1-3_FA4427-12-R-0108_Atch_5_Past_Performance_Ltr_and_Questionnaire.docx

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Renovate Bays D, E, &F of Building 237, Travis AFB, CA
Solicitation number
FA4427-12-R-0108
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Past Performance Questionnaire with Cover Letter

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MEMORANDUM FOR (Offeror please add reference information and address)

FROM: (Offeror insert your company name here) for 60 CONS/LGCA 350 Hangar Ave Bldg 549 Travis AFB, CA 94535-2632

SUBJECT: Request for Past Performance Questionnaire Information for FA4427-12-R-0108, Renovate Bldg 237 Bay D, E, and F (XDAT 07-9002A/B/E), 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 Renovate Bldg 237 at Travis AFB, CA.

2. Please complete the attached survey questionnaire and return no later than 17 JAN 2013. Please e-mail the survey back to Ebenezer Wilson at ebenezer.wilson@us.af.mil and send a copy to Val Kilkenny (vallarie.kilkenny@us.af.mil) and E. Jane Bailey (elizabeth.bailey@us.af.mil).

3. If you have any questions, please contact Ms. Val Kilkenny at (707) 424-7769.

4. Your information MUST be submitted by 17 Jan 2013. Your expedient attention regarding this matter is greatly appreciated. Thank you in advance.

//SIGNED//

VALLARIE V. KILKENNY
Contracting Officer

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 60TH AIR MOBILITY WING (AMC)

Global Mobility Excellence…Answering the Call!

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number FA4427-12-R-0108 Renovate Bldg 237 Bay D, E, & F 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 17 JAN 2013

To:Ebenezer Wilson (ebenezer.wilson@us.af.mil)
Ms. Vallarie Kilkenny (vallarie.kilkenny@us.af.mil)
E. Jane Bailey (elizabeth.bailey@us.af.mil)

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 MARGINAL OR UNSATISFACTORY. Comments for ratings of Very Good or Exceptional would be appreciated.

Rating key to assist in completing the questionnaire:

6
Exceptional (E)
Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.
5
Very Good (V)
Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.
4
Satisfactory Confidence (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 were satisfactory.

3
Marginal (M)

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

2
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.

1
Neutral (N)

Performance was not observed or not applicable to the current effort being reported against.

Atch #5 FA4427-12-R-0108 3 Dec 2012

Based on the offeror’s performance in the following areas the ratings are
N
U
M
S
V
E

PERFORMANCE/PROGRAM MGMT

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

N
U
M
S
V
E
2. Cooperated with owner/government personnel after award.
N
U
M
S
V
E
3. Demonstrated ability to hire, maintain & replace if necessary, qualified personnel during the contract period.
N
U
M
S
V
E

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

N
U
M
S
V
E

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

N
U
M
S
V
E
6. Provided payrolls in a timely manner
N
U
M
S
V
E

7. Maintained a single point of contact to manage and resolve problems.

N
U
M
S
V
E
8. Provided adequate employee supervision.
N
U
M
S
V
E

9. Company headquarters participated in solving significant local problems

N
U
M
S
V
E

10. Corrected deficiencies in a timely manner & pursuant to their quality control procedures.

N
U
M
S
V
E

11. Met established turn around times for required periodic contract reports, etc.

N
U
M
S
V
E
12. Identified risks/problems as they occurred.
N
U
M
S
V
E
13. Suggested alternative approaches to problem
N
U
M
S
V
E
14. Was responsive to contract changes
N
U
M
S
V
E
15. Effectively managed sub-contractor efforts.
N
U
M
S
V
E

EMPLOYEE RETENTION

1. Demonstrated ability to retain a qualified workforce.
N
U
M
S
V
E

INVOICING & PROGRESS SCHEDULE/REPORTS

1. Provided accurate and timely invoices
N
U
M
S
V
E
2. Provided accurate and timely progress schedule
N
U
M
S
V
E
3. Provided accurate and timely progress reports
N
U
M
S
V
E

ORGANIZATION

1. Has demonstrated good organizational structure and Accountability.

N
U
M
S
V
E

SUMMARY:

1. Rate the contractor’s overall performance.
N
U
M
S
V
E

ADMINISTRATION

1. 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”).
Yes
No
N/A
2. Are you aware of any documented organizational deficiencies with the contractor? (If yes, please explain under “remarks”.)
Yes
No
N/A

LEGAL

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

GOVERNMENT CONTRACTS ONLY

1. Was the contractor ever issued a cure notice or show cause? (If yes, please explain outcome in “remarks”).
Yes
No
N/A
2. Has the contract been partially or completely terminated or is the contract pending termination? (If you answered “YES”, please explain under “remarks”.
Yes
No
N/A

3. Has an election ever been made to not exercise an option due to contractor’s Performance. If yes, please explain in “remarks”.

Yes
No
N/A

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

(please explain under “remarks

Yes
No
N/A

5. Do you have any reservations about having this contractor perform another Contract for you? (If yes, please explain under “remarks”.)

Yes
No
N/A

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 or respond to questions above.

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

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

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