Attch 4 Past Perf Questionaire Combined comments 27 Apr 08

PAST PERFORMANCE QUESTIONNAIRE

27 Apr 08 The below-named contractor/offeror is being considered for award of a contract for Custodial Service at Peterson Air Force Base and Cheyenne Mountain Air Force Station, Colorado. A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Completed questionnaires can be returned via fax, email, or mail to the following:

FAX: 719-556-9291

EMAIL: susan.bechtel@peterson.af.mil

MAIL: 21st Contracting Squadron/LGCAB

Attn: Susan Bechtel

Building 1324

580 Goodfellow St.

Peterson AFB, CO 80914-1648

A. GENERAL INFORMATION

Offeror’s Name:__________________________________________________________

Address:________________________________________________________________

Telephone Number:_____________________ Point of Contact:____________________

B. RESPONDENT INFORMATION

Name:_________________________________ Title:____________________________

Organization & Address:___________________________________________________

Telephone: _______________ FAX:_______________ Email:____________________

C. CONTRACT INFORMATION

Contract Title:____________________________________________________________

Period of Performance:____________________ Contract Number:_________________

Dollar Amount of Contract:_________________________________________________

Services Performed:_______________________________________________________

D. PERFORMANCE INFORMATION

The Air Force will use your survey responses to determine a level of confidence, based on the offeror’s past performance record, concerning the offeror’s ability to successfully perform our requirement in accordance with the contract. Please assign one of the following ratings to each of the questioned areas listed below. The ratings selected will indicate the degree of doubt or confidence concerning performance in each area.

RESPONDENT WILL NOT FURNISH ANY PAST PERFORMANCE INFORMATION TO OFFEROR SUBMITTING A PROPOSAL FOR THIS SOLICITATION.

E. PEFORMANCE EVALUATION AREAS

Please use the above ratings and their assigned definitions to describe the offeror’s performance in the following areas:

1. ACQUISITION OF MATERIALS

COMMENTS/REMARKS________________________________________________________

2. QUALITY OF SERVICE

COMMENTS/REMARKS_______________________________________________________

3. BUSINESS RELATIONS (MANAGEMENT AND RESPONSIVENESS)

4. INTERNAL QUALITY CONTROL PLAN

5. If a government contract, did the contractor receive any Performance Assessment Reports, Letters of Concern, or Cure Notices?_____________ If yes, please describe:

6. If given the opportunity, would you award another contract to this contractor?_______

Please explain response below:

7. How would you rate the contractor’s overall performance? E VG S M U N/A Signature of Respondent___________________________________ Date____________

Job Title:________________________________________________________________

Thank you for taking the time to complete this questionnaire.