Attachment_5._PPQ.pdf

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Section L Attachment: Past Performance Questionnaire

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The 14th Contracting Squadron of the Air Force, Air Education and Training Command, Columbus Air Force Base, Mississippi, is in the process of competitively selecting a source for Replace Unaccomplided Officer’s Quarters’ HVAC systems. Contractor shall provide all plant, labor, material, equipment, and transportation required to replace the 4-pipe HVAC system in three buildings.

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 30 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 micael.jiggetts@us.af.mil and courtesy copy allison.lewis.2@us.af.mil or faxed to 662-434-3049 (Attention: Allison Lewis). Please call Micael Jiggetts at 662-434-7761 prior to fax transmission or 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.

Allison Lewis Contracting Officer

Attachment:

1) 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 mailto:micael.jiggetts@us.af.mil mailto:allison.lewis.2@us.af.mil

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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

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):

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C. Geographic description of work performed 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/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. 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.

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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.

How Well Did the Contractor: E V S M U N/A

1. How effective was overall contract management (including ability to effectively lead, manage, control and deliver on-time)?

SUPPORTING INFORMATION:

2. Provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

3. Understand/comply with customer objectives and technical requirements.

4. Meet the technical requirements of the specification?

5. Demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

6. Provide an accurate forecast to contract costs?

7. Meet forecasted costs and perform within contract costs?

8. Successfully alert the Government of unforeseen costs before they occurred?

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How Well Did the Contractor: E V S M U N/A

9. Delegate authority to project managers and supervisors commensurate with contract requirements?

10. Home office participate in solving significant local problems?

11. How successfully did the contractor respond to emergency and/or surge situations?

12. Follow the approved quality control plan?

13. Provide effective quality control and/or inspection procedures to meet contract requirements?

14. Correct deficiencies in timely manner and pursuant to their quality control procedures?

15. Provide timely resolution of contract discrepancies?

16. Identify problems as they occurred?

17. Suggest alternative approaches to problems?

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How Well Did the Contractor: E V S M U N/A

18. Display initiative to solve problems?

19. Develop realistic progress schedules?

20. Met established project schedules?

21. Provide timely resolution of warranty defects?

22. Was responsive to contract changes?

23. Provide adequate project supervision.

24. Obtain consent of surety for increases in bonding as work-in-progress increased.

25. Manage quality/effectiveness of subcontracted efforts?

26. Pay subcontractors/suppliers in a timely manner.

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How Well Did the Contractor: E V S M U N/A

27. Provide accurate and complete line item cost proposals including all aspects of work required for each task.

28. Cooperate with Government personnel after award.

29. How would you rate the contractor's overall performance on this contract?

30. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain.

EXPLANATION:

☐ Yes

☐ No

31. Would you award another contract to this contractor? If not, explain.

EXPLANATION:

☐ Yes

☐ No

IF THIS WAS A GOVERNMENT CONTRACT:

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.

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Additional remarks:

[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:

ATTN: Micael Jiggets

14 CONS/LGCA

495 Harpe Blvd, Ste 293 Columbus AFB, MS 39710

FAX to: 662-434-3049

E-Mail to: micael.jiggetts@us.af.mil and allison.lewis.2@us.af.mil mailto:micael.jiggetts@us.af.mil mailto:allison.lewis.2@us.af.mil