Attachment 10 - Past Performance Survey.docx
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- Simplified Acquisition of Base Engineering Requirements (SABER) Federal contract opportunity
- Solicitation number
- FA4608-11-R-0020
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Attachment 10 Past Performance Survey
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DEPARTMENT OF THE AIR FORCE
2D CONTRACTING SQUADRON (AFGSC)
BARKSDALE AIR FORCE BASE, LOUISIANA
MEMORANDUM FOR PROSPECTIVE EVALUATORS
FROM: 2 CONS/LGCAB
41 Vandenberg Ave Barksdale AFB LA 71110
SUBJECT: Solicitation FA4608-11-R-0020, Simplified Acquisition of Base Engineer Requirements (SABER) Barksdale AFB, Past Performance Questionnaire
1. The 2d Contracting Squadron is conducting a proposal evaluation for subject solicitation at Barksdale AFB, LA. Under the solicitation, the Air Force will perform a Performance Price Tradeoff (PPT) evaluation. The contractor listed in Section A of the attached questionnaire has identified your office as a source to evaluate the contractor’s past performance and it also authorizes release of this information to our office.
2. The individual most knowledgeable of the contractor’s day-to-day operations and overall condition of performance rendered should complete the survey. However, that individual is encouraged to supplement their own knowledge with the judgment of others in their organization.
3. Please complete the questionnaire as thoroughly as possible by indicating your ratings and providing comments wherever applicable. For any rating of E or F, request you provide an explanatory narrative and attach to your response. The narratives need not be lengthy, but should be detailed and descriptive. Use separate evaluation forms for each contract/order being evaluated.
4. Your time and effort in providing this information is greatly appreciated. The requested information is critical to our evaluation. Please complete and return the completed package as quickly as possible but not later than 2:00 PM CST 27 July 2011. You may email a scanned copy to richard.compton@barksdale.af.mil, FAX it to 318-456-3294, or mail it to the following address:
| 2d Contracting Squadron |
| Attn: Richard H. Compton |
| 41 Vandenberg Ave |
| Barksdale AFB LA 71110 |
5. If you have any questions, please call Richard Compton at (318) 456-6739. Thank you for your cooperation and quick response to this request.
| MARLA J. POIRIER |
| Contracting Officer |
SECTION A: Contractor Information (to be completed by the contractor requesting evaluation prior to mailing) A. Contractor’s name and address:
B. Point of Contact:
C. Phone/Fax Numbers (with area code) & E-mail Address:
D. Contract number:
E. Project Title or Description of Work performed under this project:
F. Contract Type: |_| Firm-Fixed-Price |_| Indefinite-Delivery/Indefinite Quantity Task Order |_| Cost-Reimbursement
G. Project Award Date: Scheduled Completion Date:
Current/Final Completion Date:
H. Project Award Amount: Current/Final Project Amount:
I. Contractor being evaluated performed as the |_| Prime Contractor |_| Subcontractor |_| Supplier on this contract/order.
J. Authorization is hereby granted to provide the information requested in SECTION B of this Questionnaire.
(Signature)
(Name and Title of Authorizing Official) (Date)
SECTION B: RESPONDENT INFORMATION (to be completed by respondent.)
EVALUATED BY:
(Signature) (Date)
| Address: | |
| (Typed or Printed Name) |
(Title)
Phone/Fax Numbers (with area code) & E-mail Address NOTE: The identity of individual(s) providing reference information shall not be disclosed.
D. PERFORMANCE INFORMATION: Circle the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.
Based on the offeror’s performance record:
TABLE 3-PERFORMANCE CONFIDENCE ASSESSMENTS
| Rating |
| Description |
| SUBSTANTIAL CONFIDENCE (SUC) (5) |
| Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort. |
| SATISFACTORY CONFIDENCE (SC) (4) |
| Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort. |
| LIMITED CONFIDENCE (LC) (2) |
| Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort. |
| NO CONFIDENCE (NC) (1) |
| Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort. |
| UNKNOWN CONFIDENCE (UC) (3) |
| No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned. |
NC LC UC SC SUC
PERFORMANCE/PROGRAM MGMT
1. Upon award the contractor was timely in 1 2 3 4 5 N/A fulfilling contract requirements (submitting documents, starting work, submitting materials & acknowledgements, etc)?
2. Cooperated with government personnel 1 2 3 4 5 N/A after award.
3. Demonstrated Professionalism 1 2 3 4 5 N/A during negotiations.
4. Demonstrated ability to hire, maintain & 1 2 3 4 5 N/A replace if necessary, qualified personnel during the contract period.
5. Provided experienced employees with the 1 2 3 4 5 N/A technical & administrative abilities to meet contract requirements.
6. Provided material submittals in accordance 1 2 3 4 5 N/A with the contract requirements.
7. Demonstrated ability to keep 1 2 3 4 5 N/A change orders at a minimum.
8. Provided payrolls in a timely manner. 1 2 3 4 5 N/A
9. Maintained a single point of contact to 1 2 3 4 5 N/A manage and resolve problems.
10. Provided adequate employee supervision. 1 2 3 4 5 N/A
11. Company headquarters participated in solving 1 2 3 4 5 N/A significant local problems.
12. Corrected deficiencies in timely manner & 1 2 3 4 5 N/A pursuant to their quality control procedures.
13. Met established turnaround times 1 2 3 4 5 N/A for required periodic contract reports, etc.
14. Identified risks/problems as they occurred. 1 2 3 4 5 N/A
15. Suggested alternative approaches to problem. 1 2 3 4 5 N/A
16. Was responsive to contract changes. 1 2 3 4 5 N/A
17. Effectively managed sub-contractor 1 2 3 4 5 N/A efforts.
18. Do you have any reservations about Yes ( ) No ( ) N/A ( ) having this contractor perform another contract for you? (If yes, please explain under “remarks”.)
19. Rate the contractor’s overall performance 1 2 3 4 5 N/A under this contract.
ORGANIZATION
1. Has demonstrated good organizational 1 2 3 4 5 N/A structure and accountability.
2. If there were problems with the onsite supervision, Yes ( ) No ( ) N/A ( ) were you able to easily resolve those problems with the company’s management? (Please explain under “remarks”.)
3. Are you aware of any documented organizational Yes ( ) No ( ) N/A ( ) deficiencies with the contractor?
(If yes, please explain under “remarks”.)
LEGAL
1. Are you aware of any legal problems experienced by Yes ( ) No ( ) N/A ( ) the contractor? (Please explain under “remarks”.)
2. Are you aware of any verified ethical problems Yes ( ) No ( ) N/A ( ) experienced by the contractor? (Please explain under “remarks”.)
GOVERNMENT CONTRACTS ONLY
1. Was the contractor ever issued a cure notice Yes ( ) No ( ) N/A ( ) or show cause? If yes, explain outcome in “remarks”.
2. Has the contract been partially or completely terminated Yes ( ) No ( ) N/A ( ) 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. Yes ( ) No ( ) N/A ( ) If yes, explain in “remarks”.
3. Was there any specific task order that had problems?
(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?
Please add any additional comments concerning this contractor’s performance.
Remarks:
Please provide the Name, Organization, e-mail and phone number of the Project Manager or Project Inspector on this contract in the blocks below.
| _________________ | __________________ | _______________________ | _____________________ |
| (Name) | (Organization) | (E-mail) | (Phone Number) |
FA4608-11-R-0020
ATTACHMENT 10
FA4608-11-R-0020
ATTACHMENT 10
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