Attachment L-3 Past Performance Questionnaire.docx

Attachment # L-3 Past Performance Questionnaire For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

The 45th Contracting Squadron of the 45th Space Wing is in the process of competitively selecting a source for the Pad Safety Support Contract (PSSC) II. The scope of this acquisition will include operations and technical support required to augment and operationally implement the comprehensive safety program. The primary objective is to obtain superior, timely, responsible and affordable safety services in an environment of constantly changing mission requirements. The safety contractor must provide flexible customer support and visionary long-range planning while also providing dependable safety support that ensures public, launch base, and launch complex safety for all range users.

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 10 Calendar days after your receipt of this letter. 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 cartama.ramoscrafton@spaceforce.mil, glenn.scanes@spaceforce.mil, and christopher.neering.1@spaceforce.mil. If you havea any questions, please call Cartama Ramos Crafton at 321-494-5051 or Glenn Scanes at 321-494-4159, or Christopher Neering at 321-494-5001. 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.

Procuring Officer

1 Atch 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 Program Description:

G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

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

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

If a subcontractor or had major subcontractors what percentage of the work did they perform and list the subcontractor company names?__________________________________________________________________

Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation 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 services 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 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.

Place an “X” in the appropriate column using the definitions matrix above.

Program Management

Management comments on items 1 through 7 above: (use extra page if needed)

Technical

Technical comments on items 1 through 8 above: (use extra page if needed)

PVMI (Please answer specifically for PVMI)

Management comments on items 1 through 7 above: (use extra page if needed)

Phase-in

Phase-in comments on items 1 through 3 above: (use extra page if needed)

SECTION 5: OVERALL PERFORMANE EVALUATION CONTRACT

Place an “X” in the appropriate column or N/A as applicable

(Technical)

(Management)

(Management)

Specific remarks on exceptional performance: Provide data supporting this observation. (continue on separate sheet if needed)

Remarks on unsatisfactory performance: Provide data supporting the observation. (Continue on separate sheet if needed)

Would you select this firm again? Yes No Please explain

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 sche

SECTION 6: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I [ click and select an item ] award to him 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: 45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Cartama Ramos Crafton, Contracting Officer, 1201 Edward H. White II St., MS 7200, Bldg 423, Room C253, Patrick AFB, FL 32925-3237

FAX to: 321-494-0557 (Attention: 45 CONS/PKDB - Ms. Cartama Ramos Crafton, Mr. Christopher Neering, and Mr. Glenn Scanes)

E-Mail to: cartama.ramoscrafton@spaceforce.mil and glenn.scanes@spaceforce.com and Christopher.neering.1@spaceforce.mil

RFP FA252121R0001

Client Authorization Letter

NOTE TO OFFERORS: This procurement could be similar to commercial supplies/services. Therefore, to assist the Government’s Past Performance Team in assessing your present and past performance on relevant commercial contracts, the following letter must be sent to your points of contact (POCs) for those commercial efforts that you identify to us in your past performance volume. Should you propose to use major subcontractors and/or joint venture members, you must obtain a similar client authorization letter from each entity. HOWEVER, it is your sole responsibility, as the offeror, to then send out these authorization letters with the Present/Past Performance Questionnaire to your own POCs and to those of your major subcontractors and/or joint venture members and include a copy in your past performance volume.

FOR OFFICIAL USE ONLY

Client Authorization Letter

(TO BE ACCOMPLISHED BY OFFEROR)

Dear (Client):

We are currently responding to the Department of the Air Force (AF), 45th Space Wing (45 SW), Request for Proposal (RFP) FA252121R0001 for the procurement of the Pad Safety Support Contract (PSSC) II.

As you know past performance has become an element of increased emphasis in the AF’s acquisitions. They are requesting that clients of companies who submit proposals in response to their RFP for the PSSC II effort be contacted, and that their participation in the validation process be requested. Then, either include these sentences: We, therefore, respectfully request and hereby authorize you to complete the attached Questionnaire with regards to work we have performed for you, and submit it either electronically, by fax or by mail. tailor to your needs If sending electronically, the following applies:

Exchanges of source selection information between government and questionnaire respondents will be controlled by the Contracting Officer. Email may be used to transmit such information only if the email can be sent and encrypted, and must include “Source Selection Information – See FAR 2.101 and 3.104” in the subject line of the email. In order to facilitate the sending and receiving of encrypted emails, a questionnaire respondent must use MS Outlook email configured to support encryption, or, a different email product that is S/MIME compatible and configured to support encryption. If you intend to submit your completed questionnaire via an encrypted email, you will need to contact the Buyer/Contracting Officer indicated below, prior to that first submittal, in order to exchange certificates used for encryption. To ensure the process is working correctly, send a test encrypted message first (without including any source selection information). Email to: cartama.ramoscrafton@spaceforce.mil and glenn.scanes@spaceforce.mil. Ensure information in this paragraph matches Section L-900, Paragraph I.B.

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

The completed questionnaire should be contained in a second envelope marked with the mailing address and the following legend:

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Mail directly to:

45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Cartama Ramos Crafton and Glenn Scanes 1201 Edward H. White II St., MS 7200 Bldg 423, Room C253 Patrick AFB, FL 32925-3237 Reference: RFP: FA252121R0001

If faxing, the fax number is 321-494-0557. The POCs must call Cartama Ramos Crafton at 321-494-5051 or Glenn Scanes at 321-494-4159 before faxing the completed questionnaire(s).

We have identified Mr./Ms. (Name) of your organization as the point of contact based on their knowledge concerning our work. Your cooperation in this matter is appreciated. Any questions may be directed to: [NAME, PHONE NUMBER, FAX NUMBER FOR THE OFFEROR’S POINT OF CONTACT]

Sincerely, [OFFEROR'S POINT OF CONTACT]

RFP FA252121R0001

Transmittal Letter

Transmittal Letter for Government Sources to Accompany Present/Past Performance Questionnaire

[TO BE COMPLETED BY OFFEROR]

FOR OFFICIAL USE ONLY

MEMORANDUM FOR: [OFFEROR’S/JOINT VENTURE MEMBERS’S OR MAJOR SUBCONTRACTOR’S POC]

FROM: [OFFEROR’S ADDRESS AND POINT OF CONTACT]

SUBJECT: Present/Past Performance Questionnaire for Contract(s) .

1. We are currently responding to the Department of the Air Force (AF), 45th Space Wing, Request for Proposal (RFP) FA252121R0001, for the procurement of the Pad Safety Support Contract (PSSC II). This RFP is being conducted as a Tradeoff Source Selection and specifically requires that we, as an offeror, do the following:

The offeror shall send out – and track the -- Present/Past Performance Questionnaire to each of the offeror’s, major subcontractors’, teaming contractors, and/or joint venture members’ Points of Contact (POCs). The responsibility to send out the Present/Past Performance Questionnaires rests solely with the offeror - i.e., it shall not be delegated to any subcontractors and/or joint venture partners. The completed Present/Past Performance Questionnaire shall be submitted directly to the Government not later than [Offeror to fill-in closing date]. Each of the offeror’s POCs may submit its completed Present/Past Performance Questionnaire either electronically, by fax or by mail. If sending electronically, the following applies:

Exchanges of source selection information between government and questionnaire respondents will be controlled by the Contracting Officer. Email may be used to transmit such information only if the email can be sent and encrypted, and must include “Source Selection Information – See FAR 2.101 and 3.104” in the subject line of the email. In order to facilitate the sending and receiving of encrypted emails, a questionnaire respondent must use MS Outlook email configured to support encryption, or, a different email product that is S/MIME compatible and configured to support encryption. If you intend to submit your completed questionnaire via an encrypted email, you will need to contact the Buyer/Contracting Officer indicated below, prior to that first submittal, in order to exchange certificates used for encryption. To ensure the process is working correctly, send a test encrypted message first (without including any source selection information). Email to: tammy.davis@us.af.mil and oren.gilbert@us.af.mil If mailing, mail directly to:

45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Cartama Ramos Crafton and Glenn Scanes 1201 Edward H. White II St., MS 7200 Bldg 423, Room C249 Patrick AFB, FL 32925-3237 Reference: RFP: FA252121R0001

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

The completed questionnaires should be contained in a second envelope marked with the mailing address and the following legend:

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

If faxing, the fax number is 321-494-0557. The POCs must call Cartama Ramos Crafton, 321-494-5051 or Glenn Scanes at 321-494-4159 before faxing the completed questionnaire(s).

2. We have identified subject contract(s) as relevant to this acquisition and you as our POC. As such, please take a few moments of your time to fill out the attached questionnaire and send it directly back to the contracting officer. The information contained in the completed Present/Past Performance Questionnaires is considered sensitive and cannot be released to us, the offeror. If you have any questions about the acquisition or the attached questionnaire, your questions must be directed back to the Government’s points of contact identified above. Thank you for your timely assistance.

1 [2] ATCH

Present/Past Performance Questionnaire [Client Authorization Letter(s), if applicable]

FOR OFFICIAL USE ONLY

RFP FA252121R0001

Consent Form

NOTE TO OFFERORS: Past performance information concerning major subcontractors, teaming contractors, and/or joint venture members cannot be disclosed to a private party without the major subcontractor's or joint venture member’s consent. Because a prime contractor is a private party, the Government will need that consent before disclosing major subcontractor/joint venture partner past and present performance information to the prime during exchanges. In an effort to assist the Government's Past Performance Team in assessing your past performance relevancy and confidence, we request that the following consent form be completed by the joint venture members/major subcontractors/teaming contractors identified in your proposal. The completed consent forms shall be submitted as part of your Past Performance Volume.

FOR OFFICIAL USE ONLY

JOINT VENTURE/MAJOR SUBCONTRACTOR/TEAMING CONTRACTOR CONSENT FORM FOR THE RELEASE OF PAST AND PRESENT PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR

Dear (Contracting Officer)

We are currently participating as a (major subcontractor/joint venture partner) with (prime contractor or name of entity providing proposal) in responding to the Department of the Air Force, Patrick AFB, FL, Request for Proposal (FA252121R0001) for the (program title or description of effort).

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature and Title of individual who has the authority to sign for and legally bind the company)

Company Name:

Address:

Cage Code:

Phone Number: