Attachment 5 - Past Performance Questionnaire 20220124.docx

FA002122R0002

Attachment

SOURCE

SELECTION

SENSITIVE

(When completed)

IAW

FAR

2.101 and

FAR

3.104

PAST

PERFORMANCE

QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

MEMORANDUM FOR:

SUBJECT: Request for Past Performance Information FROM: AFICC/765th Enterprise Sourcing Flight 427 Cody Avenue, Bldg 90333 Hurlburt Field, FL 32554

1. You have been identified as a point of contact for a past and/or present performance evaluation of the firm identified on the attached questionnaire. This firm is currently interested in providing advisory and assistance (A&AS) services for Air Force Special Operations Command (AFSOC), Request for Proposal FA002122R0002.

2. As part of the Government’s evaluation of offers to this requirement, recent and relevant past performance will be evaluated for offerors who performed the following service categories on a Government contract:

a) Management and Professional Support Services

b) Education and Training

c) Engineering and Technical Services

d) Additional Professional Services

3. Please complete the attached Past Performance Questionnaire (PPQ). You may email the completed PPQ to ashley.williams.85@us.af.mil and gerald.ray.2@us.af.mil.

4. Your contribution and prompt attention to this questionnaire is greatly appreciated. To be considered timely, responses must be received no later than 14:00 PM CST on XXXX 2022. If you have any questions concerning this request, please contact the contract specialists at ashley.williams.85@us.af.mil and gerald.ray.2@us.af.mil.

//SIGNED//

SHAWN EDWARDS

Contracting Officer

1 Attachment Past Performance Questionnaire

FA0021

22R Attachment

)FA002122R0002

Attachment 5

A. GENERAL INFORMATION (To be completed by Prime Contractor):

Contractor’s Name:

Business Address:

DUNS/Cage:

Point of Contact:

Email Address:

Phone Number:

Contract Number:

Contract Value:

Contract Period of Performance Dates:

Performance Location:

Contract/Project Title and Brief Description of Work:

Did the Contractor perform as the Prime, Sub-Contractor, or Key Personnel?

B. RESPONDENT INFORMATION:

Respondent’s Name and Title:

Organization:

Business Address:

Telephone Number:

Email Address:

C. RETURN COMPLETED QUESTIONNAIRE TO:

Attn: FA002122R0002 SETA VI PPQ Response for: (the company identified in section A above).

E-mail: ashley.williams.85@us.af.mil and gerald.ray.2@us.af.mil.

D. PERFORMANCE INFORMATION:

1. Did the contractor perform the following services:

a) Management and Professional Support?

b) Studies, Analysis, and Evaluations?

c) Engineering and Technical Services?

2. Did the contractor perform work on a Government Contract?

3. Was the work performed on a Multiple Award Contract (MAC) in which the contractor managed at least three (3) concurrent task orders?

4. Was the work performed in support of Air Force Special Operations Forces?

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

6. Would you hire this contractor again?

7. Please provide any further comments:

Signature/Date: _____________________________________________________________________