FA3089-11-R-0011 MACC Past Performance Questionnaire Attachment 6.docx

DOCX document 39 KB Posted Jul 5, 2011

Attached to: Multiple Award Construction Contract Federal contract opportunity
Solicitation number: FA3089-11-R-0011
Issued by: Department of the Air Force Air Education and Training Command

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FA3089-11-R-0011 MACC Past Performance Questionnaire Attachment 6

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FA3089-11-R-0011 MACC Amendment 0003.pdf	PDF	Sep 1, 2011
FA3089-11-R-0011 MACC Addendum 0002 Revised SOW 8-23-11.zip	ZIP file	Aug 25, 2011
FA3089-11-R-0011 Amendment 0001 and Q A 11 Aug 11.zip	ZIP file	Aug 18, 2011
FA3089-11-R-0011 MACC Questions and Answers 10 August 2011.pdf	PDF	Aug 10, 2011
A E PPQ.docx	DOCX document	Aug 10, 2011
FA3089-11-R-0011 MACC Follow-Up Site Visit Minutes and Attendees 1 Aug 2011.pdf	PDF	Aug 5, 2011
FA3089-11-R-0011 MACC 902d CONS LGCA Bldg 224 MAP.pdf	PDF	Jul 26, 2011
FA3089-11-R-0011 MACC Pre-Proposal Conference Minutes.pdf	PDF	Jul 22, 2011
FA3089-11-R-0011 MACC Pre-Proposal Attendees.pdf	PDF	Jul 21, 2011
FA3089-11-R-0011 MACC Questions and Answers 14 July 2011.pdf	PDF	Jul 14, 2011
FA3089-11-R-0011 MACC 902d CONS LGCA Bldg 224 MAP.pdf	PDF	Jul 14, 2011
FA3089-11-R-0011 RFP Attachments.zip	ZIP file	Jun 30, 2011

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SECTION J – ATTACHMENT 6

Past Performance Questionnaire

Solicitation: FA3089-11-R-0011

Title: MACC IDIQ

Part II, Past Performance Information and/or Questionnaires are due no later than:

Date: 03 August 11

Contracting Squadron:	902D Contracting Squadron
	LGCA
	395 B Street West Ste 102
	Randolph AFB TX 78150-4521

Contract Specialist:	Ms. Joanna Cox
	joanna.cox.1@us.af.mil
	(210) 652-8884

Contract Specialist:	Mr. Daryl Hanley
	daryl.hanley@us.af.mil
	(210) 652-9105

Contract Officer:	Mr. Michael Forbis
	michael.forbis@us.af.mil
	(210) 652-5145

RFP: FA3089-11-R-0011

Attachment 6

902 CONS/LGCA	FA3089-11-R-0011
Randolph AFB TX	MACC IDIQ

Suggested Request Letter

DDMMYY

TO:	Insert addressee (Agency or Company who will complete the questionnaire on your behalf)
	Address
	City State, Zip Code

FROM: Your Firm Name

Address

City State, Zip Code

SUBJECT:	Past Performance Information Request for Solicitation FA3089-11-R-0011,
	MACC IDIQ at Randolph AFB, TX.

1. You have been identified as a Point of Contact (POC) for a past and/or present performance evaluation of YOUR FIRM. YOUR FIRM is currently being considered for an MACC Indefinite Delivery, Indefinite Quantity (IDIQ), Firm-Fixed Price (FFP), Multiple Award, SBA 8(a) Set Aside Acquisition for 902D Contracting Squadron (902 CONS) at Randolph AFB TX.

2. Your prompt attention to this Past Performance Questionnaire will be greatly appreciated. Please be sure to email (preferred method) or fax (210) 652-7486 the completed worksheet directly to the Contracting Specialist(s):

Ms. Joanna Cox

Joanna.Cox.1@us.af.mil

(210) 652-8884

Mr. Daryl Hanley

daryl.hanley@us.af.mil

(210) 652-9105

3. If you have any questions or concerns regarding this request, please contact the above referenced Contract Specialists.

YOUR FIRM’S POC

Title

Attached

1. Past Performance Questionnaire

SOURCE SELECTION SENSITIVE WHEN PAST PERFORMANCE QUESTIONNAIRE IS COMPLETED

NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS

Past Performance Questionnaire

SECTION A. Contractor Information (to be completed by the contractor requesting information)

1. Contractor’s name and address:	Your Firm Name
	Address
	City State, Zip Code

2. Contractor’s POC: Name & Title

3. Phone: (***) ***-**** Fax: (***) ***-**** Email: **********@********

4. Contract or Reference Number: ******-**-*-****

5. Project Title: ***********************************************

6. Description of Work: ***********************************************

7. Contract Type (examples): FFP – IDIQ – Cost-Reimbursement – Single – Multiple Award

8. Award Date: DDMMMYY Scheduled Completion Date: DDMMMYY

Current / Completion Date: DDMMMYY

9. Project Award Amount: $*,***,***.** Current / Final Amount: $*,***,***.**

10. Contractor being evaluated performed as the (choose): Prime Contractor Sub Contractor

11. Authorization is hereby granted to provide the information requested in Sections B and C of this Past Performance Questionnaire:

Signature ____________________________________	____________
	Name	Date
	Title

SOURCE SELECTION SENSITIVE WHEN PAST PERFORMANCE QUESTIONNAIRE IS COMPLETED

NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS

SECTION B. To be completed by a representative (respondent) responsible for current / past performance information in Section A of this document.

The following definitions are guidance in providing ratings:

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.

V (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 contains some minor problems for which corrective actions taken by the contractor were, or appear to be, 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 proposed 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 were, or appear to be, ineffective.

N/A (Not Applicable)

Self-explanatory.

Rating Scale:	E = Exceptional	V = Very Good	S = Satisfactory
	M = Marginal	U = Unsatisfactory	N/A = Not Applicable

Rate how the project that the Offeror developed for the user identified. Please place an “X” to indicate the rating for each area below. This information will be kept CONFIDENTIAL (please print or type):

1. Quality Control (QC):

N/A

a. Quality of Workmanship?

b. Adequacy of the QC Plan?

c. Implementation of the QC Plan?

d. Quality of the QC Document?

e. Storage of Materials?

f. Adequacy of Material?

g. Adequacy of Submittals?

h. Adequacy of QC Testing?

i. Adequacy of As-Builts?

j. Use of Specified Materials?

k. Identification/Corrections of Deficient Work in a Timely Manner?

Comments: ______________________________________________________________________________

2. Timely Performance:

N/A

a. Adequacy of Initial Progress Schedule?

b. Adherence to Approved Schedule?

c. Resolution of Delays?

d. Submission of Required Documentation?

e. Completion of Punchlist Items?

f. Submission of Updated and Revised Progress Schedules?

g. Warranty Response?

Comments: ______________________________________________________________________________

3. Effectiveness of Management:

N/A

a. Cooperation and Responsiveness?

b. Management of Resources/Personnel?

c. Coordination and Control of Subcontractor(s)?

d. Adequacy of Site Clean-Up?

e. Effectiveness of Job-Site Supervision?

f. Compliance with Laws and Regulations?

g. Professional Conduct?

h. Review/Resolution of Subcontractor’s Issues?

i. Implementation of Subcontracting Plan?

Comments: ______________________________________________________________________________

4. Compliance with Labor Standards:

N/A

a. Correction of Noted Deficiencies?

b. Payrolls Properly Completed and Submitted?

c. Compliance with Labor Laws and Regulation with Specific Attention to the Davis-Bacon Act and EEO Requirements?

Comments: ______________________________________________________________________________

5. Compliance with Safety:

N/A

a. Adequacy of Safety Plan?

b. Implementation of Safety Plan?

c. Reporting/Correction of Noted Safety Deficiencies?

Comments: ______________________________________________________________________________

6. Overall Rating:

N/A

a. Overall Rating for Contractor on this Project?

b. Would you award this Contractor any future contracts?

YES

Comments: ______________________________________________________________________________

SECTION C - RESPONDENT INFORMATION

Name / Title ______________________________________________________________________

Signature: _________________________________________ Date: ____________________

Agency/Company: _______________________________________________________________________

Address:	______________________________________________________________________________
	______________________________________________________________________________
	______________________________________________________________________________

Work phone number (including area code): ____________________________________________________

FAX number (including area code): __________________________________________________________

Your role relative to the project/contract: _____________________________________________________ (Administrative Contracting Officer, Inspector, Contract Administrator, Buyer, Quality Assurance Evaluator, Other - explain)

Length of involvement in project/contract: _____________________________________________________

Do you know anyone else who can provide information regarding this Offeror’s performance?

Name: ___________________________________ Phone/Fax: ___________________________________

THANK YOU FOR YOUR ASSISTANCE IN COMPLETING THIS QUESTIONNAIRE

Section J – Attachment 6 2

File details come from the government source that posted it. Updated Nov 14, 2017.