Attachment 6 - Past Performance Questionnaire Final CH.docx

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

RFQ FA500022Q0050

Attachment 6 Past Performance Questionnaire SUBJECT: Request for Past Performance Evaluation

TO: ________________________

__________________________is currently participating as a respondent to the Government’s Request for Quotation No. FA500022Q0050 for Cranes and Hoist Maintenance services at Joint Base Elmendorf-Richardson, Alaska. We anticipate awarding a firm-fixed-price contract.

The Government will be selecting Contractors for this project based on selection factors. One of the key factors in the Government’s final decision is past performance. To assist the Government in its assessment of Contractor past performance, we are required to identify previous projects and clients who are familiar with our past work. For the purposes of this questionnaire, past work is defined as contracts performed and/or being performing for any customer within the last five (5) years from the issuance day of the solicitation 30 June 2022.

As one of our customers for past contracting work on __________________________________, we are requesting that you complete the attached questionnaire regarding our past performance. This letter also authorizes you to discuss our past performance with the Government and to release information regarding our past performance to the Government.

Your prompt attention in completing the attached questionnaire will ensure we receive full consideration in this competition. Please return the completed form to the Government point of contacts (POCs) identified below, response is required no later than 1:00 P.M. Alaska Daylight Time (AKDT) on Monday, August 01, 2022.

Government POCs Stephen Hulsey – stephen.hulsey@us.af.mil Brendan DeLane – brendan.delane@us.af.mil

Thank you for your assistance.

(Signature and title of individual with the authority to sign for and legally bind the Contractor)

Attachment : Past Performance Questionnaire

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. Brief Description of Services Performed:

G. Period of Performance:

H. Contract Dollar Value:

I. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of work performed 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/fax number/e-mail address:

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

E. Other suggested points of contact:

Section 4: Performance Information

1. Does your contract include the inspection of Cranes and Hoists?

2. Does your contract include the maintenance of Cranes and Hoists?

3. Does your contract include the certification of Cranes and Hoists?

4. Does your contract include the repair of Cranes and Hoists?

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. The performance rating scale is defined as follows:

1. How would you rate the Contractor’s ability to maintain standards outlined in your Performance Work Statement, Statement of Work, or equivalent requirements documents?

2. How would you rate the contractor’s ability to proactively respond, recognize, resolve unanticipated difficulties, correct deficiencies, re‐performance, or emergencies in the manner consistent with the contract’s quality control procedure?

3. How well did the contractor provide for sufficient and qualified manpower in the performance of this contract?

4. How would you rate the contractor’s ability to remain on schedule, meet specific response times, and scheduled time frames for completion of specific tasks while still providing quality service?

5. How would you rate the Contractor’s customer service?

6. Would you hire this Contractor again? If not, please explain.

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Stephen Hulsey – stephen.hulsey@us.af.mil Brendan DeLane – brendan.delane@us.af.mil

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