Atch 5 FA3002-08-R-0012.doc

FA3002-08-R-0012

30 Jul 08

Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

The contractor listed below is being considered in a Source Selection by the Air Education and Training Command, Randolph AFB, TX. Any comments you could provide regarding the past performance of the contractor providing this form would be greatly appreciated. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (FAR 15.609) prohibits the release of the names of individuals providing reference information about an offeror’s past performance. In order to maintain the integrity of the source selection process, please do not discuss your comments on this questionnaire with any other individuals.

The completed questionnaire should be e-mailed to germaine.miller@randolph.af.mil or myles.rellstab@randolph.af.mil . Email is preferred, but if you do not have access to email, you may fax your reply to the attention of Ms. Miller or Mr. Rellstab at 210-652-3445, or DSN 487-3445, or mail to:

Ms. Germaine Miller

OR

Mr. Myles Rellstab

AETC CONS/LGCI

(----------------------------- SAME ADDRESS

2021 First Street West

Randolph AFB, TX 78150-4302

Your completed questionnaire will become a part of the official source selection records. We appreciate your help. Your prompt response will be one of the keys to the successful and timely completion of the source selection.

Project Information:

1. Contractor (Prime/Sub): ______________________________________________________

2. Project Title / Contract Number: _______________________________________________

3. Description of Functions Performed by this Firm: _________________________________

Evaluator:

(The following information will assist in the analysis of the data. Information will be kept confidential)

1. Name: _____________________________ Date: ____________________________

2. Phone Number: ______________________ Fax Number: ______________________

3. Address: ______________________________________________________________

4. Position held or function in relation to the project: _____________________________

CONFIDENCE RATINGS

Please answer the following questions about the contractor's previous or ongoing contracts. We will use the answers to assign a confidence assessment rating. To assist you, we are enclosing the past performance rating definitions. Please assign a performance rating of Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory or Not Applicable (no identifiable performance) for each question by circling the appropriate rating. We encourage you to provide a detailed narrative to support your ratings. We will keep the rater's name confidential.

Following are confidence ratings we would like you to assign to each question below:

PERFORMANCE CONFIDENCE ASSESSMENT DEFINITIONS

Substantial

Confidence Based on the offeror’s performance record, the government has high expectation that the offeror will successfully perform the required effort.

Satisfactory

Confidence Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.

1. QUALITY CONTROL

Comments:

2. ORGANIZATIONAL AND PERSONNEL REQUIREMENTS

3. MANAGEMENT

4. MAINTENANCE PRACTICES

5. MOBILIZATION AND CHANGEOVER

a.

6. BUSINESS RELATIONS/SUBCONTRACTING

a.

7. GENERAL

a.

7. DESCRIPTION OF SERVICES

We are attaching a summary description of the Taiwan AFB aircraft maintenance functions that are provided in this solicitation. Please indicate the areas covered by your contract by marking them on the following page:

PERFORMANCE CONFIDENCE ASSESSMENT DEFINITIONS

Substantial

Confidence Based on the offeror’s performance record, the government has high expectation that the offeror will successfully perform the required effort.

Satisfactory

Confidence Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.

SUMMARY DESCRIPTION OF

TAIWAN AFB

AIRCRAFT MAINTENANCE FUNCTIONS

Brief Description of Effort as __Prime or __Subcontractor

(Please indicate and highlight portions considered most relevant to current acquisition)

(Note 2)

Chart does not show any order of relevance.

Note 1: Please indicate with an “X” in this column whether or not the items listed in Column 2 (Service Areas) were included in the contract that you are providing as a reference.

Note 2: Describe magnitude and complexity of service provided (e.g. number and type of aircraft or equipment maintained, type and level of maintenance (organizational, intermediate, or Depot) performed, number of sorties produced. Also include level of management (Operational planning, scheduling, controlling of resources and production) and quality for maintenance services.