Past_Performance_Questionnaire_II.pdf

Attachment #5

Past and Present Performance Questionnaire

DEPARTMENT OF THE AIR FORCE

1ST SPECIAL OPERATIONS CONTRACTING SQUADRON (AFSOC)

HURLBURT FIELD FLORIDA

1. You have been identified as a reference point of contact for past and/or present performance evaluation of the firm listed on the attached questionnaire form. This firm is currently interested in providing a proposal for Crane/Hoist, Hangar Door, and Tail Enclosure Services at Hurlburt Field, FL.

2. Please complete the attached questionnaire and return no later than 4 September 2015. Please e-mail the survey to Mr. Clyde Shreve (clyde.shreve@us.af.mil) -AND- TSgt Eli Walledelgadillo (eli.walledelgadillo@us.af.mil)

3. If you have any questions, please contact TSgt Eli Walledelgadillo at (850) 884-2097 or Mr.

Clyde Shreve at (850) 884-3266.

4. Your information MUST be submitted by 12:00 p.m. Central Standard Time (CST) on 4 September 2015. This information is vital when performing past performance evaluations. Your expedited attention regarding this matter is greatly appreciated. Thank you in advance.

<SIGNED>

CLYDE D. SHREVE

Contracting Officer

Attachment:

Past and Present Performance Questionnaire

MEMORANDUM FOR (Offeror please add reference information)

FROM: (Offeror insert your company name here) for 1 SOCONS/LGCA 350 Tully Street, Bldg 90339 Hurlburt Field, FL 32544

SUBJECT: Request for Past Performance Questionnaire Information for FA4417-15-T-0004, Crane/Hoist, Hangar Door, and Tail Enclosure Services, Hurlburt Field, FL mailto:clyde.shreve@us.af.mil mailto:eli.walledelgadillo@us.af.mil

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4417-15-T-0004

Crane/Hoist, Hangar Door, and Tail Enclosure Services at Hurlburt Field, FL

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104

Contractor please complete section A. General Information before sending to your reference:

A. GENERAL INFORMATION:

Contractor’s Name: ___________________________________ Address:

E-mail Address: _______________________________________ Telephone Number: ___________________________________ Point of Contact:

Project Title:

Description of Work: ___________________________________ Contract Number: ______________________________________ Dollar Amount: $ ___________________________________ Contract Period:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the:

Prime Contractor Sub-Contractor Key Personnel

Contractor performance under this contract was for crane/hoists, hangar doors, and tail enclosure services and included:

Yes No 1. Experience that includes inspection, maintenance, and repair services for crane/hoists within the last five (5) years.

Yes No 2. Experience that includes maintenance and repair services for hangar doors and tail enclosures within the last five (5) years.

Yes No 3. Experience on a military installation or commercial airport.

Respondent please complete the remainder of this document and email to Clyde Shreve:

clyde.shreve@us.af.mil -AND- Eli Walledelgadillo: eli.walledelgadillo@us.af.mil NLT 12:00 p.m.

Central Standard Time (CST) on 4 September 2015:

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

mailto:clyde.shreve@us.af.mil mailto:eli.walledelgadillo@us.af.mil

Company Name/Address:

Telephone Number:

Fax Number:

E-mail Address:

C. 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. PLEASE

PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF “M” OR “U”.

E VG S M U N

EXCEPTIONAL

VERY GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

NEUTRAL

Performance meets contractual requirements and exceeds many to the respondents’ benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements a n d exceeds some to the respondents’ benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Performance meets contractual requirements.

The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element being eva lua ted reflects a serious problem for which the contractor has not yet identified corrective actions.

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

Performance was not observed or not applicable to the current effort being reported against.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E VG S M U N

1.

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Provided adequate project supervision.

3.

Hired, maintained, and replaced, if necessary, qualified personnel during the contract period without degradation in the quality of services provided.

4. Home office participated in solving significant local problems.

5. Provided effective quality control and/or inspection procedures to meet contract requirements.

6. Corrected deficiencies in a timely manner and pursuant to their quality control procedures.

7. Identified and solved problems as they occurred with minimal Government/Employer assistance required

8. Suggested alternative approaches to problems.

9. Maintained equipment in proper working order.

10. Met established project schedules.

11. Was responsive to contract changes.

12. Complied with all federal, state and local laws and regulations.

13. Complied with all DoD regulations (if applicable – leave blank if not a DoD requirement).

14. Cooperated with Government personnel after award.

15. How would you rate the contractor's overall performance?

16.

Was this project for a crane/hoist contract where the contractor managed employees that commensurate with inspecting, maintaining, and repairing crane/hoist and ensured that the standard was maintained?

YES /

NO

17.

Was this project for hangar door and tail enclosure services where the contractor managed employees that commensurate with maintenance and repair services for hangar doors and tail enclosures and ensured that the standard was maintained?

YES /

NO

18. Did the contract require routine or emergency service calls for repairs and maintenance within a specified timeframe?

YES /

NO

19.

Was the contractor ever issued a letter of concern, deficiency report, cure or show cause notice or any other written negative performance documentation under the referenced contract? If yes, explain outcome in “Remarks” section.

YES /

NO

20. Would you award another contract to this contractor? If not, explain in “Remarks” section

YES /

NO

21. Is the contractor rated in the Contractor Performance Assessment Reports System CPARS (if applicable for Govt contracts)?

YES /

NO

Remarks:

Please sign and date below.

(Signature) (Date)

Place an “X” in the appropriate column using the definitions matrix above.