Attachment_-_10_Past_Performance_Questionaire.DOCX

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

Attachment - 10 Past Performance Questionnaire FA2860-18-R-0010 The 811th Operations Group, Joint Base Andrews, MD of the Air Force District of Washington is in the process of competitively selecting a source for a Helicopter Maintenance program. The contractor will provide rotary wing aircraft maintenance, Functional Check Flight, and aircrew scheduling to the helicopter fleet of the 11 Wing (WG), located at Joint Base Andrews (JBA), Maryland. The contractor ensures the safe and timely transportation of 11 WG distinguished visitors.

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 15 June 2018. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to craig.l.mcclain.civ@mail.mil and donna.c.heinz.civ@mail.mil. 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.

Donna C. Heinz

1 Atch Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Section 4: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

CT1. Ability to manage and smoothly transition resources and personnel.

SUPPORTING INFORMATION:

CT2. Ability to implement management systems during contract transition.

CT3. Ability to acquire (during contract phase-in) data and establish technical support agreements needed to support maintenance operations.

CT4. Ability to meet transition timeline

PM1. Ability to provide accurate, timely, and consistent aircraft status reports.

PM2. Ability to securely handle and store all classified information and/or equipment.

PS1. Adherence to Directives; ability to ensure that procedures and all directives are correct, current, and complied with.

PS2. Quality Control/Assurance Programs; ability to maintain an effective quality control program.

PS3. Continuous Process Improvement; ability to continually seek and implement improvements to processes.

PS4. Government Assets; ability to ensure that all government assets/equipment/property is inspected, maintained, inventoried, and secured.

PS5. Aircraft Maintenance Scheduling; ability to comply with scheduling requirements IAW applicable directives.

PS6. Aircraft Launch Process; ability to perform aircraft launch requirements (current preflight, servicing complete, aircraft spotted on time, Exceptional Release current, etc).

PS7. Composite Tool Kits; ability to ensure serviceability and accountability of tools.

PS8. Aircraft Cleaning; ability to comply with established aircraft cleanliness standards.

PS9. Aircraft Maintenance Documentation; ability to ensure all aircraft maintenance actions are documented IAW applicable directives.

PS10. Aircraft Recovery; ability to perform aircraft recovery requirements.

PS11. Functional Check Flight; ability to maintain aircrew staffing and qualifications.

PS12. Aircrew Scheduling; ability to perform aircrew scheduling requirements and manage a flying hour program.

CP1. Ability to submit timely proposal for additional customer and/or unscheduled requirements.

CP2. Ability to perform within proposal prices.

CP3. Ability to promote savings for customer and ensure best value commercial pricing in proposals.

AM1. Ability to maintain a high Mission Capable (MC) rate.

AM2. Ability to maintain a low Total Not Mission Capable Maintenance (TNMCM) rate.

AM3. Ability to maintain a low Deferred (or Delayed) Discrepancy (DD) rate.

AM4. Ability to maintain a high Maintenance Departure Reliability Rate (DRR).

AM5. Ability to maintain a high Maintenance Distinguished Visitor Departure Reliability Rate (MDVDRR).

AM6. Ability to maintain a healthy phase average with an even Time Distribution Interval (TDI).

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what they promised in their proposal, I [ click and select an item ] award to them today given that I had a choice.

REMARKS:

Please provide any additional comments concerning this contractor’s performance, as desired.

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

[Insert here]

FAX to:

E-Mail to: craig.l.mcclain.civ@mail.mil and donna.c.heinz.civ@mail.mil

For Official Use Only Page 2 of 8