Atch_11_-_PP_Questionnaire_Sheppard.pdf
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- Attached to
- Logistics Services (Base Supply and Transportation) Federal contract opportunity
- Solicitation number
- FA3020-17-R-0002
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Attachment 11 - Past Performance Questionnaire as a fillable form.
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For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
FA3020-17-R-0002
Attachment 11
For Official Use Only
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
SUBJECT: Request for Past Performance Evaluation
TO:
You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a Firm Fixed Price contract at Sheppard AFB, TX. Any comments you can provide regarding the past performance of the contractor providing this form is greatly appreciated.
Please complete the attached questionnaire for the contractor and program indicated. Please fill in all sections. State "not applicable" if the question does not apply. Send the completed questionnaire to Christine Docker, Contract Administrator, christine.docker.2@us.af.mil or Cecilia P. Murray, cecilia.murray@us.af.mil. Please title the subject line of e-mail, "FA3020- 17-R-0002 – PP Questionnaire". Once completed, the questionnaire becomes a Source Selection Sensitive document and must be handled in accordance with FAR 2.101 and FAR
3.104. PLEASE DO NOT SEND THE COMPLETED QUESTIONNAIRE TO THE
CONTRACTOR.
Your prompt attention to this questionnaire will be one of the keys to the successful and timely completion of this source selection. If you have any questions or concerns regarding this request, please contact Christine Docker at the above email address or by phone at 940- 676-5184. You may also contact me at the above email address or by phone at 940-676- 3895. Thank you in advance for your assistance.
CECILIA P. MURRAY
Contracting Officer
Attachment:
Past and Present Performance Questionnaire
FA3020-17-R-0002
Attachment 11
CONTRACTOR NAME:
CONTRACT NUMBER:
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: (to be completed by contractor. Respondent may correct information, if necessary.)
Contractor’s Name Contractor Point of Contact Telephone Number Fax Number Address
Please complete contractor name and contract number information in header of this document.
Project/Program Title Contracting Agency or Customer Contract Number Contract Type Period of Performance Original Contract $ Value (Include Unexercised Options)
Current Contract $ Value (Include Unexercised Options)
Contractor/individual performed as Prime Contractor Sub-Contractor Key Personnel.
B. RESPONDENT INFORMATION:
Respondent’s Name Title Telephone Number Fax Number Email Address Address
C. DESCRIPTION OF WORK: The contract for which this offeror is being considered includes the Supply & Transportation Support Services described below. Please indicate any services which the contractor performed on the subject contract by placing an X or check in the block next to the description. This information will be used in determining past performance relevancy.
Logistics:
Supply
Aircraft parts, other supplies, equipment, weapons, mobility bags, clothing, and individual protective equipment management and stock, store, accountability, and issue services.
Vehicle Operations and Management
Base vehicle fleet management and repair Government and commercial surface/air cargo movement and passenger transportation Contingency deployment support
D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, VG, S, M, U, and N) that most accurately describes the contractor’s performance or situation.
ABBREVIATION PERFORMANCE
RATING DEFINITION
E 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.
VG
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.
S 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 was satisfactory.
M 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.
U 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.
N Not Applicable Unable to provide a score. Performance in this area is not applicable to the effort assessed.
FA3020-17-R-0002
Attachment 11
For Official Use Only
CONTRACTOR NAME:
CONTRACT NUMBER:
Place an X or check in the appropriate column using the definitions matrix above.
The contractor: E VG S M U N 1 Demonstrated ability to recruit, train, and certify a sufficient number of fully qualified employees to assume full responsibility on the first day of the basic contract period.
2 Demonstrated ability to recruit and retain qualified personnel with proper certifications and training (e.g. supply & transportation).
3 Demonstrated ability to recruit and retain personnel knowledgeable in operating and managing AF legacy systems (e.g. AFEMS, AF-EMIS, DPAS – Equipment, DPAS - Vehicles, ES-S, ES-S Mobility, FEDLOG, LIMS-EV, etc.).
Please specify particular systems on this contract.
4 Demonstrated ability to manage risk to include scheduling & planning, assessment (early reporting/identification and analysis), prevention/mitigation and monitoring potential service deficiencies.
5 Demonstrated ability to follow hazmat guidance (e.g. spills, asbestos identification, lead paint identification, and cargo movement certification).
6 Demonstrated ability to manage an Air Force supply system.
7 Demonstrated ability to manage cargo distribution function.
8 Provided effective quality control and/or inspection procedures to meet contract requirements.
9 Corrected deficiencies in timely manner and pursuant to their quality control procedures.
10 Met established project schedules.
11 Was responsive to contract changes.
12 Paid subcontractors/suppliers in a timely manner.
13 Cooperated with Government personnel after award.
14 How would you rate the contractor's ability to forecast and control costs?
15 How would you rate the contractor's overall performance?
16 Was the contractor ever issued a cure or show cause notice under the referenced contract?
If yes, please explain outcome in remarks
YES/NO
17 Would you award another contract to this contractor?
If not, please explain in remarks
YES/NO
18 Is the contractor rated in CPARS? YES/NO
For Official Use Only
Please provide a narrative explanation for any ratings of M or U. Positive comments for S, VG, and E ratings are also welcome.
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