Attachment 8 - Past Performance Questionnaire.pdf

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

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Past Performance Questionnaire

The 82nd Contracting Squadron of the Air Force is in the process of selecting a source for Exhaust Hoods. This requirement is a continuation contract to provide Exhaust Hoods cleaning and certification services at Sheppard AFB and Sheppard Annex at Lake Texoma (approximately 2 hour drive/120 miles from Sheppard AFB). The service provider shall provide all personnel, equipment, tools, supplies, expertise, materials and other items necessary to perform cleaning kitchen exhaust hoods and ducts.

One of the considerations in proposal evaluation is the verification of the offerors past performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. To meet the acquisition milestones, we request your written response no later than 20 April 2026. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to cole.jones.6@us.af.mil and jessica.muller@us.af.mil. Please call Cole Jones at 940-676-2803 prior if you have any questions. Your completed questionnaire will become a part of the official Source Selection records.

Your assistance is greatly appreciated, and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Jessica Muller Contracting Officer

08 Attachment Past Performance Questionnaire

Attachment 8: Past Performance Questionnaire

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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 Program Description:

G. Period of Performance:

H. Contract Dollar Value:

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Attachment 8: Past Performance Questionnaire

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Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

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

F. Other suggested points of contact:

Section 4: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements, and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

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E V S M U N/A

1. How well did the contractor meet the requirements of the contract?

SUPPORTING INFORMATION:

2. How was the quality/integrity of data/report efforts?

SUPPORTING INFORMATION:

3. How well did the contractor implement current quality processes, standard practices, operation, and maintenance?

SUPPORTING INFORMATION:

4. How adequate/effective were the contractor’s environmental safety procedures?

SUPPORTING INFORMATION:

5. How effective was overall contract management?

SUPPORTING INFORMATION:

6. How reasonable and cooperative was the contractor when dealing with program staff (including the ability to successfully resolve disagreements/disputes)?

SUPPORTING INFORMATION:

7. How timely and effectively did the contractor resolve contract problems without extensive customer guidance?

SUPPORTING INFORMATION:

8. How well did the contractor understand/comply with the Performance Work Statement?

SUPPORTING INFORMATION:

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E V S M U N/A

9. How successfully did the contractor respond to emergency situations?

SUPPORTING INFORMATION:

10. How effective was the contractor’s material management (including Government Furnished Property or Material)?

SUPPORTING INFORMATION:

11. Of what benefit to the customer were contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors?

SUPPORTING INFORMATION:

12. To what degree did the contractor implement responsive/flexible processes to improve quality and timeliness of support?

SUPPORTING INFORMATION:

13. How effectively was the contractor able to hire/apply a qualified workforce to this effort?

SUPPORTING INFORMATION:

14. How effectively was the contractor able to retain a qualified workforce on this effort?

SUPPORTING INFORMATION:

15. How successfully did the contractor alert the Government of unforeseen costs before they occurred?

SUPPORTING INFORMATION:

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

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Attachment 8: Past Performance Questionnaire

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what they promised in their proposal, I [ would/would not ] award to them today given that I had a choice.

REMARKS:

Please provide any additional comments concerning this contractor’s performance, as desired.

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

206 J Ave, BLDG 1662 Sheppard AFB, TX 76311-2743 United States

E-Mail to:

cole.jones.6@us.af.mil jessica.muller@us.af.mil