Atch_6_PPQ_SERE_FA3002-14-R-0012.pdf

FA3002-14-R-0012

Attachment 6

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 338 th

Specialized

Contracting Squadron, Joint Base San Antonio-Randolph, TX. You have received this questionnaire because you have been identified as a source of Past Performance Information for that offeror.

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

Performance Ratings

RATING DEFINITION

Exceptional (E)

During the contract period, contractor performance is meeting

(or met) all contract requirements and consistently exceeding

(or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

Very Good (VG)

(or met) all contract requirements and consistently exceeding

(or exceeded) some. Some minor problems encountered.

Contractor took timely corrective action.

Satisfactory (S)

(or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

Marginal (M)

During the contract period, contractor performance is not meeting (or did not meet) all contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented.

Customer involvement was required.

Unsatisfactory (U)

During the contract period, contractor performance is failing

(or failed) to meet most contract requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

Not Applicable (N/A) Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

3. Please provide narrative explanations to support your ratings particularly for high or low ratings. If narrative explanations are not provided, you may be contacted to provide the explanations. Space for your remarks is provided after each area.

4. Please fill in all sections. Indicate “Not Applicable - N/A” if a question does not apply.

SECTION 1: CONTRACT IDENTIFICATION

A. Program Title _________________________________________________________

B. Contractor (Company/Division): __________________________________________

C. Contractor Cage Code ____________________________________________

D. Contract number __________________________________________________

E. Contract type (e.g., FFP, FPIF, CPFF ______________________________________

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

G. Was this contract set aside for small business? Yes __________ No _________

If Yes, how was it set aside _____________________________________

H. Period of perfomance ________________________________________________

I. Initial contract cost: __________ _________________________________________

J. Current/final contract cost: ______________________________________________

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

L. Brief Description of Effort as ________Prime or ________Subcontractor:

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, national, worldwide, other

Commands: ________________________________________________________________

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's Name: ___________________________________________________________

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

C. Evaluator's PhoneNnumbe/E-mail:_______________________________________________

D. Number of years Evaluator worked on subject contract:______________________________

E. Other suggested points of contact: ______________________________________________

SECTION 4: EVALUATION

A. Mobilization

A.1. Rate the contractor’s ability to recruit, train, qualify and certify a sufficient number of fully qualified instructors and staff to assume full responsibility on performance start date.

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

UNS MAR SAT VG EX NA

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

UNS MAR SAT VG EX NA

A.3. How well did the Contractor ensure all employees performing services on this contract possessed the required clearance level prior to performing services and that the contractor possessed a current industrial facility clearance?

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

UNS MAR SAT VG EX NA

A.4. Please provide YOUR OVERALL RATING for this factor.

UNS MAR SAT VG EX NA

Comments:

B. Staffing Strategy

B.1. How well did the Contractor retain trained and qualified personnel, including training management and instructor staffing to meet the requirement throughout the life of the contract?

UNS MAR SAT VG EX NA

B.2. Rate how well the Contractor provided backup personnel adequate and proper training/certification for “one deep” positions to ensure continuous contract performance.

UNS MAR SAT VG EX NA

B.3. Rate the Contractor’s ability to determine workforce composition, e.g., productive/non-productive hours, overtime, weekend shift, proper skills mix for proper work areas, etc.

UNS MAR SAT VG EX NA

B.4. How well has the contractor worked with active-duty military personnel in a training environment?

UNS MAR SAT VG EX NA

B.5. Rate the Contractor’s resistance and survival training, instructional skills and expertise.

UNS MAR SAT VG EX NA

B.6. Please provide YOUR OVERALL RATING for this factor.

C. Quality Control Plan

C.1. How well did the Contractor implement corrective action to ensure timely and acceptable performance in accordance with the PWS and contractor’s QCP?

UNS MAR SAT VG EX NA

C.2. How well did the contractor link their internal quality control strategy to achieving corrective actions when needed?

UNS MAR SAT VG EX NA

C.3. Please provide YOUR OVERALL RATING for this factor.

D. Training Instruction

D.1 Rate the contractor’s experience in conducting laboratory role play instruction in captive prisoner scenarios.

UNS MAR SAT VG EX NA

D.2. How well did the contractor conduct survival training to include tasks such as navigation and use of maps?

D.3. How well did the contractor conduct resistance training to include tasks such as interrogation, indoctrination, and instructing group resistance postures?

D. Training Instruction

D.4. Please provide YOUR OVERALL RATING for this factor.

F. 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).

G. 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.).

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

I. 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 as promised in their proposal, I, (mark your response below) , award to them 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.

EVALUATOR’S SIGNATURE DATE

PLEASE DO NOT SEND this completed questionnaire to the Contractor.

WE APPRECIATE YOUR PROMPT RESPONSE AND ASSISTANCE!

Please complete the questionnaire for the contractor and program described in Section 1. Send the completed questionnaire via email to the following addresses:

(Simply copy and paste the addresses below in to the “To…” box) kevin.walker.3@us.af.mil; robert.walz.1@us.af.mil mailto:nicholas.borowski.3@us.af.mil mailto:robert.walz.1@us.af.mil