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

FA4427-10-R-OI02

FOR OFFICIAL USE ONLY

DEPARTMENT OF THE AIR FORCE

60TH CONTRACTING SQUADRON (AMC)

MEMORANDUM FOR (Contractor please add reference information)

FROM: 60 CONSILGCA

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

Attachment 7

SUBJECT: Request for Past Performance Questionnaire Information for FA4427-10-R-0102, 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 . You should e-mail thesurveybacktoDoriTurneratdori.tumer@travis.af.mil and Rodney Alcantara at rodney.alcantara@travis.af.mil. Also send a courtesy copy to E. Jane Bailey at jane.bailey@travis.af.mi. You may fax the questionnaire to (707) 424-5189. If you have any questions, please contact Dori Turner at (707) 424-77~8 or Rodney Alcantara at (707) 424- 7727. Your information MUST be submitted by. ..' Your expedient attention regarding this matter is greatly appreciated. Th~k you in adv~ce.

Contracting Officer

FA4427-10-R-OI02 Page 1 of6

FOR OFFICIAL USE ONLY

mailto:thesurveybacktoDoriTurneratdori.tumer@travis.af.mil mailto:rodney.alcantara@travis.af.mil.

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

Attachment 7

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4427-10-R-OI02

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 evaluationformsforthose contracts as well.

Contractor performed as the 0 Prime Contractor 0 Sub-Contractor 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 25 MAY 2010 To:

Don Turner dori. tumer@travis.af.mil

FA4427-10-R-OI02

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

FOR OFFICIAL USE ONLY

Page 2 of6 mailto:tumer@travis.af.mil mailto:bailey@travis.af.mil

FA4427-10-R-Ol02

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:

2 No Confidence (NC)

1 Unknown Confidence (Ue)

The government haS a high expectation that the offeror will successfull 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 successfull erform the re uired effort.

The government has no expectation that the offeror will be able to successfull 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

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.

UC NC

LC

SATC

EC

N/A

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

UC NC LC SATC EC N/A

7. Maintained a single point of contact to 2 3 4 5 N/A manage 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/A significant local problems.

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

11. Met established tum around times 2 3 4 5 N/A for 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/A efforts.

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/A under this contract.

EMPLOYEE RETENTION

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

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 nON

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

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FA4427-10-R-O'102

Attachment 7

CONTRACTOR'S NAME: 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

I. 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?

FA4427-10-R-0102

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Attachment 7

CONTRACTOR'S NAME: CONTRACT NUMBER _

2. What were the contractor's greatest weaknesses in performance 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-Ol'02

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

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