CE Services PPQ.pdf

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

Section L Attachment: Past Performance Questionnaire – Sample 1

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The 6th Contracting Squadron of the Air Force AMC/ARW is in the process of competitively selecting a source for a Civil Engineer Base Operations Service Contract program.

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 adan.jaime.1@us.af.mil. Please call Adan Jaime at 813-828-1674 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.

Adan Jaime Contracting Officer

1 Atch Past Performance Questionnaire

DRAFT

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:adan.jaime.1@us.af.mil

Section L Attachment: Past Performance Questionnaire – Sample 1

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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. 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

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

DRAFT

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602

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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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Engineering Maintenance Operations Experience E V S M U N/A

T1. How well did the contractor provide operations & maintenance services to your installation?

Did contractor provide these services to at least 150 buildings? If not, please indicate highest number of buildings contractor provided operations & maintenance to.

T2. How was the contractor’s experience with maintaining airfields/runways of at least 10,000 feet along with associated airfield lighting systems.

T3. How adequality/efficiently did the contractor operate/maintain electrical grid and associated switching stations/step-down transformers?

Was voltage at least 13.8kV? If not, please indicate highest voltage contractor worked on.

T4. How adequality/efficiently did the contractor provide maintenance/repair on central utility plant(s)?

Did the central utility plant(s) support facilities over 750K square feet? If not, please indicate the largest square footage that was supported by a central utility plant(s).

T5. How was the quality of the preventative maintenance program?

Did contractor provide preventive maintenance on at least 3,000 pieces of equipment/assets? If not, please indicate the number of assets the contractor performed preventive maintenance.

Engineering Experience E V S M U N/A

E1. How effective was Experience providing Engineering and Design Support for Military Installations with over $20M annually in design work

SUPPORTING INFORMATION:

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Engineering Experience E V S M U N/A

E2. How effective was their Experience providing Operational Engineering Support for a Military Installation with a least 150 buildings.

E3. How Effective was their Programming Support for a Military Installation with at least 150 buildings.

E4. How effective was their Experience providing Construction Management Support for an annual program over $10M.

E5. How successfully was their Experience providing Planning Support for a Military Installation with at least 150 buildings SUPPORTING

INFORMATION:

Environmental Experience E V S M U N/A

EN 1. How effective was their Experience completing Compliance submittals/filing for a Military Installation with over 150 buildings.

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Environmental Experience E V S M U N/A

EN2. How effective was the contractor in completing Real Property records for a Military Installation with over 1500 facilities. SUPPORTING

INFORMATION:

EN 3. How effective was the contractor in their Experience completing Cultural Resources Support for a Military Installation.

EN 4. How effective was the contractor in their Experience completing National Environmental Policy Act (NEPA) / Environmental Impact Analysis Process (EIAP) Support for a Military Installation.

Supporting Information:

EN 5. How effective was the contractor in their Experience completing Environmental Management System Support for a Military Installation.

Supporting information:

EEmergency Management Experience E V S M U N/A

EM1. How effectively was the contractor in their Experience providing Installation Emergency Management (EM) Support for a Military Installation with at least 5 Mission partners and one primary mission

EM2. How effective was the contractor with their Experience providing Emergency Operations Center (EOC) Support for a Military Installation

EM3. How effective was the contractor providing Emergency Response Support to an Incident Command System (ICS) Type 1, 2, or 3 incident or graduate of ICS 300/400

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EEmergency Management Experience E V S M U N/A

EM4. How effective was the contractor providing EM Training Support for a Military Installation meeting AFI requirements.

Supporting Information:

EM5. How effective was the contractor completing Unit Deployment Manager duties for a Military squadron.

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

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

SECTION 5: 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:

[Insert here]

FAX to:

E-Mail to: