07-R-8507 PastPerformanceQuestionaire.doc

ATTACHMENT 212-1-5, PRESENT/PAST PERFORMANCE QUESTIONNAIRE COVER LETTER

FOR OFFICIAL USE ONLY

The 45 Space Wing of the Air Force Space Command is in the process of selecting a contractor for the Refuse Collection and Disposal Services contract. The purpose of this requirement is to provide collection and disposal of refuse/waste for the 45th Space Wing and National Aeronautics and Space Administration (NASA).

One of the considerations in proposal evaluation is the verification of the offerors' present and past performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had first hand experience with an offeror, for the evaluation of the offeror's performance on those contracts.

E-mailed or faxed questionnaires are encouraged and will be accepted at fax number (321) 494-1576 or emailed to sherri.richardson@patrick.af.mil. All e-mailed questionnaires will be signed/authenticated, scanned, and in PDF or similar format. A fax cover sheet has been provided for your use.

Hard copy questionaires are to be mailed to: 45 CONS/LGCZC

ATTN: Ms. Sherri L. Richardson

1201 Edward H. White II St., MS 7200

Source Selection Room # 2

Patrick AFB, FL 32925-3237

Please call Ms. Sherri Richardson at (321)-494-5229/4293 if you have any questions. Your completed questionnaire will become a part of the official Source Selection records.

Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Sherri L. Richardson

2 Atch:

Fax Cover Sheet

Questionnaire

Fax Coversheet

45 Contracting Squadron

Patrick AFB, FL From:

DSN 866-5138

Date:

Solicitation FA2521-07-R-8507

CC:

MACROBUTTON CheckIt ( Urgent X For Review MACROBUTTON CheckIt ( Please Comment MACROBUTTON CheckIt ( Please Reply MACROBUTTON CheckIt ( Please Recycle

ATTACHMENT 212-1-6, PRESENT/PAST PERFORMANCE QUESTIONAIRE

The Offeror is responsible for sending the Past Performance Questionaire to respondents.

Please return this completed questionnaire NLT 6 MARCH 2008

When filled in, document is source selection sensitive information iaw FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _________________________________________________________________________

B. Cage Code of contractor contract was awarded to: ________________________________________

C. Contract number: __________________________________________________________________

D. Contract type: _____________________________________________________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: ______________________________________________________________

G. Initial contract cost: $________________________________________________________________

H. Current/final contract cost: $___________________________________________________________

I. Reasons for differences between initial contract cost and final contract costs: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

J. Description of service provided: __________________________________________________________________________________

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: EVALUATOR IDENTIFICATION

A. Evaluator's name: __________________________________________________________________

B. Evaluator's title: ____________________________________________________________________

C. Evaluator's phone/fax number: ________________________________________________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE

PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained 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 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 contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N

NOT APPLICABLE - Unable to provide a score.

Q1. Conformance to contract requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards).

Q2. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements.

SCHEDULE

T1. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

T2. Ability to successfully respond to emergency and/or surge situations

T3. Adherence to the required delivery schedules.

PRICE/COST

P1. To what extent did you receive good value from this contract?

P2. Contractor implemented responsive/flexible processes that reduced cost, improved maintainability or other factors that benefited the customer.

P3. Contractor’s ability to meet your requirements at a reasonable cost.

BUSINESS RELATIONS

B1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

B2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

C1. Has the contractor demonstrated unreasonable and uncooperative behavior in handling customer complaints.

C2. Is the contractor flexible in satisfying the requirements of the customer.

C3. To what extent did the contractor provide prompt and courteous service when responding to customer complaints.

RESPONSIVENESS

R1. Rate the contractor’s ability to meet specific response times and scheduled time frames for completion of specific tasks.

R2. Rate the contractor’s upper level management responsiveness.

R3. To what extent has the contractor responded in a timely manner to emergency or immediate service requirements.

2. Please discuss every question you evaluated as E (Exceptional), M (Marginal) or U (Unsatisfactory) (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or are there any pending terminations?

Yes___

No ___

Default___ Pending Terminations___

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

4. Contractor Financial Responsibility:

Has the contractor had issues with late/nonpayment of payroll? Yes___

No ___

If yes, please explain (e.g., frequency of occurrences, conditions surrounding incidents, outcome, etc).

Has the contractor had issues with non payment of sub-contractors? Yes___ No ___

If yes, please explain (e.g., frequency of occurrences, conditions surrounding incidents, outcome, etc).

Has the contractor had The Department of Labor involved with any labor issues?

Yes___

No ___

If yes, please explain (e.g., frequency of occurrences, conditions surrounding incidents, outcome, etc).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s greatest strengths in the performance of the contract?

What were the contractor’s greatest weaknesses 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.

SECTION 6: OVERALL RATING

Considering all of the information provided above, please rate the contractor's performance overall.

Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Applicable

Evaluator’s Signature

Date

Thank you for your prompt response and assistance!

FAX COVER SHEET