Attachment 10 PP Questionaire.doc

PAST PERFORMANCE QUESTIONNAIRE

Request for Proposal: FA2816-11-R-0025 Los Angeles AFB Maintain and Repair Commissary Landscape NOTE: The Offeror’s POCs may email their completed Past/Present Performance Questionnaires directly to TSgt John Yarbrough, john.yarbrough@Losangeles.af.mil. Mailing the questionnaires to the address listed below is an acceptable alternative method of transmission. If mailing please send to:

TSgt John Yarbrough, Contract Administrator

SMC/PKO

483 N. Aviation Blvd.

El Segundo CA, 90245-2808

The outside of the envelope must be marked TO BE OPENED BY ADDRESSEE ONLY and sent directly to the POC listed below. Do not return questionnaires to the Offeror.

1. Instructions: Please complete this questionnaire based on the following guidance.

Please take the time to answer the questions to the best of your knowledge. Circle the responses that best describe the contractor’s performance, and write in a narrative explanation for your answer. Use a N/A rating to indicate that you have no performance information for that particular area, or the question does not apply to you. Each question has space for your comments. If more space is needed, please attach additional sheets to the end of the questionnaire and reference the respective question. Handwritten (ink) responses are sufficient.

We urge you to supplement your own knowledge of the offeror’s performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified contract, we solicit your comments on other similar programs for which your office has contracts with this offeror.

Name of Contractor: _____________________________ Title/Description/Contract Total Dollars Value of Evaluated Project:

Based upon the definitions below, indicate your assessment of this contractor’s performance on your project described on the Fax Cover Sheet. Your assessment should consider the contractor’s performance in accordance with the contractual requirements.

CONFORMANCE TO SPECIFICATIONS AND CONTRACT REQUIREMENTS

1. Contractor developed realistic progress schedules and completed the project within the established schedule.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

2. Contractor provided submittals in a timely manner. Documents were well researched and clearly identified the proposed item.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

3. Contractor provided timely and accurate payrolls with no known labor violations (Davis-Bacon Act) or labor claims.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

MANAGEMENT OF THE PROJECT

4. Contractor provided experienced managers and supervisors, with the technical and administrative abilities needed to meet contract requirements.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

5. Contractor hired quality subcontractors and effectively managed them.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

CUSTOMER SATISFACTION

6. Contractor identified problems as they occurred. Suggested approaches to problems. Displayed initiative and cooperation to solve problems. Provided adequate information and pricing for change orders and negotiated them in good faith.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

QUALITY CONTROL

7. Contractor provided effective quality control, which resulted in a quality-finished product.

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence Unknown

BRIEF EXPLANATION OF RATING GIVEN:

8. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain in “comments.” Yes No

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Would you hire this contractor again?

If no, explain in “comments.” Yes No

BRIEF EXPLANATION OF RATING GIVEN:

Overall Rating: _________________________________

Name of Evaluator: ________________________

E-Mail: ____________________________________

Position Title /Grade: ______________________

Phone (Commercial/DSN):_____________________

Company/City or Base: _____________________

Date questionnaire completed: ____________________

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!