeror conducted effective business relations (partnering meetings, etc.)

13. Offeror’s staff were fully trained on the specific contract requirements

CODE

QUALITY

ASSESSMENT

DEFINITION

E 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.

VG Very Good Performance meets contractual requirements and exceeds some to the Government’s benefit.

The contractual performance of the element or sub-element being evaluated 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 of the element or sub-element 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 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.

U 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.

N Neutral Performance was not observed or not applicable to the current effort being reported against.

The Contractor: E VG S M U N

14. Fair and reasonable prices for quality of service rendered

15. Provided adequate number of personnel to carry out the requirements of the contract (Allowing for leave of absence, etc.)

16. Offeror displayed adapted to new technologies and/or equipment requirements

17. Offeror exhibited effective performance through subcontractor teaming arrangements (if applicable)

18. How would you rate the offeror’s overall performance?

19. Was the contractor ever issued a cure or show cause notice under the reference contract? If yes, please explain.

EXPLANATION:

☐ Yes ☐ No

20. Would you award another contract to this contractor? If not, please explain.

EXPLANATION:

☐ Yes ☐ No

Additional Remarks:

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

tawana.jackson.1@us.af.mil, maria.calimlim@us.af.mil, and bobbie.dobberstein.1@us.af.mil