4-1 ATCH 7 Past Performance Questionnaire 10-R-0102 SABER.pdf

DEPARTMENT OF THE AIR FORCE

60TH CONTRACTING SQUADRON (AMC)

FA4427-10-R-OI02 ()

FOR OFFICIAL USE ONLY

r;

".,.".- Attachment 7

MEMORANDUM FOR (Contractor please add reference information)

FROM: 60 CONS/LGCA

350 Hangar Ave Bldg 549 Travis AFB, CA 94535-2632

SUBJECT: Request for Past Performance Questionnaire Information for FA4427-10-R-OI02, Simplified Acquisition Base Engineering Requirements (SABER) Travis AFB, CA

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 a SABER IDIQ contract at Travis AFB, CA.

2. Please complete the attached survey questionnaire not later than 18 MAY 2010. You should e-mail thesurveybacktoDonTurneratdori.tumer@travis.af.mil. Also send a courtsey copy to E. Jane Bailey at jane.bailey@travis.af.mil. You may fax the questionnaire to (707) 424-5189. If you have any questions, please contact Don :rurner at (707) 424-7768 or E.

Jane Bailey at (707) 424-7749. Your information MUST be submitted by 18 MAY 2010.

Your expedient attention,regarding this matter is greatly appreciated. Thank you in advance.

FA4427-10-R-OI02

FOR OFFICIAL USE ONLY

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mailto:jane.bailey@travis.af.mil.

FA4427-10-R-0102

FOR OFFICIAL USE ONLY

Attachment 7

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4427-10-R-0102

SABER at Travis AFB, CA

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

A. GENERAL INFORMATION: Contractor please complete block A before sending to your reference (Please correct any information below known to be inaccurate):

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 0 Prime Contractor 0 Sub-C~ntractor 0 Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent:

Title: Company:

Address:

Telephone Number:

Fax Number:

Email Address:

C. Email Completed Questionnaire Form Not Later Than 18 MAY 2010 To:

Don Turner don. tumer@travis.af.mil

FA4427-10-R-0102

E. Jane Bailey jane. bailey@travis.af.mil

FOR OFFICIAL USE ONLY

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FOR OFFICIAL USE ONLY

Attachment 7

D. PERFORMANCE INFORMATION: Circle 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.

Based on the offeror's performance record:

No Confidence (NC)

Unknown Confidence

(DC)

The government has a high expectation that the offeror will successfully erform the re uired effort.

The government has an expectation that the offeror will successfull erform the re uired effort.

The government has a low expectation that the offeror will successfully erform the re uired effort.

The government has no expectation that the offeror will be able to successfully erform the re uired effort.

No performance record is identifiable or the offeror's performance record is so sparse that no confidence assessment rating can be reasonabl assi ned.

CONTRACTOR'S NAME: CONTRACT NUMBER _

The Contractor ...

PERFORMANCE/PROGRAM MGMT

UC NC . LC SATC EC N/A

1. Upon award the contractor was timely in fulfilling contract requirements (submitting documents, starting work, submitting materials & acknowledgements, etc)?

2. Cooperated with government personnel after award.

3. Demonstrated ability to hire, maintain & replace if necessary, qualified personnel during the contract period.

4. Provided experienced employees with the technical & administrative abilities to meet contract requirements.

5. Provided material submittals in accordance with the contract requirements.

6. Provided payrolls in a timely manner.

N/A

N/A

N/A

N/A

N/A

N/A

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FA4427-10-R-Ol02 Attachment 7

CONTRACTOR'S NAME: CONTRACT NUMBER

DC NC LC SATC EC N/A

7. Maintained a single point of contact to 2 3 4 5 N/Amanage and resolve problems.

8. Provided adequate employee supervision. 2 3 4 5 N/A

9. Company headquarters participated in solving 2 3 4 5 N/Asignificant local problems.

10. Corrected deficiencies in timely manner & 2 3 4 5 N/Apursuant to their quality control procedures.

11. Met established tum around times 2 3 4 5 N/Afor required periodic contract reports, etc.

12. Identified risks/problems as they occurred. 2 3 4 5 N/A

13. Suggested alternative approaches to problem. 2 3 4 5 N/A

14. Was responsive to contract changes. 2 3 4 5 N/A

15. Effectively managed sub-contractor 2 3 4 5 N/Aefforts.

16. Do you have any reservations about Yes ( ) No ( ) N/A ( )having this contractor perform another contract for you? (If yes, please explain under "remarks".)

17. Rate the contractor's overall performance 2 3 4 5 N/Aunder this contract.

EMPLOYEE RETENTION

1. Demonstrated ability to retain a qualified 2 3 4 5 N/Aworkforce.

INVOICING & PROGRESS REPORTS

1. Provided accurate and timely invoices. 2 3 4 5 N/A

2. Provided accurate and timely progress reports 2 3 4 5 N/A

ORGANIZA TION

1. Has demonstrated good organizational 2 3 4 5 N/Astructure and accountability.

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Attachment 7

CONTRACTOR'SNAME: CONTRACT NUMBER _

2. If there were problems with the on site supervision, were you able to easily resolve those problems with the company's management? (Please explain under "remarks".)

3. Are you aware of any documented organizational deficiencies with the contractor?

(If yes, please explain under "remarks".)

LEGAL

1. Are you aware of any legal problems experienced by the contractor? (Please explain under "remarks".)

2. Are you aware of any verified ethical problems experienced by the contractor? (Please explain under "remarks".)

GOVERNMENT CONTRACTS ONLY

1. Was the contractor ever issued a cure notice or show cause? If yes, explain outcome in "remarks".

2 .. Has the contract been partially or completely terminated ,or is the contract pending termination?

Yes ( )

Yes ( )

Yes ( )

Yes ( )

Yes ( )

Yes ( )

No( )

No( )

No( )

No()

No ( )

No (')

N/A ( )

N/A ( )

N/A ( )

N/A ( )

N/A ( )

N/A ( )

2a. If you answered "YES" to question #2, please explain under "remarks".

3. Has an election ever been made to not exercise an option due to contractor's performance.

If yes, explain in "remarks".

3. Was there any specific delivery order that had problems?

(please explain under "remarks"

NARRATIVE SUMMARY

Yes ( )

Yes ( )

No( )

No( )

N/A ( )

N/A ( ) .

1. What were the contractor's greatest strengths in performance of the contract?

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FA4427-10-R-Ol02

Attachment 7

CONTRACTOR'S NAME: CONTRACT NUMBER---------- -------

2. What were the contractor's greatest weaknesses in perfonnance of the contract?

Please add any additional comments concerning this contractor's performance.

Remarks:

Please provide the Name, Organization, e-mail and phone number of the Government Inspector on this contract in the blocks below.

(Name)

FA4427-10-R-0102

(Organization) (E-mail) (Phone Number)

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