Attachment J39 Niagara Falls Sewer PPQ.doc

ATTACHMENT 7 – PAST PERFORMANCE QUESTIONNAIRE

UTILITY PRIVATIZATION EFFORT FOR

NIAGARA FALLS ARS

SEWER SYSTEM

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each program being described. Provide frank, concise comments regarding your performance on the contracts you identify.

A. Offeror Name (Company/Division) and Location (City/State):

(NOTE: If the company or division performing this effort is different than the offeror, or the relevance of this effort to the acquisition is impacted by any company/corporate organizational change, note those differences/changes and explain why the past performance should be attributed to the Offeror. refer to the “organizational structure change history” you provided as part of your Relevant Present and Past Performance volume.)

B. Program Title:

tc \l 3 ". Program Title\:

C. Contract Specifics:

1. Contract Number _______________________________

2. Contract Type _________________________________________

3. Period of Performance ______________________________________

4. Original Contract $ Value ___________________________________

5. Current Contract $ Value ______________________________

If Amounts for 4 and 5 above are different, provide a brief description of the reasons for the difference

D. Brief Description of Effort as __Prime or __Subcontractor.

(Please highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original Contractual Date:

2. Current Schedule:

3. Estimated Date of Completion:

4. How Many Times Changed:

5. Primary Causes of Change:

F. Primary Government or Equivalent Points of Contact:

(Please provide current information on all individuals)

1. Program Manager:

Name:

Office

Address

Telephone

E-mail

Fax

2. PCO:

3. ACO:

4. COR:

(Contracting Officer Rep)

G. Address any Technical (or Other) Area About This Program Considered Unique.

h. Specify By Name Any Key Individual(s) Who Participated In This Program And Is/Are Proposed To Support The Instant Acquisition. Also, Indicate Their Contractual Roles For Both Acquisitions.

I. Address problems encountered on this contract and your solutions to those problems.

J. Identify if a small business or disadvantaged business plan or goal was required. If so, identify in terms of a percentage of the planned versus achieved goal during the contract. if goals were not met, please explain.

K. Describe/discuss the relevancy of the services you provided on your referenced contract to these questions as they may pertain to the specific utility.

General

1. Indicate (yes or no) if you owned, operated, maintained the system for the referenced customer. Indicate if the systems were located on the customer’s site.

Sewer System

Sewer System

1. What is the average daily flow (gallons per day) for the referenced system?

2. What is the capacity of the Waste Water Treatment Plant (WWTP)?

3. What is the capacity of the Industrial WWTP?

4. How many pump stations are operated/maintained?

5. How many linear feet of sewage lines are maintained?

6. What is the dollar value of the capital improvements you made to the system during the total period of time service has been rendered?

Time_____(yrs) $_____

7. Have capital improvements been completed that directly or indirectly reduced the amount of

Inflow/Infiltration for the system serving the referenced customer?

Capital Improvements $_____ Inflow/Infiltration Reduction_____(%)

Please submit the completed questionnaire to the following:

Via Mail:

Ms. Mary Helen Dent, Contracting Officer, AETC CONS/LGCT

HQ AFCESA/CEKC

139 Barnes Dr, Suite 1 Building 856 Annex Tyndall AFB FL 32403-5319

Via Email:

Ms. Mary Helen Dent, Contracting Officer, AETC CONS/LGCT mary.dent@tyndall.af.mil Via Fax:

Ms. Mary Helen Dent, Contracting Officer, AETC CONS/LGCT

850-283-6466 or DSN 523-6466

Please include the RFP number in correspondence.

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SOURCE SELECTION INFORMATION– SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY