Attachment J-6 Past Performance Questionnaire.pdf

Controlled Unclassified Information (CUI)

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

Section L Attachment: Past Performance Questionnaire

Controlled Unclassified Information

The 673 Contracting Squadron (CONS) is in the process of competitively selecting a source for Aerial Target

Banner Towing Service.

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. In order to meet the acquisition milestones, we request your written response no later than 1 August 2021. 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 the point of contacts listed below. 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.

Signature

Contracting Officer

1 Atch

Past Performance Questionnaire http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

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. Period of Performance:

G. Total Contract Dollar Value:

H. Brief Description of work performed:

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

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

Note: If offeror holds or has held other contracts with your agency/organization in the last three (3) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

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,):

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

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. Provide supporting information for each response in the space provided.

Attach additional pages if more space is needed.

Contractor Aircraft Capabilities 6,393ft or Less Greater than

6,393ft

Unknown Not

Applicable

Contractor aircraft had a minimum take-off distance, with banner in tow, of not greater than 6,393ft.

197lbs or

Greater

Less than 197lbs Unknown Not

Applicable

Aircraft required to tow banner/Target (or similar) weight of;

45 Degrees or

Less

Max bank angle more than 45 degrees

Unknown Not

Applicable

Contract required an aircraft bank angle while towing of;

Altitude less than

5,000

Altitude of

5,000-

10,000

Altitude of

5,000-15,000

Altitude of

5,000-

20,000

Unknown Not

Applicable

Select the range of Contractor aircraft capabilities for your requirement from the following:

Less than

200KIAS

200KIAS -

214KIAS

215KIAS –

234KIAS

235KIAS –

250+KIAS

Unknown

Contractors requirement for

Aircraft performance reached aircraft speed of:

Contractor Range Time: This solicitation has an expectation/requirement of Contractor range time (active flight time, not including flight time to and/or from area of operation) of 12 hours over a six (6) day period. Please identify, in relation to your agency/organization, actual range time performance with the below questions.

Contractor Range Time (RT) RT of 11-12 hrs.

RT of 8-10 hrs.

RT of 5-7 hrs.

RT of less than

5 hrs.

Unknown

Contractor required to support a range time (or equivalent based on req.):

Definition of EXCEPTIONAL: Performance meets contractual requirements and exceeds many to the

Agency/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Definition of VERY GOOD: Performance meets contractual requirements and exceeds some to the

Agency/Customer's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Definition of SATISFACTORY: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear, or were, satisfactory.

Definition of MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor's proposed actions appear only marginally effective, or were not fully implemented.

Definition of UNSATISFACTORY: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor's corrective actions appear or were ineffective.

Please address the following questions regarding the overall quality of the contract.

How many flight hours were awarded on the contract?

How many flight hours were lost due to lack of contractor tools, equipment and parts?

Was the contractor operating from a forward location or from contractor home station?

Based on the definitions above, please select an overall quality assessment rating.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Additional remarks:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

Attn: 673 CONS

C/o Mrs. Brittney Behr and/or Mr. Daniel Swoyer

10480 Sijan Ave, Ste. 364

Joint Base Elmendorf-Richardson, Alaska 99506

FAX to: DO NOT FAX

E-Mail to: brittney.behr@us.af.mil daniel.swoyer.1@us.af.mil http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:brittney.behr@us.af.mil mailto:daniel.swoyer.1@us.af.mil