Attachment_L-04_AIMS_Past_Performance_Questionnaire.docx

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

FA2521-19-R-A017, Section L Attachment L-04 Past Performance Questionnaire The 45th Contracting Squadron of the 45th Space Wing is in the process of competitively selecting a source for Ascension Island Mission Services (AIMS). The Contractor’s mission is to provide radar tracking, space surveillance tracking, telemetry, timing and sequencing, communications, air field operation, and base operating support responsibility at AAAF. The AIMS contract is a non-personal services contract to provide mission services and base operations services at Ascension Auxiliary Air Field (AAAF). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor.

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 tammy.davis@us.af.mil and oren.gilbert@us.af.mil or by hand and faxed to 321-494-0557 (Attention: 45 CONS/PKDB - Ms. Tammy Davis). Please call Ms. Tammy Davis at 321-494-5174 or Oren Gilbert at 321-494-5164 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.

Procuring Contracting Officer

1 Atch Past Performance Questionnaire

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

If a subcontractor or had major subcontractors what percentage of the work did they perform and list the subcontractor company names?__________________________________________________________________

Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

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

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.

T1. How well did the contractor respond to emergency, fire, security, and/or medical situations involving facilities, aircraft, and/or people (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues)?

SUPPORTING INFORMATION:

T2. How well did the contractor comply with local, state, government, host nation, etc. laws regarding hazardous operation and disposal?

T3. How effective was the contractors approach to operate and maintain radar systems?

T4. How effective was the contractors approach to operate and maintain telemetry systems?

T5. How well did the contractor execute airfield operations support services?

T6. How effective was the contractors’ performance with regards to civil engineering support to include managing real property, energy program, facility engineering project identification, prioritizing and organizing throughout full contract performance, and supporting design reviews and construction?

T7. How adequate/effective were the contractor’s environmental safety procedures?

T8. How effective was the approach for managing and performing a public health program, occupational health program, and/or base medical services?

T9. How effective was the approach for managing and performing a logistic program to include mange, control, acquire, issue, and safeguard GFP, monitor and enforce warranties, prepare and ship cargo designated for both airlift and sealift transportation?

T10. How well did the contractor execute vehicle operation and maintenance support?

T11. How well did the contractor execute communications support to include but not limited to voice, video, network data, and infrastructure?

SUPPORTING INFOMRATION:

T12. How effective was the contractors approach to running Morale, Welfare, and Recreation (MWR) activities?

T13. How effective was the contractors’ approach to managing, operating, and maintaining lodging, dinning, and cleaning services?

P1. How effective was the contractor with regards to on-site management/supervision, including management of subcontractors, suppliers, government furnish property, materials, and/or labor force.

P2. How effective was the contractors organization structure/staffing plan with regards to the requirements tasked to support?

P3. How well did the contractor comply with contract delivery/completion schedules including any significant intermediate milestones?

P4. How effective was the contractor at implementing/following a quality control plan and/or inspection procedures to meet contract requirements?

P5. How was the contractors’ ability to recruit, retain, cross utilize, train, and replace a qualified workforce during the contract period?

P6. How well did the contractor interact with other contractors, subcontractors, and the Government in a team environment?

P7. How well did the contractor manage training and certifications of required positions to meet regulations, AFI’s, etc. identified within the contract?

TP1. How smoothly did the contractor transition resources and personnel and how effective was their phase-in plan (if applicable)?

TP2. If the contract has reached the end of full performance, how well did the contractor transition, communicate, and work with the incoming contractor and how effective was their phase-out plan (if applicable)?

C1. How accurate was the contractor in proposing and forecasting contract cost/price?

C2. How accurate was the contractor in providing accurate and complete line item cost proposals including all aspects of work required for each task.

C3. How successfully did the contractor alert the Government of unforeseen costs before they occurred?

C4. How well did the contractor propose innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer?

C5. How accurate was the contractors accounting system for managing and tracking costs?

C6. If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate backup documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

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

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: 45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Tammy Davis, Contracting Officer, 1201 Edward H. White II St., MS 7200, Bldg 423, Room C249, Patrick AFB, FL 32925-3237

FAX to: 321-494-0557 (Attention: 45 CONS/PKDB - Ms. Tammy Davis)

E-Mail to: tammy.davis@us.af.mil and oren.gilbert@us.af.mil

RFP FA252119RA017

Client Authorization Letter

NOTE TO OFFERORS: This procurement could be similar to commercial supplies/services. Therefore, to assist the Government’s Past Performance Team in assessing your present and past performance on relevant commercial contracts, the following letter must be sent to your points of contact (POCs) for those commercial efforts that you identify to us in your past performance volume. Should you propose to use major subcontractors and/or joint venture members, you must obtain a similar client authorization letter from each entity. HOWEVER, it is your sole responsibility, as the offeror, to then send out these authorization letters with the Present/Past Performance Questionnaire to your own POCs and to those of your major subcontractors and/or joint venture members and include a copy in your past performance volume.

FOR OFFICIAL USE ONLY

Client Authorization Letter

(TO BE ACCOMPLISHED BY OFFEROR)

Dear (Client):

We are currently responding to the Department of the Air Force (AF), 45th Space Wing (45 SW), Request for Proposal (RFP) FA252119RA017 for the procurement of the Ascension Island Mission Services (AIMS) contract.

As you know past performance has become an element of increased emphasis in the AF’s acquisitions. They are requesting that clients of companies who submit proposals in response to their RFP for the AIMS effort be contacted, and that their participation in the validation process be requested. Then, either include these sentences: We, therefore, respectfully request and hereby authorize you to complete the attached Questionnaire with regards to work we have performed for you, and submit it either electronically, by fax or by mail. tailor to your needs If sending electronically, the following applies:

Exchanges of source selection information between government and questionnaire respondents will be controlled by the Contracting Officer. Email may be used to transmit such information only if the email can be sent and encrypted, and must include “Source Selection Information – See FAR 2.101 and 3.104” in the subject line of the email. In order to facilitate the sending and receiving of encrypted emails, a questionnaire respondent must use MS Outlook email configured to support encryption, or, a different email product that is S/MIME compatible and configured to support encryption. If you intend to submit your completed questionnaire via an encrypted email, you will need to contact the Buyer/Contracting Officer indicated below, prior to that first submittal, in order to exchange certificates used for encryption. To ensure the process is working correctly, send a test encrypted message first (without including any source selection information). Email to: tammy.davis@us.af.mil and oren.gilbert@us.af.mil. Ensure information in this paragraph matches Section L-900, Paragraph I.B.

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

The completed questionnaire should be contained in a second envelope marked with the mailing address and the following legend:

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Mail directly to:

45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Tammy Davis and Oren Gilbert 1201 Edward H. White II St., MS 7200 Bldg 423, Room C249 Patrick AFB, FL 32925-3237 Reference: RFP: FA252119RA017

If faxing, the fax number is 321-494-0557. The POCs must call Tammy Davis at 321-494-5174 or Oren Gilbert at 321-494-5164 before faxing the completed questionnaire(s).

We have identified Mr./Ms. (Name) of your organization as the point of contact based on their knowledge concerning our work. Your cooperation in this matter is appreciated. Any questions may be directed to: [NAME, PHONE NUMBER, FAX NUMBER FOR THE OFFEROR’S POINT OF CONTACT]

Sincerely, [OFFEROR'S POINT OF CONTACT]

FOR OFFICIAL USE ONLY

RFP 252119RA017

Transmittal Letter

Transmittal Letter for Government Sources to Accompany Present/Past Performance Questionnaire

[TO BE COMPLETED BY OFFEROR]

FOR OFFICIAL USE ONLY

MEMORANDUM FOR: [OFFEROR’S/JOINT VENTURE MEMBERS’S OR MAJOR SUBCONTRACTOR’S POC]

FROM: [OFFEROR’S ADDRESS AND POINT OF CONTACT]

SUBJECT: Present/Past Performance Questionnaire for Contract(s) .

1. We are currently responding to the Department of the Air Force (AF), 45th Space Wing, Request for Proposal (RFP) FA252119RA017, for the procurement of the Ascension Island Mission Services (AIMS). This RFP is being conducted as a Tradeoff Source Selection and specifically requires that we, as an offeror, do the following:

The offeror shall send out – and track the -- Present/Past Performance Questionnaire to each of the offeror’s, major subcontractors’, teaming contractors, and/or joint venture members’ Points of Contact (POCs). The responsibility to send out the Present/Past Performance Questionnaires rests solely with the offeror - i.e., it shall not be delegated to any subcontractors and/or joint venture partners. The completed Present/Past Performance Questionnaire shall be submitted directly to the Government not later than [Offeror to fill-in closing date]. Each of the offeror’s POCs may submit its completed Present/Past Performance Questionnaire either electronically, by fax or by mail. If sending electronically, the following applies:

Exchanges of source selection information between government and questionnaire respondents will be controlled by the Contracting Officer. Email may be used to transmit such information only if the email can be sent and encrypted, and must include “Source Selection Information – See FAR 2.101 and 3.104” in the subject line of the email. In order to facilitate the sending and receiving of encrypted emails, a questionnaire respondent must use MS Outlook email configured to support encryption, or, a different email product that is S/MIME compatible and configured to support encryption. If you intend to submit your completed questionnaire via an encrypted email, you will need to contact the Buyer/Contracting Officer indicated below, prior to that first submittal, in order to exchange certificates used for encryption. To ensure the process is working correctly, send a test encrypted message first (without including any source selection information). Email to: tammy.davis@us.af.mil and oren.gilbert@us.af.mil If mailing, mail directly to:

45th Contracting Squadron/45 CONS/PKDB ATTN: Ms. Tammy Davis and Oren Gilbert 1201 Edward H. White II St., MS 7200 Bldg 423, Room C249 Patrick AFB, FL 32925-3237 Reference: RFP: FA252119RA017

If mailing, the outside envelope must be marked as follows:

NOTE: TO BE OPENED BY ADDRESSEE ONLY

The completed questionnaires should be contained in a second envelope marked with the mailing address and the following legend:

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

If faxing, the fax number is 321-494-0557. The POCs must call Tammy Davis, 321-494-5174 or Oren Gilbert at 321-494-5164 before faxing the completed questionnaire(s).

2. We have identified subject contract(s) as relevant to this acquisition and you as our POC. As such, please take a few moments of your time to fill out the attached questionnaire and send it directly back to the contracting officer. The information contained in the completed Present/Past Performance Questionnaires is considered sensitive and cannot be released to us, the offeror. If you have any questions about the acquisition or the attached questionnaire, your questions must be directed back to the Government’s points of contact identified above. Thank you for your timely assistance.

1 [2?] ATCH

Present/Past Performance Questionnaire [Client Authorization Letter(s), if applicable]

FOR OFFICIAL USE ONLY

RFP FA252119RA017

Consent Form

NOTE TO OFFERORS: Past performance information concerning major subcontractors, teaming contractors, and/or joint venture members cannot be disclosed to a private party without the major subcontractor's or joint venture member’s consent. Because a prime contractor is a private party, the Government will need that consent before disclosing major subcontractor/joint venture partner past and present performance information to the prime during exchanges. In an effort to assist the Government's Past Performance Team in assessing your past performance relevancy and confidence, we request that the following consent form be completed by the joint venture members/major subcontractors/teaming contractors identified in your proposal. The completed consent forms shall be submitted as part of your Past Performance Volume.

FOR OFFICIAL USE ONLY

JOINT VENTURE/MAJOR SUBCONTRACTOR/TEAMING CONTRACTOR CONSENT FORM FOR THE RELEASE OF PAST AND PRESENT PERFORMANCE INFORMATION TO THE PRIME CONTRACTOR

Dear (Contracting Officer)

We are currently participating as a (major subcontractor/joint venture partner) with (prime contractor or name of entity providing proposal) in responding to the Department of the Air Force, Patrick AFB, FL, Request for Proposal (FA252119RA017) for the (program title or description of effort).

We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the source selection process.

(Signature and Title of individual who has the authority to sign for and legally bind the company)

Company Name:

Address:

For Official Use Only Page 14 of 14