Attachment 7 - Performance Information Form.pdf
PDF 102 KB Posted
- Attached to
- Base Telecommunication System Service, Minot AFB Federal contract opportunity
- Solicitation number
- FA452821R0010
About this file
This document contains a past performance information form template for evaluating offerors for a base telecommunication system services contract at Minot Air Force Base in North Dakota. The form requests information on the offeror's past and present contract performance, ability to hire and retain qualified personnel, performance ratings, cure notices, terminations, and remarks. Respondents are asked to provide detailed descriptions of services performed, rate the offeror's performance, indicate if they would award another contract, and explain any issues. The completed forms should be returned no later than the solicitation due date and sent to the 5th Contracting Squadron at Minot AFB.
The related federal contract opportunity is for operation and maintenance of the base telecommunication system at Minot AFB. The objective is to provide these services 24/7 to ensure system availability. The system includes the base telephone switch, inside and outside plant systems, network, transmission systems, and equipment described in the performance work statement appendix. The contracting agency is the Department of the Air Force Global Strike Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 11 - Site Visit Instructions.pdf | ||
| FA452821R0010 00001.pdf | ||
| Attachment 9 - Section L Instructions Conditions and Notices to Offerors.pdf | ||
| Solicitation - FA452821R0010.pdf | ||
| Attachment 4 - Wage Determination 2015-5383 Rev 14.pdf | ||
| Attachment 6 - Wage Determination ND2020043 (Heavy).pdf | ||
| Attachment 8 - Financial Institution Reference Sheet.pdf | ||
| Attachment 10 - Section M Evaluation Factors for Award.pdf | ||
| Attachment 5 - Wage Determination ND20210031 (Building).pdf | ||
| Attachment 1 - BTS PWS.pdf | ||
| Attachment 2 - BTS Pricing Worksheet.xls | XLS spreadsheet | |
| Attachment 3 - BTS PID Pricing Worksheet.xlsx | XLSX spreadsheet |
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Text version
FA4528-21-R-0010
Attachment 7
PAST PERFORMANCE INFORMATION FORM
The 5th Contracting Squadron, Minot AFB, North Dakota, is in the process of selecting a contractor for Base Telecommunication System Services. One of the considerations in proposal evaluation is the verification of the Offeror’s past and present performance on contracts, which reflect the Offeror'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 an Offeror, for the evaluation of the Offeror's performance on those contracts.
Please complete this form and providing comments wherever applicable. Please sign the document in the space provided. Please note, we may contact the Offeror 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 Offeror.
Please return the completed form as soon as possible but no later than the offer due date noted in the Solicitation.
Please obtain this date from your Base Telecommunication Service contractor. The completed document should be marked Source Selection Sensitive/For Official Use Only. 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?
FA4528-21-R-0010
Attachment 7
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/PKA-S, 165 Missile Avenue, Minot AFB, ND 58705 ATTN; SSgt Ryan Nichols FAX: (701) 723-4172 EMAIL: ryan.nichols.11@us.af.mil
DUTY PHONE: (701) 723-3260
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