Past Performance.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS AIR MOBILITY COMMAND

JOINT BASE MCGUIRE-DIX-LAKEHURST

11 August 2011

FROM: 87 CONS/LGCC

2402 Vandenberg Avenue Joint Base McGuire-Dix-Lakehurst NJ 08641

SUBJECT: Request for Past Performance Evaluation

1. You have been identified as a point of contact for a past and/present performance evaluation of the firm listed on the attached survey. This firm is currently being considered for the Pest Management Services at Joint Base McGuire-Dix-Lakehurst.

2. Please respond to this survey no later than 26 August 2011. If you have any questions concerning this request, please contact Stephanie Faulkner at (609) 754-0947. Please fax all completed surveys to 609-754-1105 or scan and email to stephanie.faulkner@us.af.mil.

///SIGNED///

KAREN C. THORNGREN

Contracting Officer

Attachment:

Past and Present Performance Survey

Solicitation Number FA4484-11-R-0030

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: ___________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: _________*

Contract Period or Dates of Performance Provided by Offeror: _______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* 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.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number: _____________________ _____________________________ Email Address: _____________________

C. SEND COMPLETED SURVEY FORM TO: ATTN: Stephanie Faulkner fax 609-754-1105 or email stephanie.faulkner@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (SU, SA, L, N and NA) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF L or N.

SU SA L N N/A

Substantial Confidence

Satisfactory Confidence

Limited Confidence

No Confidence Not Applicable

Performance meets contractual requirements with many exceeded to the

Performance meets contractual requirements. The contractual performance of the

Performance does not meet some contractual requirements.

Performance does not meet most contractual requirements

Performance was not observed or not applicable to the current mailto:stephanie.faulkner@us.af.mil�

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.

element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

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.

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.

effort being reported against.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: SU SA L N NA

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

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

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Home office participated in solving significant local problems.

5. Followed approved quality control plan.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

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

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Was responsive to contract changes.

15. Provided adequate project supervision.

The contractor: SU SA L N NA

16. Paid subcontractors/suppliers in a timely manner.

17. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

18. Cooperated with Government personnel after award.

19. How would you rate the contractor's overall performance?

20. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

21. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

22. Is the contractor rated in CPARS? YES/NO

23. Was the contractor’s performance in compliance with all local, state, and federal laws and regulations

YES/NO

24. Were there any contractor-caused reportable environmental compliance violations? YES/NO

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER ______________

Remarks:______________________________________________________________________