20QB074 Attch 4 Past Performance Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

FA252120QB074

PAFB CHAPEL SUPPORT SERVICES

The 45th Contracting Squadron is conducting a 100% Small Business set-aside for chapel support services at Patrick Air Force Base (PAFB), Florida. The offeror has identified you as a reference to validate past performance.

Solicitation Number, FA252120QB074 is for nonpersonal services of eight (8) various chapel service positions at the Seaside and South Patrick Chapels at PAFB.

Please complete the following questionnaire to assist our evaluation of the Contractor’s past performance, and return via email no later than 25 September 2020 to Tiffany Thornton at tiffany.thornton.3@spaceforce.mil

RESPONDENT INFORMATION:

Contracting Activity/Customer:

Point of Contact (POC):

Title of POC:

Telephone:

Email:

OFFEROR’S REFERENCE INFORMATION:

Contractor Name:

Point of Contact (POC):

Telephone Number:

Email:

CONTRACT INFORMATION:

Contract Number:

Task Order Number:

Type of Contract:

Performance Period: (Base plus any options):

mailto:tiffany.thornton.3@spaceforce.mil

Description of Services:

MAGNITUDE

Annual Contract Value:

Total Contract Dollar Value:

COMPLEXITY

Number of Filled Positions:

Facility Type:

Contractor performed on this contract as:

Prime Subcontractor Teaming Partner Joint Venture

Please refer to the following assessment definitions to assess the Contractor’s performance in each of the areas listed in this questionnaire:

(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 resolved satisfactorily.

(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 assess the area.

Overall Fill Rate (CPARS “Quality of Service” Rating Area)

Assess how the Contractor: E V S M U NA Provided qualified personnel IAW the terms and conditions of the contract.

Ensured that qualified personnel remained filled IAW the terms and conditions of the contract.

Recruited, placed and retained qualified personnel with minimal disruption for hard-to-fill (specialty) positions or at remote locations.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

On-Time Fill Percentage (CPARS “Schedule” Rating Area)

Provide qualified personnel on time IAW the Terms and conditions of the contract.

Turnover Rate (CPARS “Management” Rating area)

Retained qualified personnel without frequent turnover and minimal operations disruption IAW the terms of the contract.

Replenishment Rate (CPARS “Management” Rating area)

Planned for and provided replacement candidates during the life of the contract to, include pre-planned/unplanned absences and extended leave of absence to avoid disruption of services and/or work schedule IAW the terms of the contract.

PERFORMANCE SUMMARY Yes No

Would you award this firm another contract:

If you answered “No” provide an explanation:

Was the contract terminated for default or cause:

If you answered “Yes” provide an explanation:

Additional Comments:

Signature: _________________________________________ Date: __________________

Print Name: ________________________________________

Title: ______________________________________________

Telephone: _________________________________________

Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.