Attachment_6_Past_ _Present_Performance_Questionnaire.doc

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Attached to
Packing & Crating Services Federal contract opportunity
Solicitation number
FA2823-15-R-3002
Issued by
Department of the Air Force Materiel Command Test Center

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Attachment 6 Past Present Performance Questionnaire

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FA2823-15-R-3002

Packing and Crating Services Past and Present Performance Questionnaire Eglin AFB, Fl

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Reference: FA2823-15-R-3002, Packing and Crating Services

Attachment 6

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101 and FAR 3.104 SUBJECT: Request for Past Performance Evaluation

TO: _______________________________________

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for the DPM Packing and Crating Services contract at Eglin AFB, FL 32542.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at (850) 882-3466.

//SIGNED//

RONALD J. WILSON

Contracting Officer Attachment:

Past and Present Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA2823-15-R-3002

**When filled in this document is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104**

Base Operations Support Flight, Installation Contracting Division, Air Force Test Center (AFTC/PZIOA), Eglin Air Force Base (AFB), Florida is conducting a source selection for the Eglin AFB Packing and Crating services contract. Please complete and return this questionnaire within 5 workdays. Handwritten responses are sufficient. Do not send a copy of the completed questionnaire to the contractor being assessed. You may be contacted by our office to review the results of the questionnaire. The questionnaire information will be used in the evaluation of the Past Performance Factor contained in the Instructions to Offerors of the solicitation. Completed questionnaires will become part of the official source selection records and protected in accordance with FAR 3.104 and 2.101. Please email the completed questionnaire to both of the following:

Contracting Officer: Ronald Wilson, ronald.wilson.22@us.af.mil Contract Specialist: MAJ Adam Berlew, adam.berlew@us.af.mil Evaluator, please complete, date and sign the following: SECTION 1: CUSTOMER OR AGENCY IDENTIFICATION Date Evaluation Completed: _____________________________________________________

Location of Contract Performance: ________________________________________________ Evaluator Name: ______________________________________________________________ Position: Title and Grade: _______________________________________________________

How long have you worked directly with the Contractor?: _____________________________ Address: _____________________________________________________________________ Phone Number (DSN and Commercial): ____________________________________________ Email Address:________________________________________________________________ Are you aware of another POC that might be appropriate for completion of this questionnaire?

If so, please provide any information you can. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Evaluator’s Signature Date PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF “M” OR “U”.

E
G
S
M
U
N
EXCEPTIONAL
GOOD
SATISFACTORY
MARGINAL
UNSATISFACTORY
NEUTRAL
Performance meets / met contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.
Performance meets / met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.
Performance meets / met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.
Performance does not / did not meet some contractual requirements. The contractual performance of the element or sub-element 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.
Performance does not / did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Performance was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _____________________________

CONTRACT NUMBER: _______________________________

Place an “X” in the appropriate column using the definitions matrix above.

The contractor:
E
G
S
M
U
N
1.
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2.
Provided adequate project control and supervision.
3.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
The contractor:
E
G
S
M
U
N
4.
Participated in managing and resolving problems.
5.
Provided effective quality control and/or inspection procedures to meet contract requirements.
6.
Corrected deficiencies in a timely manner and pursuant to their quality control procedures.
7.
Identified problems as they occurred.
8.
Suggested alternative approaches to problems.
9.
Displayed ability to meet specific response times and scheduled time frames for completing specific tasks.
10.
Met established project schedules.
11.
Was responsive to contract changes.
12.
Complied with all federal, state and local laws and regulations to include appropriate licensing.
13.
Complied with all USAF regulations.
14.
Cooperated with Government personnel after award.
15.
How would you rate the contractor's overall performance?

16.

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “Remarks” section.

YES / NO

17.
Would you award another contract to this contractor? If not, explain in “Remarks” section.

YES / NO

18.
Is the contractor rated in CPARS?

YES / NO

19.
Did this project include work on a military installation?

YES / NO

20.
Did the Contractor stay within the budget of the contract?

YES / NO

WORK PERFORMANCE QUESTIONS:

1. Did the Contractor have a local warehouse? _____________________________________

2. How was the Contractor’s performance on packing and crating services? ______________

3. Did the contractor perform a pre-move survey prior to performing each service? If so, were written estimates completed prior? ________________________________________________

4. Did the contractor conduct inventory of all items and document inventory? ____________________________________________________________________________

5. Did the contractor weigh each shipment?_________________________________________

6. Does your contract include monthly, quarterly, or yearly inspections? How were these inspections documented? ________________________________________________________

7. Have claims been filed against the contractor during this contract? If so, were they handled in a professional and timely manner? _________________________________________________

REMARKS: ________________________________________________________________

Signature of Reviewer

Date

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