Past_Performance_Questionnaire.doc

Past Performance Questionnaire – Attachment 2

Past Performance Questionnaire – Attachment 2

QUESTIONNAIRE COVER LETTER

MEMORANDUM FOR

(Date)

FROM: ________________________

On Behalf Of: AETC CONS

2021 First Street West

Randolph AFB, TX 78150-4302

SUBJECT: Past Performance Questionnaire for Solicitation Number FA3002-12-R-0007

FOR OFFICIAL USE ONLY

The Air Education and Training Command (AETC) Contracting Squadron (CONS) is in the process of selecting a contractor for the Air Advisor Academy Pre-Deployment training requirement. The Air Advisor Pre-Deployment training requirement consists of mission, culture, and combat skills training. In addition, this requirement contains courseware development and maintenance.

One of the considerations in proposal evaluation is the verification of the offerors' past and present performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We have referenced your contract number ______________________ with our company as a candidate for providing past/present performance information. AETC CONS is depending on information received from agencies and companies such as yours, which have had first-hand experience with our company, for the evaluation of our performance on the identified contract.

The areas of interest regarding our performance are summarized in the enclosed questionnaire. We sincerely request that you please complete the questionnaire and send it directly to the Contracting Officer (Mr. Robert Miller) for the Air Advisor Academy Pre-Deployment Training solicitation by the date set for receipt of proposals, 18 Jan 12. This schedule will allow AETC CONS sufficient time to analyze the data prior to the start of discussions, if held.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out either electronically or by hand, and either e-mailed or faxed to the attention of Robert Miller at robert.miller.17@us.af.mil (210) 652-5733 (DSN 487-5733) or April Kreps at april.kreps@us.af.mil (210) 652-7757. Please call Mr. Miller or April Kreps prior to a fax transmission, if you have any questions, or if receipt of your questionnaire is not acknowledged. Your completed questionnaire will become a part of the official Source Selection records.

Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection. Thank you.

Signature/Title

Atch:

Past Performance Questionnaire, 2 pgs A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror:

Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the: ( Prime Contractor ( Sub-Contractor ( Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent: ________________ Title: ________________________________ Address: __________________________ Telephone Number: _____________________

Fax Number: ______________________ Email Address: ________________________ C. FAX/SCAN COMPLETED SURVEY FORM TO: robert.miller.17@us.af.mil (Fax 210-652-2304) D. PERFORMANCE INFORMATION: Choose the number on the scale of 0 to 5 that most accurately describes the contractor’s performance or situation.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS.

PERFORMANCE

RATING

DEFINITION

(5) Exceptional

Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. 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.

(4) Very Good

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

(3) Satisfactory

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

(2) Marginal

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 actions appear only marginally effective or were not fully implemented.

(1) Unsatisfactory

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.

CONTRACTOR’S NAME: ________________________

CONTRACT NUMBER___________________

The contractor:

CONTRACTOR’S NAME: ________________________

CONTRACT NUMBER ___________________

Remarks:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________