Questionaire for Best Value.pdf

ATTACHMENT 3

TRANSMITTAL COVER LETTER

TO

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Date: ________

To: ______________________________________

We have listed your firm as a reference for work we have performed for you as listed below.

Our firm has submitted a proposal under a project advertised by the U.S. Air Force, Charleston AFB SC. The 628th Contracting Squadron will evaluate our firm's past performance in accordance with Federal Acquisition Regulations (FAR) and Addendums. Your candid response to the attached Questionnaire will assist the evaluation team in this process.

We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed Questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this Questionnaire may be released to the Offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained.

Please do not return your Questionnaire to our offices. Please send your completed Questionnaire by fax or email directly to the following address to arrive NOT LATER THAN THE

PROPOSAL DUE DATE

628th Contracting Squadron/LGCA Attn: Scott D. Rogge 101 E. Hill Blvd. Bldg 503, 2nd Floor Joint Base Charleston, South Carolina 29404-5021

FAX: 843-963-5183

OR

Email: scott.rogge.1@us.af.mil

If you have questions regarding the attached Questionnaire, or require assistance, please contact Scott D. Rogge at 843-963-5197. Thank you for your assistance.

GENERAL INFORMATION

Contractor’s Name: ____________________ Address: __________________________ Telephone Number: ____________________ Fax Number: __________________ Point of Contact: ____________________

Project Title or Brief Description of work:___________________________________*

Contract Number Provided by Offeror: ____________________ Dollar Amount-_________*

Contract Period or Dates of Performance Provided by Offeror:____________________*

*Note: If offeror holds or has held other 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.

B. RESPONDENT INFORMATION

Name of Respondent: _____________________ Title: ___________________________

Address: _____________________ Telephone Number: ___________________

_____________________ Fax Number: ___________________ _____________________ Email Address: ___________________

C. FAX COMPLETED SURVEY FORM TO:

SCOTT ROGGE (843) 963-5183

D. PERFORMANCE INFORMATION

: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A

NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1 2 3 4 5 6 Unsatisfactory Marginal Satisfactory Very Good

Exceptional Neutral (N)

Performance did not meet most contractual requirements.

There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance met contract requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner

No record of past performance or the record is inconclusive.

CONTRACTOR’S NAME : ___________________________________

CONTRACT NUMBER ______________________________________

The contractor:

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

1 2 3 4 5 6 N

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. Home office participated in solving significant local problems.

5. Provided timely resolution of contract discrepancies

6. Identified risks/problems as they occurred.

7. Suggested alternative approaches to problems.

8. Displayed initiative to solve problems.

9. Provided timely resolution of warranty defects.

10. Was responsive to contract changes.

11. Provided adequate project supervision.

12. Cooperated with Government personnel after award.

13. Issues items only to those individuals authorized by Civil Engineering Personnel

N

14. Provides detailed daily receipts/data

15. Emergency and Urgent requirements are received within the time frame stated in the Statement of Work

16. NPI Items and FFP Items are received at least 98% of the time on the ADD date

17. Obtains NPI items in accordance with the requirements in the Statement of Work

18 The number of customer complaints are not exceeded within the limits as stated in the Statement of Work

19. Provides products that meet the best commercial standards in industry.

20. How would you rate the contractor’s overall performance

21.

Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES

NO

22. Would you award another contract to this contractor? If not, explain in “remarks.”

YES

NO

23. Is the contractor rated in CPARS? YES NO

Remarks:_______________________________________________________________________