Atch 15 - FA2523-09-R-0001 Past Performance Questionnaire.pdf

Guardians Of The Fifth Dimension

DEPARTMENT OF THE AIR FORCE

AIR FORCE SPACE COMMAND

DETACHMENT 1, 21st CONTRACTING SQUADRON DAG HAMMARSKJÖLDS ALLÉ 24, DK-2100 København Ø

Detachment 1, 21 Contracting Sq.

Patrick R. King/Kenneth E. Mackay

Dear Evaluator, This organization is expecting to receive a proposal from the firm who sent you this questionnaire. The firm's proposal will be evaluated under the provisions of FAR 15.305, Proposal Evaluation. The adequacy of past performance by the contractor is permitted on other government and non-government contracts and is one of the evaluation criteria contained in the solicitation. It is for this purpose that your comments are solicited for the proposal referenced on the attached questionnaire.

The project consists of the following: Repair/Replace Fire Supression System at DET 3, WWCX 07-1017, Thule Air Base, Greenland.

Please submit your complete past performance questionnaire to Patrick R. King/Kenneth E.

Mackay/Renée Carelli at the following Address:

DET 1, 21 CONS, UNIT 5280, DPO AE 09716 [for U.S. Firms] or DET 1, 21 CONS, Dag Hammarskjölds Allé 24, 2100 Copenhagen Ø [for Danish Firms] Telephone: (45) 33 41 74 55 Facsimile: (45) 35 26 51 08 E-Mail: patrick.king@det1.dk, kenneth.mackay@det1.dk or renee.carelli@det1.dk

Please send them in time to arrive NLT 04 May 2009.

Please limit your comments to the space available on the questionnaire. A simple "unknown" answer may be appropriate when no evidence is available to you in a particular area. Please complete and use the provided first endorsement to return your responses to the undersigned. I further request that your comments be handled in a confidential manner with limited access. Comments provided by you will not be shared with the offeror.

Thank you in advance for your conscientious efforts in support of Air Force Space Command.

Sincerely, ///////////signed////////////////

PATRICK R. KING

Contracting Officer

Attachment 15 mailto:patrick.king@det1.dk mailto:kenneth.mackay@det1.dk mailto:renee.carelli@det1.dk

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PAST PERFORMANCE QUESTIONNAIRE

Please complete this questionnaire based upon the following guidance:

a. Handwritten responses are sufficient. Please print clearly

b. Indicate, based on the codes below, the contractor's performance on the identified project. Assessments should reflect only contractor liable performance. Definitions of the scoring levels are listed below for your information:

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

B BLUE/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.

P PURPLE/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.

G GREEN/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.

Y YELLOW/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.

R RED/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.

c. Please mark the box corresponding to your rating for each area.

d. Please provide narratives for your answers that are marked other than “SubC”, “SatC“, “LC”, “NC” or “N/A”.

Space for your narrative remarks is provided after each area, however, if more space is needed, please send a separate page.

e. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization.

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PAST PERFORMANCE QUESTIONNAIRE

(SOLICITATION NUMBER FA2523-09-R-0001)

(REPAIR/REPLACE FIRE SUPRESSION SYSTEM AT DET 3)

1. IDENTIFICATION OF RATEE

A. Contractor Name: ____________________________________________________

B. Contract Number: ____________________________________________________

C. Project Title: ________________________________________________________

D. Contract Type: ______ ________________________________________________ (Fixed-Price, Cost, Etc.)

E. Period of Performance (planned/actual): ___________________________________

F. Total Contract Dollar Value (planned/actual): _______________________________

G. Total Number of Contractor Personnel: _____________________________________

F. Performed Prime or Subcontractor: _________________________________________

G. Brief Description of Project:

2. Please respond to the following questions regarding the contractor’s past performance. For all ratings, please provide a narrative explaining how the contractor either exceeded your requirement or how the contractor failed to meet your requirement. If the contractor had problems in a specific area, but you determined them to be non-impactive to the mission, please state as such in your narrative remarks.

PROGRAM MANAGEMENT

B

P

G

Y

R

N

a. Rate the contractor’s organizational support structure and their ability to provide an adequate span of control and supervision.

b. Rate the contractor’s ability to recruit and retain quality, qualified personnel.

c. Contractor employees obtained and maintained the appropriate certifications (when applicable).

d. Managers and supervisors possess technical and administrative abilities to meet contract requirements.

e. Contract problems are effectively resolved in a timely manner without extensive customer guidance.

f. Quality/effectiveness of sub-contracted efforts.

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

h. Contractor effectiveness in maintaining continuity of mission support while

- 4 -transitioning/phasing in resources and personnel to support other efforts.

i. Overall compliance with contract terms and conditions.

j. Notification to Government of unforeseen costs before they occur; for example, notification of expenditure rate on Cost Reimbursable CLIN(s)

Narrative:

QUALITY

B

P

G

Y

R

N

a. Rate the contractor’s effectiveness in managing and resolving problems.

b. Rate effectiveness in quality control and/or inspection procedures to meet contract requirements.

c. Rate effectiveness in correcting deficiencies in a timely manner and pursuant to quality control procedures.

d. Rate cooperation and responsiveness to contract changes.

e. Rate accuracy in completing line item cost proposals including all aspects of work required for each task.

f. Rate contractor’s overall quality of work and timeliness.

3. Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied, or equivalent adverse action if a commercial contract?

Yes (please explain) No Narrative:

4. Based on your judgment of the contractor’s performance, would you award the contractor another contract?

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Yes (please explain) No (please explain) Narrative:

5. What were the contractor's strong points, if any, and what did you like best about their performance?

6. What were the contractor's weak points, if any, and what did you like least about their performance?

7. Please rate the overall consistency and reliability of the contractor’s performance.

BLUE/

EXCEPTIONAL

PURPLE/VERY

GOOD

GREEN/

SATISFACTORY

YELLOW/

MARGINAL

RED/

UNSATISFACTORY

8. Please rate overall customer satisfaction with the contractor's performance.

BLUE/

EXCEPTIONAL

PURPLE/VERY

GOOD

GREEN/

SATISFACTORY

YELLOW/

MARGINAL

RED/

UNSATISFACTORY

9. The following information will help us track the responses received, as well as resolve whatever differences may arise between your perception of the contractor’s performance and the contractor’s perception of their performance. You are advised that the Air Force FAR Supplement (AFFARS) requires that the offeror be given an opportunity to respond to adverse past performance information.

A. Evaluator’s Name: ______________________________________________________

B. Phone/Fax: _____________________________________________________________

C. E-Mail: _________________________________________________________________

D. Organization Name & Address:_____________________________________________

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E. Position/Title: __________________________________________________________

F. Length of Involvement in Project/Contract: _____________________________