Attachment 5 Past Performance Questionnaire.docx
DOCX document 30 KB Posted
- Attached to
- Dome Maintenance Minot AFB
- Solicitation number
- FA452825QFH02
About this file
This document is a Past Performance Questionnaire for a Preventative Maintenance and Repair Services contract for the Minot AFB Dome, issued by the 5th Contracting Squadron at Minot Air Force Base in North Dakota. The questionnaire is designed to collect performance feedback from previous clients about a contractor's capabilities, specifically focusing on their ability to hire and maintain qualified personnel, overall performance quality, and contract execution history.
The solicitation (FA452825QFH02) requires a contractor to provide comprehensive maintenance services for the Air-Supported Dome, including all necessary personnel, equipment, tools, materials, transportation, and supervision. The document instructs past clients to complete and return the evaluation form to Theodore Arneson at the 5th CONS/PKAS by the quote due date, with completed forms to be marked "Source Selection Sensitive". The contract is being managed by the Department of the Air Force Global Strike Command, and the completed questionnaire will be used as part of the contractor selection process to verify past performance and potential future contract award capabilities.
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PAST PERFORMANCE INFORMATION FORM
The 5th Contracting Squadron, Minot AFB, North Dakota, is in the process of selecting a contractor for recurring Preventative Maintenance and Repair Services for all components of the Minot AFB Dome. One of the considerations in proposal evaluation is the verification of the Quoter’s past and present performance on contracts, which reflect the Quoter's ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had first-hand experience with a Quoter, for the evaluation of the Quoter's performance on those contracts.
Please complete this form and provide comments wherever applicable. Please sign the document in the space provided. Please note, we may contact the Quoter on problem areas or concerns identified to see what corrective actions have been taken or will be taken. However, the individual's name completing the questionnaire will not be disclosed to the Quoter.
Please return the completed form as soon as possible but no later than the quote due date noted in the Solicitation. Please obtain this date from your Dome service contractor. The completed document should be marked Source Selection Sensitive. Forms submitted directly from the Contractor being evaluated will be thrown out.
Respondent and Contract Information:
Name of Customer/Contract:
Address:
Name and Title of Evaluator:
Signature of Evaluator and Date:
Telephone No:
Dates/Years of Performance:
Annual $ Value:
Contract Number:
Contractor Name & Address:
Contractor performed as the Prime Contractor Sub-Contractor
Services Performed/Detailed Description of Work:
Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel?
FA4528-
-Q-
TA09
Attachment
How would you rate the contractor’s past performance?
Would you award another contract to this contractor? If not, please explain:
Was the contractor ever issued a cure or show cause notice, or was the contract terminated? If yes, please explain:
Is the contract rated in CPARS? Yes No
Remarks:
SEND COMPLETED SURVEY FORM TO:
5 CONS/PKAS, 165 Missile Ave., Minot AFB, ND 58705 ATTN: Theodore Arneson EMAIL: theodore.arneson@us.af.mil
DUTY PHONE: (701) 723-3949
File details come from the government source that posted it. Updated .