Attch_12_-_Past_Performance_Questionnaire.docx

ATTACHMENT 12

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS AIR FORCE SPACE COMMAND

Date

MEMORANDUM FOR: (Reference POC)

FROM: (Offeror’s Address & POC (Name, title, Contact Info of Individual Legally Able to Bind Contractor))

SUBJECT: Past Performance Questionnaire for Contract Requirement FA2517-17-R-7003

1. We are currently responding to the request for proposal, FA2517-17-R-7003, issued by 21ST Contracting Squadron in Colorado Springs for the Modeling, Simulation, and Analysis (MS&A) for Space and Cyberspace Capabilities (MSCC) Support contract.

2. A major consideration in proposal evaluation is verification of past performance on contracts which reflect our ability to perform on the proposed effort. This acquisition requires we provide a past performance questionnaire to you since I believe you have first-hand experience with our performance on the contract, identified in the subject line.

3. It is extremely important to us that you please take a few moments to complete sections 3 and 4 of the attached questionnaire. Once completed, the detailed information contained in the questionnaire is considered Source Selection Sensitive and will NOT be released to us, the Offeror. Return responses directly to the contracting office as soon as possible, but not later than TBD by encrypted e-mail, by fax, or by mail as follows:

· Steve A. Wells, Contracting Officer 21st Contracting Squadron, LGCCB 350 Dover Street Peterson AFB, CO 80914-4914 Steven.wells.7@us.af.mil Phone: (719) 556-6561

· Gina Garcia, Contract Specialist 21st Contracting Squadron, LGCCB 350 Dover Street Peterson AFB, CO 80914-4914 Virginia.garcia.9@us.af.mil Phone: (719) 556-8087

· Chris Tucker, Contract Specialist 21st Contracting Squadron, LGCCB 350 Dover Street Peterson AFB, CO 80914-4914 Chris.tucker@us.af.mil Phone: (719) 556-7858

4. If you have any questions about completing the questionnaire contact either the Contracting Officer or Contract Specialist identified above for assistance.

5. Do NOT send a copy of the completed questionnaire to us. This information is intended for Government use only.

6. I appreciate your assistance and prompt response.

(Offeror’s POC) Encl. Past Performance Questionnaire

Solicitation # FA2517-17-R-7003

SECTION 1: CONTRACT IDENTIFICATION TO BE COMPLETED BY OFFEROR

Contractor Company Name: ______________________________________________________________________

Contract Number and/or Program Title: _____________________________________________________________

Contract Type: _________________________________________________________________________________ (firm-fixed-price, fixed-price with performance incentives, cost-plus-fixed-fee, etc.)

Prime Contractor on the Referenced Contract? (check yes or no by clicking on the box twice) |_| Yes |_| No

Period of Performance of Your Contract: ________________________________________________

Contract Value of Your Contract at Award: _______________________________________________

Final/Current Contract Value: __________________________________________________________

SECTION 2: RESPONDENT INFORMATION TO BE COMPLETED BY RESPONDENT

Government Contractor |_| Commercial Contractor |_| Evaluator’s Name: __________________________________________________________________________ Evaluator’s Title: __________________________________________________________________________ Organization/Company Name: ________________________________________________________________ Phone Number/Fax Number: ___________________________________________________________________ E-mail Address: ___________________________________________________________________________ Dates of Involvement in Program/Contract: _______________________________________________________ Evaluator’s Role on Subject Contract: ___________________________________________________________ Did/Does this contract involve any classified work? |_|No |_|Secret |_|Top Secret |_|SCI |_|Other

Was the contractor ever issued a cure or show cause notice under the referenced contract? |_| Yes |_|No If yes, please explain outcome. _________________________________________________________________________________________

SECTION 3: DESCRIPTION OF CONTRACT EFFORTS TO BE COMPLETED BY RESPONDENT

The contractor cited in Section 1 is submitting this citation due to one or more relevant similarities with the non-personal services to assist HQ AFSPC/A9XY and HQ AFSPC/A3Z in the development/modification of MS&A and decision support tools as well as the analysis of space and cyberspace capabilities that provide tactical, operational, and strategic level support to meet military and national objectives on an IDIQ, cost-plus fixed-fee and firm fixed price contract.

Please mark the efforts below that were performed on your contract. Efforts need not be for exactly the same services as long as expertise/efforts were similar. (Double click on the box to select an answer. Under “Default value” select “checked” and hit “OK”)

SECTION 4: PERFORMANCE EVALUATION TO BE COMPLETED BY RESPONDENT

For each question below, please rate the contractor’s quality of performance from unsatisfactory to exceptional (as defined below) and please provide comments supporting your rating. A rating of N/A should be used if either the question is not applicable or the answer is unknown.

(Respondents who have already entered performance information via the Contractor Performance Assessment Reporting System (CPARS) and know information is currently reflected in the Past Performance Information Retrieval System (PPIRS) need not complete Section 4, unless they wish to add information not yet contained in PPIRS).

PART A: PAST PERFORMANCE INFORMATION TO BE COMPLETED BY RESPONDENT

(Double click on the box to select an answer. Under “Default value” select “checked” and hit “OK”)

QUESTIONS

ASSESSMENT

E VG S M U N/A

a. QUALITY OF SERVICES

2. How would you rate the contractor on providing effective quality control and/or inspection procedures to meet contract requirements?

COMMENTS:

E VG S M U N/A

COMMENTS:

3. Overall how would you rate the contractor’s final contract cost compared to their original estimated cost? Did contractor adequately explain differences from target cost?

COMMENTS:

COMMENTS:

4. How would you rate the contractor’s ability to commit adequate resources to meet the requirements of the contract?

E VG S M U N/A

5. How would you rate the contractor’s ability to select quality subcontractors with the proper skills and knowledge to perform their assigned work?

COMMENTS:

3. MS&A: Performed scenario development and execute analysis processes and methodologies 3.

COMMENTS:

PART B: OVERALL ASSESSMENT TO BE COMPLETED BY RESPONDENT

Please identify the types, number and complexity of tasks the contractor was required to perform under the contract. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

c. In your opinion, what was the contractor’s strongest attribute and why? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

d. In your opinion, what was the contractor’s weakest attribute and why? Did the contractor correct or attempt to correct the weakness? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

e. Given the opportunity, would you hire this contractor again?

|_| Definitely Would |_| Probably Would |_| Probably Would Not |_| Definitely Would Not Please explain:

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

Thank you for supporting this source selection!

THIS QUESTIONNAIRE, WHEN COMPLETED, MUST BE TREATED AS SOURCE SELECTION SENSITIVE INFORMATION IN ACCORDANCE WITH FEDERAL ACQUISITION REGULATION (FAR) 2.101 AND 3.104 AND MUST NOT BE DISCLOSED TO ANYONE OUTSIDE THE U.S. GOVERNMENT INCLUDING THIS CONTRACTOR image1.wmf