Attachment 5 Past Performance Questionnaire 062322.docx

BUSINESS REFERENCE LETTER AND PAST PERFORMANCE QUESTIONNAIRE __________________________________________________________________ PAST PERFORMANCE QUESTIONNAIRE – Reference Letter

Defense Commissary Agency – Pacific Contracting Branch Unit 5156, Bldg. 407 Kadena AB 96368

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) HQC011-21-R-0003, Repair and Maintenance Services for Materiel Handling Equipment (MHE) and Commercial Cleaning Equipment at DeCA Commissaries in Okinawa, Japan

Dear “Client”:

Our firm is currently submitting an offer to the Defense Commissary Agency (DeCA) in response to DeCA’s Request for Proposal (RFP) HQC011-21-R-0003 to provide preventive maintenance and unscheduled and emergency maintenance services of facilities and equipment for DeCA commissaries located in Okinawa, Japan. DeCA has identified Past Performance in the solicitation as a factor for evaluation in the process of selecting a successful contract awardee. As such, they are requiring that the offeror’s clients (Raters) be identified and that their participation in the evaluation process be considered. We are asking for your assistance by completing the attached Past Performance Questionnaire about our company that will be used during DeCA’s source selection evaluation process.

We have identified your firm/organization to DeCA as a reference point of contact based on your knowledge concerning our work. In the event you are contacted for information on work that our firm has performed, you are hereby authorized to respond to those inquiries, fully disclosing your assessment in the areas requested by DeCA.

Please complete Part II and Part III of the enclosure and submit it via email to the Contract Specialist, Ms. Kieko Ishikawa kieko.ishikawa@deca.mil, and Contracting Officer, Mr. Roger Bessette, roger.bessette@deca.mil no later than Monday, July 25, 2022, 3:00PM JST

Your cooperation is greatly appreciated. Questions may be directed to the Contract Specialist or the Contracting Officer identified above.

Sincerely, Roger J. Bessette Contracting Officer

PART I. CONTRACT AND BUSINESS INFORMATION (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Period or Dates of Performance:

Total Contract Value:

Brief Description of Work/Effort:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

PART II. RATER IDENTIFICATION & RETURN INFORMATION

(To be completed by the Client/Rater)

A. Rater Identification. Please provide the following information.

Note: Once the PPQ is complete, it is considered to be Source Selection Information.

Company’s Name:

Name of Client/ Rater:

Title:

Address:

Telephone #:

E-mail Address:

B. Return Information. Please electronically complete Part II and Part III of the PPQ, then email the completed PPQ to the Contracting Officer, Roger Bessette, roger.besette@deca.mil and Contract Specialist, Rine Maekawa, rine.maekawa@deca.mil no later than the solicitation closing date and time.

PART III. PAST PERFORMANCE EVALUATION (to be completed by the Offeror’s Client/Rater)

Performance Assessment Questionnaire Using the rating definitions in the table below, please assess the contractor’s performance regarding customer satisfaction, quality of services, timeliness of performance, compliance with the terms and conditions of the contract, and business relations.

Note: Comments are required for each response. Use continuation pages if needed.

Please provide your candid responses. The information you provide will be used in the award of a federal contract. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators.

ASSESSMENT RATING DEFINITIONS

Does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas; deficiencies in one or more areas which adversely affect overall performance.

Meets or slightly exceeds minimum acceptable standards; adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.

Effective performance; fully responsive to contract requirements; reportable deficiencies, but with little identifiable effect on overall performance.

Very effective performance; fully responsive to contract requirements; contract requirements accomplished in a timely, efficient, and economical manner for the most part; only minor deficiencies with minimal effect on overall performance.

Of exceptional merit; exemplary performance in a timely, efficient, and economical manner; very minor (if any) deficiencies with no adverse effect on overall performance.

Does not pertain to the particular situation or scenario.

1. How would you rate the contractor’s compliance with the delivery schedule / performance milestones? Comments:

U |_| S |_| G |_| VG |_| E |_| N |_|

2. How would you rate the contractor’s business practices (e.g., maintaining a positive working relationship, business ethics, timely and effectively resolution of any problems etc.)? Comments:

3. How would you rate the contractor’s overall compliance with the terms and conditions of your purchase order /contract? Comments:

4. How would you rate the contractor’s history of reasonable and cooperative behavior and commitment to customer satisfaction, and the contractor’s business-like concern for the interest of the customer? Comments:

5. How would you rate the contractor’s overall performance? Comments:

6. Would you purchase services from this contractor again? Comments:

|_| YES |_| NO

Please provide any additional comments applicable to the contractor’s past performance: