14-T-0006_PPQ.doc

Attachment. 2 Past Performance Questionnaire

RFP No: FA4486-14-T-0006

PAST/PRESENT PERFORMANCE

EVALUATION QUESTIONNAIRE

When addressing Past/Present Performance evaluation criteria set forth in SF 1449 of the solicitation, the offeror shall forward a copy of the questionnaire to the references listed for whom the offeror has beeb contracted for similar services with the Federal, State, Local Government or from private industry sources during the past three (3) years. The questionnaires must be forwarded to a verified point of contact at each of these agencies or business organizations for completion. Prior to forwarding the questionnaire to each reference, the offeror shall complete Section A (Contractor Information). Offerors are responsible for ensuring that their reference sources receive the questionnaires in time to complete and return the questionnaire to the 65th Contracting Flight, Operations Support Section prior to the proposal due date.

SECTION A: Contractor Information (to be completed by the contractor prior to mailing)

a. Contractor's name and address:

b. Point of Contact:

c. Phone No:

d. Contract Number: _________________________ Contract Type:

e. Project Title:

f. Period of Performance (include start & end dates):

g. Authorization is hereby granted to provide the information in SECTION B of this Questionnaire.

Signature of Authorized Representative Date

Printed Name & Title

SECTION B: RESPONDENT INFORMATION

(To be completed by Past/Present Performance & Work Experience Evaluation respondents)

a. Respondent's address:

b. Respondent's Name:

c. Phone No: _______________ Fax: _________________ Email

d. Contract Number: ________________________ Contract Type:

e. Award Amount: _________________________ Final Amount:

f. Project Title:

g. Period of Performance (Include start & end dates) :

Please mail the completed questionnaire to:

65 CONF/LGCA

Bldg T-615

ATTN: Maria Godinho / TSgt Casey Hamann

APO AE 09720-7775

Or e-mail to maria.godinho.pt@us.af.mil and casey. hamann@us.af.mil If you have any questions regarding this questionnaire you may call Maria Godinho via telephone (011-351-295-576173) Performance Evaluation Instructions: When responding to the descriptive statements, select the letter, which most accurately describes the contractor's performance or situation. If the contractor has no record of past/present performance or work experience relevant to a particular question, select "Neutral".

(see FAR 15.305 (a)(2)(iii) and (iv))

Evaluation of the Contractor's Performance:

I.

Management/Personnel

1.

Provided experienced managers and supervisors

E V S N M U with the technical and administrative abilities to meet contract requirements

2.

Demonstrated ability to hire, maintain, and replace, if E V S N necessary, qualified personnel during the contract period

3.

All personnel were adequately trained

E V S N M U

4.

Required employee certifications were kept up to date

E V S N M U

5.

Delegated authority to project managers and supervisors E V S N commensurate with contract requirements

6.

Provided adequate supervision

E V S N M U

Management/Personnel Overall Performance Rating:

E V S N M U

Respondent’s Comments (please provide comments to support rating above) ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

II.

Quality Control

1.

Followed approved quality control plan

E V S N M U

2.

Provided effective quality control and/or inspection E V S N procedures to meet contract requirments

3.

Corrected defiencies in a timely manner and pursuant to the E V S N quality control procedures.

4.

Provided timely resolution of contract discrepancies

E V S N M U

5.

Identified risks/problems as they occured

E V S N M U

6.

Displayed initiative to solve problems

E V S N M

Quality Control Overall Performance Rating:

S N M U Respondent’s Comments (please provide comments to support rating above) __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

III.

Pricing

1. Contractor provided current, accurate, and complete

V S N M U proposals.

2. Contractor provided current, accurate, and complete

E V S N M U billings.

3. Were there any contract changes, modifications, or terminations E V S N M U made due to the contractor’s failure to accurately estimate cost

4. The contractor’s supporting price/cost information for any

E V S N M U modification was accurate, complete and reasonable (not over inflated or under estimated)

Pricing Overall Performance Rating:

S N

Respondent’s Comments (please provide comments to support rating above) __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IV. Quality Of Product

1. Met established schedules

V S N M U

2. Performed work that met or exceeded acceptable

E V S N M U levels

3. Preventive/corrective maintaince was performed

S N M U IAW the contract.

4. Were there any known safety problems experienced

E V S N M U because of improper plant operations

5. Were there any known environmental problems E V S N M U experienced because of improper plant operations

Quality Of Product overall performance rating:

E V S N M U

Respondent’s Comments (please provide comments to support rating above) _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Other Considerations:

1. Contractor used care in treatment of government furnished

YES

NO

property or other items provided to the contractor

2. Were cure notices, show cause letters ever issued

YES

NO

(If "Yes", please briefly explain circumstatnces in comments section below)

3. Would you award another contract to this contractor

(If “No”, please explain below)

Exceptional Very Good Satisfactory Neutral Marginal Unsatifactory

Overall Rating

Contractor Performance

Respondent’s Signature:__________________________________________

Date:_____________________

For Official Use Only

Source Selection Information -- See FAR 2.101 and 3.104