Attachment_2_-_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE Contractor Operated Civil Engineering Supply Store (COCESS)

A. GENERAL INFORMATION: (To Be Completed by the Contractor and provided to the reference.)

Contractor’s Name:

Cage Code:

Point of Contact (POC):

Title of POC:

Address:

Telephone Number:

Email address:

Contract Title/Description:

Contract Number:

Task Order Number (if Applicable):

Status (i.e. On-going, complete):

Contract Amount: (Total amount of base period of performance plus any option period(s) exercised to date)

Type of Contract (e.g. FFP, Cost, etc.):

Performance Period being evaluated:

Place of Performance:

Contractor performed as the Prime Contractor or Sub Contractor

Was work with a: Commercial Fed Gov’t Local/State Gov’t entity.

To the Offeror’s Reference:

The 1st Special Operations Contracting Officeis conducting an acquisition for COCESS at Hurlburt Field, FL. An

Offeror has identified you/r office as a reference to validate the Offeror's past performance. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important.

Please complete the following questionnaire to assist this office’s evaluation of the Offeror’s past performance. A typed (preferred) or handwritten response is sufficient. If you need more space than that provided, please attach additional pages.

Please complete and email this form (to the email address that follows) by no later than 10:00 EST, 25 April

2019; email the completed form to: Destinee Narak, destinee.narak@us.af.mil and Stephanie McCullough, stephanie.mccullough@us.af.mil

Thank you for your assistance in this source selection.

mailto:destinee.narak@us.af.mil mailto:stephanie.mccullough@us.af.mil

Is this project for a Contractor Operated Civil Engineering Supply Store? If not, please explain how this project is similar to a COCESS requirement. __________________________________________________________________

B. RESPONDENT INFORMATION:

Name of Respondent

Title

Telephone Number

Email Address

C. RATING INFORMATION:

RATING DEFINITION

Exceptional (E)

Performance meets contractual requirements and exceeds many to the Government’s 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.

Very Good (VG)

Performance meets contractual requirements and exceeds some to the Government’s 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.

Satisfactory (S)

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.

Marginal (M)

Performance does not meet some contractual requirements. 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. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory (U)

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.

N/A Not applicable to the subject contract or requirement

D. PERFORMANCE EVALUATION QUESTIONS:

(Respondent to assign a Performance Rating of E, VG, S, M, or U consistent with the definitions above)

Performance Rating

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

(2) Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

(3) Delegated authority to project managers and supervisors commensurate with contract requirements.

(4) Corporate office participated in solving significant local problems.

(5) Followed approved quality control plan.

(6) Provided effective quality control and/or inspection procedures to meet contract requirements.

(7) Corrected deficiencies in a timely manner and pursuant to their quality control procedures.

(8) Provided timely resolution of contract discrepancies.

(9) Identified problems as they occurred.

(10) Suggested alternative approaches to problems.

(11) Displayed initiative to solve problems.

(12) Was responsive to contract changes.

(13) Provided adequate project supervision.

(14) Cooperated with Government personnel after award.

(15) Maintained Store Stocked items adequate to meet mission requirements.

(15) Met contract delivery requirements for items that were not Store Stocked.

(16) How would you rate the contractor’s overall performance?

(17) Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, please explain outcome in “Remarks”.

YES/NO

(18) Would you award another contract to this contractor? If no, please expalin in “Remarks”. YES/NO

(19) Is the contractor rated in CPARS? YES/NO

REMARKS:

Signature of Evaluator:

(Digital CAC signature if possible)

Typed Name:

Title:

Date:

I appreciate your valuable time and assistance with this important acquisition!