1-8 ATCH 6 Asbestos 11R0103 PPQ.docx

DEPARTMENT OF THE AIR FORCE

60TH CONTRACTING SQUADRON (AMC)

Dated

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 FA4427-11-R-0103, Asbestos Abatement IDC, 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 Asbestos Abatement IDC at Travis AFB, CA.

2. Please complete the attached survey questionnaire and return by 28 DEC 2011 but not later than 04 JAN 2012. Please e-mail the survey back to MSgt Michael Brown at michael.brown.49@us.af.mil and send a courtsey copy to Ms. Vallarie Kilkenny at vallarie.kilkenny@us.af.mil. You may fax the questionnaire to (707) 424-5189.

3. If you have any questions, please contact MSgt Michael Brown at (707) 424-2014 or Ms. Vallarie Kilkenny at (707) 424-7760.

4. Your information MUST be submitted by 04 JAN 2012. Your expedient attention regarding this matter is greatly appreciated. Thank you in advance.

ATCH #6 (8 AUG 2011)

FA4427-11-R-0103 Asbestos & LB Paint IDC Page of

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4427-11-R-0103 Asbestos & Lead Based Paint Abatement IDC Travis AFB, CA

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

A. GENERAL INFORMATION: Contractor please complete block A before sending to your reference.

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: Company:

Address:

Telephone Number:

Fax Number:

Email Address:

C. Email Completed Questionnaire Form Not Later Than 04 JAN 2012

To:

PERFORMANCE INFORMATION: Circle the letters that most accurately describes or reflects the contractor performance based on the descriptions in the table below.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF LIMITED CONFIDENCE OR NO CONFIDENCE.

Based on the offeror’s performance record:

The Contractor…

PERFORMANCE/PROGRAM MGMT

1. Upon award the contractor was timely in U NC LC SAT SC N/A fulfilling contract requirements (submitting documents, starting work, submitting materials & acknowledgements, etc)?

2. Cooperated with owner/government personnel U NC LC SAT SC N/A after award.

3. Demonstrated ability to hire, maintain & U NC LC SAT SC N/A replace if necessary, qualified personnel during the contract period.

4. Provided experienced employees with the U NC LC SAT SC N/A technical & administrative abilities to meet contract requirements.

5. Provided material submittals in accordance U NC LC SAT SC N/A with the contract requirements.

6. Provided payrolls in a timely manner. U NC LC SAT SC N/A

7. Maintained a single point of contact to U NC LC SAT SC N/A manage and resolve problems.

8. Provided adequate employee supervision. U NC LC SAT SC N/A

9. Company headquarters participated in solving U NC LC SAT SC N/A significant local problems.

10. Corrected deficiencies in timely manner & U NC LC SAT SC N/A pursuant to their quality control procedures.

11. Met established turn around times U NC LC SAT SC N/A for required periodic contract reports, etc.

12. Identified risks/problems as they occurred. U NC LC SAT SC N/A

13. Suggested alternative approaches to problem. U NC LC SAT SC N/A

14. Was responsive to contract changes. U NC LC SAT SC N/A

15. Effectively managed sub-contractor U NC LC SAT SC 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 U NC LC SAT SC N/A under this contract.

EMPLOYEE RETENTION

1. Demonstrated ability to retain a qualified U NC LC SAT SC N/A workforce.

INVOICING & PROGRESS REPORTS

1. Provided accurate and timely invoices. U NC LC SAT SC N/A

2. Provided accurate and timely progress reports U NC LC SAT SC N/A

ORGANIZATION

1. Has demonstrated good organizational U NC LC SAT SC N/A structure and accountability.

2. If there were problems with the on site supervision, Yes ( ) No ( ) N/A ( ) 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 Yes ( ) No ( ) N/A ( ) deficiencies with the contractor?

(If yes, please explain under “remarks”.)

LEGAL

1. Are you aware of any legal problems experienced by Yes ( ) No ( ) N/A ( ) the contractor? (Please explain under “remarks”.)

2. Are you aware of any verified ethical problems Yes ( ) No ( ) N/A ( ) experienced by the contractor? (Please explain under “remarks”.)

GOVERNMENT CONTRACTS ONLY

1. Was the contractor ever issued a cure notice Yes ( ) No ( ) N/A ( ) or show cause? If yes, explain outcome in “remarks”.

2. Has the contract been partially or completely terminated Yes ( ) No ( ) N/A ( ) or is the contract pending termination?

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

3. Has an election ever been made to NOT Yes ( ) No ( ) N/A ( ) exercise an option due to contractor’s performance.

If yes, explain in “remarks”.

3. Was there any specific delivery order that had problems? Yes ( ) No ( ) N/A ( ) If yes, please explain under “remarks”.

NARRATIVE SUMMARY

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

2. What were the contractor’s greatest weaknesses in performance of the contract?

REMARKS:

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

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

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