Past_Performance_Questionnaire.doc

DEPARTMENT OF THE AIR FORCE

1ST SPECIAL OPERATIONS CONTRACTING SQUADRON (AFSOC)

HURLBURT FIELD FLORIDA

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 32544fillin "Enter your THREE LINE ADDRESS (Press [SHIFT] + [ENTER] to start a new line)"

SUBJECT: Request for Past Performance Questionnaire Information for FA4417-15-T-0008, Specialty Skills Training, Hurlburt Field, FLfillin "Enter the SUBJECT"

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 quote for Specialty Skills Training at Hurlburt Field, FL.

2. Please complete the attached questionnaire and return no later than 8 September 2015. Please e-mail the survey to Mr. Clyde Shreve (clyde.shreve@us.af.mil) -AND- 2d Lt Blake Branton (blake.branton.1@us.af.mil)

3. If you have any questions, please contact 2d Lt Blake Branton at (850) 884-7691 or Mr. Clyde Shreve at (850) 884-3266.

4. Your information MUST be submitted by 12:00 p.m. Central Standard Time (CST) on 8 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

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4417-15-T-0008 Specialty Skills Training 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 has provided courses or held current/past 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 Contractor performance under this contract was for specialty skills training and included:

Yes No

1. Courses that are within scope of any of the six (6) classes IAW the PWS (or similar to the PWS) within the last three (3) years.

Yes No

2. Training of a USSOCOM Special Operations Forces Unit within the last three (3) years.

Yes No 3. A student to instructor ratio no greater than 12:1.

Respondent please complete the remainder of this document and email to Clyde Shreve: clyde.shreve@us.af.mil -AND- Blake Branton: blake.branton.1@us.af.mil NLT 12:00 p.m. Central Standard Time (CST) on 8 September 2015:

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

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”.

The contractual performance of the element or sub-element being evaluated 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.

YES / NO

Remarks:

Please sign and date below.

(Signature)

(Date)

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Attachment #4 Past and Present Performance Questionnaire

_1486451708.doc