Attachment 11 Past Performance Questionnaire.docx

ATTACHMENT 11

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104

PLEASE DO NOT SEND THE COMPLETED QUESTIONNAIRE TO THE CONTRACTOR.

1. The contractor listed below is being considered in a Source Selection by the Air Education and Training Command Contracting Squadron, Randolph AFB, TX. You have received this questionnaire because you have been identified as a source of Past Performance Information for that offeror.

2. Please complete the attached questionnaire for the contractor and program described in Section I below (to be completed by the offeror) based on the following guidance. Send the completed questionnaire to Ms. Liz Preston via e-mail at elizabeth.preston@us.af.mil and a courtesy copy to Brian Elliott at brian.elliott.10@us.af.mil’.

Please fill in all sections. Please state “not applicable” if a question does not apply. Your prompt response will be key to the successful and timely completion of this source selection and ensuring the Government receives the best value.

3. Indicate a rating, based on the description below, for the contractor’s performance on the identified program. Circle the selected rating. Assessments should reflect only contractor liable performance. The following is a definition of the rating levels:

Exceptional

EX

Performance meets contractual requirements and exceeds many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good

VG

Performance meets contractual requirements and exceeds some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory

SAT

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

Marginal

MAR

Performance does not meet some contractual requirements. The contractual performance of the 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.

Unsatisfactory

UNS

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

Not Applicable

NA

Unable to provide a score. Performance in this area not applicable to effort assessed.

4. Please provide narrative explanations to support your ratings particularly for high or low ratings. Space for your remarks is provided after each area.

5. In addition to completing the attached questionnaire for the identified program, please provide comments on any other programs for which your activity has contracts with this contractor. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

SECTION 1: CONTRACT IDENTIFICATION

1. Contractor (Company/Division): _________________________ (indicate if they were Prime or Sub)

1. Contractor Cage Code: ______________________________________________________________

1. Contract number: __________________________________________________________________

1. Contract type (e.g., FFP, FPIF, CPFF): ____________________________________________

1. Was this a competitively awarded contract? Yes __________ No _________

1. Was this contract set aside for small business? Yes __________ No _________ If Yes, how was it set aside? _________________________________________________________

1. Period of performance: _____________________________________________________________

1. Initial contract cost: ________________________________________________________________

1. Current/final contract cost: ___________________________________________________________

1. Reasons for differences between initial contract cost and final contract costs:

1. Program Title: _____________________________________________________________________

1. Description of Services provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

1. Customer or agency name: _________________________________________________________________________________

1. Customer or agency description (if applicable): _________________________________________________________________________________

1. Geographic description of services under this contract, i.e. local, national, worldwide, other Commands: ___________________________________________________________________________________

SECTION 3: EVALUATOR IDENTIFICATION

1. Evaluator's Name: _________________________________________________________________________________

1. Evaluator's Position or Title ( e.g., Program Manager, QAE, PCO/ACO): _________________________________________________________________________________

1. Evaluator's Phone/Fax number: _________________________________________________________________________________

SECTION 4: EVALUATION

A. INTEGRATION and CHANGEOVER (Mobilization) PLAN

A.2. How well did the contractor develop and execute an effective mobilization plan as stated in their proposal?

(Please explain, in the Comments block, if there were significant changes to their proposed approach.)

A.4. How well did the contractor demonstrate their ability to recruit, train, qualify and certify a sufficient number of fully qualified employees to assume full responsibility on performance start date?

(Please explain, in the Comments block, any disruptions of service during the mobilization period.)

Comments:

B. STAFFING AND WORKFORCE PLAN

Comments:

C. MANAGEMENT / TECHNICAL APPROACH

C.2. How effective was the Contractor’s Quality Control and/or Inspection procedures to meet contract requirements.

(Please explain, in the Comments section, how the quality procedures failed to meet requirements and identify their remedies for preventing future occurrence.)

C.5. How well did the Contractor support the host base’s Operational Plans, Plans and Support Agreements, e.g., weather evacuation, crashed or damaged aircraft recovery, etc.

(Please explain, in the Comments section, the reasons for untimely support or extended delays and how they were remedied to prevent future occurrences.)

C.6. How well did the Contractor manage or track budget expenditures? This element relates to Contractor responsibility under an COST CLIN for maintaining or replacing aircraft parts and bench stock items.

(Please explain, in the Comments section, if the Contractor was not able to perform within the budget limitations, what were the reasons for not doing so and identify their remedies for preventing future occurrences.)

C.9. Rate how well the Contractor’s policies ensured a drug free workforce was maintained.

(Please explain, in the Comments section, if the contractor had drug related incidents and how they were handled to prevent repeat occurrences.)

C.11. Rate effectiveness of Contractor’s Tool Management and FOD Prevention programs

(Please explain, in the Comments section, a description of the FOD issues and what the remedies were to prevent future occurrences.)

Comments:

D. Technical Approach

D.3. Rate how effectively the Contractor handled unacceptable performance issues and repeat discrepancies.

(Please explain, in the Comments section, what the unacceptable issues were and how they were remedied to prevent future occurrences.)

Comments:

E. Contract Requirements

Comments:

6. Please discuss each response for which you indicated EX (Exceptional), MAR (Marginal) or UNS (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

7. Government Contracts Only: Was this contract partially or completely terminated for default or convenience? Or indicate if there is a pending termination?

No ____ Yes ____ For Default ____ For Convenience ____ Pending Terminations ____ If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc). _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Please provide YOUR OVERALL RATING for this contract by circling your rating:

9. GENERAL COMMENT (Choose one of the following and explain your choice in the remarks)

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I, (mark your response below) , award to him today given that I had a choice.

definitely would _____________ probably would ______________ might or might not ____________ probably would not ___________ definitely would not ___________

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

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

PLEASE DO NOT SEND this completed questionnaire to the Contractor.

WE APPRECIATE YOUR PROMPT RESPONSE AND ASSISTANCE!

FA3002-11-R-0007

Attachment 11