Attachment_8_Past_Perf_Questionnaire.docx

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

Air Force Test Center OL-Eglin AFB, FL is in the process of competitively selecting a source for new Roofing Repair and Replacement Indefinite Delivery Indefinite Quantity (IDIQ) contract.

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 XX APR 17.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to kevin.wesolowski.1@us.af.mil and or by hand and faxed to 850-882-1680 (Attention: Kevin Wesolowski). Please call Kevin Wesolowski at 850-882-0294 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.

RONALD J. WILSON

Procuring Contracting Officer

1 Atch Past Performance Questionnaire

ATTACHMENT 5

PAST PERFORMANCE QUESTIONNAIRE

Request for Proposal: FA2823-17-R-4014 Repair and Replace Roofs IDIQ, Eglin AFB, FL

SECTION A: CONTRACTOR INFORMATION

1. Contractor’s Name and Address:

2. Point of Contact:

3. Phone Number:

4. Contract Number:

Contract Type:

5. Project Title:

6. Period of Performance:

SECTION B: RESPONDENT INFORMATION (To Be Completed By Evaluation Respondent)

1. Respondent’s Company Name & Address:

2. Respondent’s Name:

3. Phone Number:

Fax Number:

E-Mail:

4. Contract Number:

Contract Type:

5. Award Amount:

Final Amount:

6. Project Title:

7. Period of Performance:

SECTION C. PERFORMANCE INFORMATION: Choose the letter from the table below that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M OR U

1. Developed realistic progress schedules and completed the project within E V S M U N/A the established schedule.

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

2. Provided experienced superintendent, managers, and supervisors, with E V S M U N/A the technical and administrative abilities to meet requirements.

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

3. Adequately controlled performance of subcontractors. E V S M U N/A COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

4. Provided effective quality control which resulted in a quality finished product. E V S M U N/A

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

5. Provided submittals in a timely manner. Submittals were E V S M U N/A well researched and clearly identified the proposed item.

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

6. Identified problems as they occurred. Suggested approaches to resolving problems. E V S M U N/A Displayed initiative and cooperation in solving problems. Provided adequate information and pricing for change orders in a timely manner and negotiated them in good faith.

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

7. Provided effective and timely coordination of all aspects of the project and with all relevant/affected entities whether local or remote, i.e., Coordination of work between disciplines, Coordination of work and required inspections/approval, Coordination with Construction Management Entities, Owner Entities, User/Base Entities, Inspection Entities, Local Utility companies, State or Federal Agencies, etc. E V S M U N/A

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

8. Provided timely resolution of punch list items and closeout documentation. E V S M U N/A

COMMENTS/REMARKS_____________________________________________________________________________________________________________________________________________________________________

9. Was the contractor assessed liquidated damages? YES NO If yes, briefly explain the circumstances_______________________________________________________________________________________________________________________________________________________________________________

10. Based on the contractor’s overall performance, would you rehire this contractor? YES NO

OVERALL PERFORMANCE RATING (Circle One) Exceptional Very Good Satisfactory

Marginal Unsatisfactory

Signature of Rater: ____________________________________________________ Date: ________________

For Official Use Only