Past_Performance_Questionnaire_and_Instruction_Letter_(2).pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 60TH AIR MOBILITY WING (AMC)

Global Mobility Excellence…Answering the Call!

MEMORANDUM FOR

FROM: 60 CONS/LGCC

350 Hangar Ave Bldg 549

Travis AFB CA 94535-2632

SUBJECT: Request for Past Performance Questionnaire Information for DGMC Core

Laboratory Analyzers, 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 Core Lab Analyzers at Travis AFB, CA.

2. Please complete the attached survey questionnaire describing adquate past performane information that is relevant to lab analyzers and return no later than 4:00PM PST, 07 January

2016. Please email the survey back to 2d Lt Alyssa Militano (alyssa.militano.1@us.af.mil).

3. If you have any questions, please contact 2d Lt Alyssa Militano at (707) 424-7761 or Mr.

John Clarke at (707) 424-7713.

//SIGNED//

JOHN F. CLARKE

Contracting Officer

Attachment:

Past and Present Performance Questionnaire

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number: FA4427-15-R-0018

Core Laboraty Solution at Travis AFB, CA

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

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title:

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 1:00 PM 18 September 15

To: 2d Lt Alyssa Militano, Contract Specialist

Email: alyssa.militano.1@us.af.mil

Mr. John F. Clarke, Contracting Officer

Email: john.clarke.1@us.af.mil

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 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 (VG) 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 (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.

Based on the offeror’s performance in the following areas the ratings are:

N U M S VG E

PERFORMANCE/PROGRAM MGMT

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

1 2 3 4 5 6 N/A

2. Cooperated with owner/government personnel after award.

3. Demonstrated ability maintain & replace if necessary equipment during the contract period.

4. Provided materials in accordance with the performance work statement.

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

6. Company headquarters participated in solving significant local problems.

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

8. Identified risks/problems as they occurred.

9. Suggested alternative approaches to problems.

10. Was responsive to contract changes.

11. Effectively managed sub-contractor efforts. 1 2 3 4 5 6 N/A

INVOICING & PROGRESS REPORTS

1. Provided accurate and timely invoices

ORGANIZATION

1. Has demonstrated good organizational structure and accountability.

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”.)

2. Are you aware of any verified ethical problems experience 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?

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”.

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

(please explain under “remarks”)

SUMMARY

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

2. Rate the contractor’s overall performance: 1 2 3 4 5 6 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?

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

Please provide the Name, Organization, email and phone number of the Inspector on this contract in these blocks below.

(Name) (Organization) (Email) (Phone No.)