Attachment L6_Past Performance Questionnaire.pdf

Controlled Unclassified Information

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

Section L6 Attachment: Past Performance Questionnaire

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We are in the process of competitively selecting a source for Solicitation FA302925R0005

One of the considerations in the 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 7 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 71conf.pkb.construction@us.af.mil or by mail to the mailing address listed below. Your completed questionnaire will become a part of the official Source Selection records.

Vance AFB Contracting Office

246 Brown Parkway, Ste 225, Bldg 500

Vance AFB, OK, 73705

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.

RIYADH M. SAUD, GS-12, DAF

71st Contracting Officer

(1) Attachement

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

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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. 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. 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):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

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

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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 questions below, indicate your rating for the contractor’s performance by checking the appropriate box under 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 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.

Note: The following are SAMPLE questions. Past Performance evaluation teams MUST construct a simple and concise Past Performance Questionnaire, tailored to seek out key information tied to the significant aspects of the planned acquisition. Avoid questions that can be answered with a “yes” or

“no” but instead include probing and direct questions to draw out the required information desired.

A. TECHNICAL FACTOR – Rate the Offeror’s performance for the following subfactors:

1. Subfactor – System / Subsystem Performance

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How well did the contractor meet system/subsystem performance requirements? (Identify any waivers/deviations that were required.)

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

2. Subfactor – Management / Schedule

a. How well did the contractor perform against the delivery schedules of the contract (or IMP/IMS if prior to delivery)? In the remarks, specify if the contractor met, exceeded, or failed to meet contractual delivery dates (or

IMP/IMS if prior to delivery) and, if schedule slips occurred, state the number of slips and cumulative schedule variance.

b. How well did the contractor manage the program using a certified Earned Value Management System to identify trends and track program progress, or identify problems before they impacted the program?

c. How successful was the contractor with timely award and effective management of subcontracts? In supporting information, discuss how well the contractor met participation goals for small/small disadvantaged businesses, historically black colleges and universities, minority institutions, and woman-owned business.

3. Subfactor – Systems Engineering

a. How well did the contractor develop, and execute test and evaluation efforts?

b. How well did the contractor develop, manage, and control system and subsystem interface requirements and communicate and manage system and subsystem requirements to the subcontractor?

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c. How well did the contractor define and implement a System Engineering Master Plan and execute the System

Engineering process and manage system and subsystem configuration data?

d. How well did the contractor use modeling, simulation and analysis to assist in the System Engineering process?

4. Subfactor – Systems Architecture and Software

a. How well did the contractor adhere to its software development approach and managing complex software efforts to meet program schedule?

b. How well did the contractor implement open systems architecture design and development?

c. How effective was the contractor in achieving actual software re-use amount compared to the proposed estimate and controlling software requirements growth?

d. How well did the contractor flow-down software requirements and processes to software subcontractor(s)?

5. Subfactor – Product Support

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a. How well did the contractor integrate the logistics support elements to provide effective support planning?

(e.g., LRIP and/or fielded assets, CLS, ICS, Type 1 Training, and Life Cycle Cost visibility, provisioning)

b. How well did the contractor execute the technical manual/order program to meet overall program schedules?

c. How well did the contractor provide Training and Training Systems to support the program?

d. How well did the contractor achieve performance-based logistics requirements?

B. COST / PRICE FACTOR

How accurate was the contractor in proposing and forecasting contract cost/price?

Please provide the following information regarding cost/price:

(1) Original Contract Cost/Price $

(2) Value of Negotiated Contract Changes $

(3) Actual/Projected Cost to Complete $

(4) Baseline Estimate at Completion $

(5) Total Negotiated Changes EAC $

(6) Cost Under run/Over run (-) $

REMARKS:

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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).

Did this contract include FAR 52.219-9, Small Business Subcontracting Plan?

☐ Yes ☐ No

If yes, did the contractor comply with the clause? Please explain.

Did this contract include FAR 52.219-8, Utilization of Small Business Concerns?

☐ Yes ☐ No

If yes, did the contractor comply with the clause? Please explain.

C. GENERAL COMMENT (Choose one of the following and explain your choice in the remarks)

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I award to him today given that I had a choice.

REMARKS:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

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Mailing Address:

Vance AFB Contracting Office

246 Brown Parkway, Ste 225, Bldg 500

Vance AFB, OK, 73705

FAX to:

E-Mail to: 71conf.pkb.construction@us.af.mil http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:71conf.pkb.construction@us.af.mil