Attachments 1-3 of Addendum to FAR 52.212-1.docx

ADDENDUM 52.212-1 ATTACHMENTS

PAST PERFORMANCE INFORMATION FORM

ATTACHMENT 1 (52.212-1 Addendum)

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify.

PART A

*Note: If the vendor currently performing this effort is different than the vendor identified above note these organizational changes under Part A.

PART B

Program Title

PART C

Contracting Agency (or customer)

Available

Choose an item. Choose an item.

*Note: If multiple contract types exist on one contract, select the contract type accounting for the highest percentage of the estimated/obligated dollar value.

*Note: If the original period of performance differs from the current/final period of performance please explain the difference.

*Note: If the original contract dollar value differs from the current/final contract dollar value please explain the difference.

PART D

Select One

*Note: Please highlight in your description above, portions of effort considered to have the most comparable characteristics to the acquisition solicited (e.g. similarity of product/service, complexity, etc.).

PART E

Program and/or Site Manager - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

Procuring Contracting Officer - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

Administrative Contracting Officer - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

*Note: For commercial contracts, provide points of contact fulfilling these same roles (i.e. PM, PCO, and ACO).

PAST PERFORMANCE QUESTIONNAIRE

ATTACHMENT 2 (52.212-1 Addendum)

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify.

PART A – Contract Identification

Contractor

CAGE Code of Awardee

Contract Number

*Initial Contract Cost

*Current/Final Contract Cost

Description of Service/Supply Provided

*Reason for Difference Between Initial and Final Contract Cost

PART B – Customer or Agency Identification

Customer or Agency Name

Customer or Agency Description

Geographic Description (i.e. local, nationwide, worldwide, other Commands):

PART C – Contract Performance Evaluator Identification

Evaluator’s Name

Evaluator’s Title

Evaluator’s Phone Number

Evaluator’s Fax Number

Evaluator’s Email

Number of Years Evaluator Worked on Subject Contract

PART D – Evaluation

Please indicate your overall satisfaction with the contractor’s performance in regards to; conforming to requirements and standards of good workmanship, adherence to contract schedules and the administrative aspects of performance, reasonable and cooperative behavior and commitment to customer satisfaction, integrity and business ethics, and generally, business-like concern for the interest of the customer. Select the corresponding rating below:

Select One

Terminations – Government Contract Only

(e.g. inability to control cost, meet performance expectations, deliver on time, etc.)

PART E – Narrative Summary

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspect in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

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

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

(VENDOR ENTER CO EMAIL HERE)

PAST PERFORMANCE QUESTIONNAIRE COVER LETTER

ATTACHMENT 3 (52.212-1 Addendum) NOTE TO VENDORS: Italicized text indicates sample/instructional guidance to assist with filling this out prior to sending to the POCs. Cover letters should be issued on the vendor’s letterhead and dated.

LETTERHEAD

(Date)

FOR OFFICIAL USE ONLY

SUBJECT: Present/Past Performance Questionnaire for the XXXX Program Solicitation Concerning Contract Numbers(s) (CONTRACT AND ORDER NUMBER (IF APPLICABLE) TO BE EVALUATED). The effort was performed by (SPECIFIC ENTITY THAT PERFORMED THE WORK) under (CAGE CODE).

(a) We are currently responding to 76 Aircraft Maintenance Group, Oklahoma City Air Logistics Complex, Tinker Air Force Base, Oklahoma, Request for Quotation (RFQ) FA81XX-XX-Q-XXXX for the XXX requirement. This acquisition is being conducted as a FAR Part 12 & 13 acquisition utilizing past performance and price as evaluation factors. The RFQ specifically requires that we, as an interested vendor, send the attached questionnaire to several points of contact (POC) on efforts that we have performed. As such, please take a few moments of your time to fill out the attached questionnaire (Parts B – E).

(b) DO NOT RETURN THE COMPLETED QUESTIONNAIRE TO US. The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to us, the interested vendor. The completed Past Performance Questionnaire should be sent directly to the Government not later than (DATE TO BE INSERTED BY VENDOR). The questionnaires should be emailed to: (VENDOR ENTER CO EMAIL)

(c) If you have any questions regarding this FAR 12 & 13 competitive acquisition, contact the Contracting Officer, (VENDOR ENTER CO NAME). If you have questions regarding the clarification of contract number, POC or program title on the questionnaire, please contact (VENDOR’S POC AND PHONE NUMBER FOR PAST PERFORMANCE ISSUES).

(d) Thank you for your timely assistance.

Sincerely, (TITLE AND NAME OF COMPANY OFFICIAL)

Attachment: Past Performance Questionnaire