A2_-_JB-MDL_ISWM_PPQuestionnaireRev2_20160829.pdf

Past Performance Questionnaire, Revision 2

The 87th Contracting Squadron of the Air Force Air Mobility Command is in the process of competitively selecting a source for integrated solid waste management services at Joint Base McGuire Dix Lakehurst.

Under this contract, the contractor shall provide all personnel, equipment, tools, materials, vehicles, supervision, and other items and services necessary to perform solid waste collection at Joint Base

McGuire Dix Lakehurst.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than 6 Sep 2016 at 4:00EST. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to joe.molina@us.af.mil and luelmer.brown@us.af.mil or faxed to 609-754-

3735 (Attention: MSgt Joe Molina). Please call MSgt Joe Molina at (609)754-2430 prior to fax transmission or if you have any questions. Your completed questionnaire will become a part of the official source selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

LUELMER BROWN

Contracting Officer

Attachment

Present/Past Performance Questionnaire

Revision 2

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

mailto:joe.molina@us.af.mil mailto:luelmer.brown@us.af.mil http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Section 1: Contract Identification

A. Contractor(Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date through

2. Current Schedule (assuming all options exercised):

Beginning Date through

3. Reason for difference (if applicable):

H. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Note: If offeror holds or has held other contracts with your agency/organization in the last five (5) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/fax number/e-mail address:

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

E. Other suggested points of contact:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

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

The contractor: E V S M U 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

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

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

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. Was responsive to contract changes.

13. Provided adequate project supervision.

14. Paid subcontractors/suppliers in a timely manner.

The contractor: E V S M U NA

15. Cooperated with Government personnel after award.

16. How would you rate the contractor's overall

17. Met or exceeded small business and small disadvantaged business goals set forth in the approved subcontracting plan?

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

YES/NO

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

YES/NO

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

CONTRACTOR’S NAME: CONTRACT NUMBER

Remarks: