Attachment_8_-_PPPQ.docx

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Reference: FA4621-15-R-0002, Simplified Acquisition of Base Engineering Requirements (SABER) When filled in this document is Source Selection Sensitive Information IAW FAR 2.101 and 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

SUBJECT: Request for Past/Present Performance Evaluation

TO: _______________________________________

You have been identified as a point of contact for a past/present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for the Simplified Acquisition of Base Engineer Requirements (SABER) contract supporting McConnell Air Force Base, Kansas and Fort Riley, Kansas.

Your prompt attention to this questionnaire will be greatly appreciated. Return it to the Construction Flight, 22d Contracting Squadron by FAX to 316-759-5634, or attached to an email to john.person@us.af.mil, and gregory.smith.86@us.af.mil. If you have any questions concerning this request, I can be contacted at (316) 759-2254.

JOHN C. PERSON

Contracting Officer

Attachment:

Past and Present Performance Questionnaire

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

Contractor’s Name: ____________________________________ Address: _____________________________________________ Telephone Number: ____________________________________ Fax Number: _________________________________________ Point of Contact: ______________________________________ Project Title or Brief Description of Work:

Contract Number: _____________________* Dollar Amount: $_________________ per _________________* ( Dollar value should include period of performance that applies to this contract, i.e 6 months, 1 year or 5 years) 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

A. RESPONDENT INFORMATION:

Name of Respondent: __________________________________ Title: _______________________________________________ Company Name/Address: _______________________________ Telephone Number: ____________________________________ Fax Number: _________________________________________ Email Address: ________________________________________

B. INSTRUCTIONS TO RESPONDENTS

You have been provided as a reference in response to the solicitation (FA4621-15-R-0002) for Simplified Acquisition of Base Engineering Requirements (SABER) Indefinite-Delivery Indefinite-Quantity contract at the McConnell Air Force Base, KS. In order for the government to evaluate the past performance of the firm providing you as a reference, please complete this questionnaire and forward to the points of contact stated above.

The individual knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgment of others within their organization, as applicable. Please answer all questions honestly and accurately.

Prior to completing the following questionnaire, please review pages 1 to ensure accuracy. Thank you for taking the time to fill out this past performance questionnaire.

Respond within 7 days of receipt of this questionnaire.

When the survey is completed, please fax to 316-759-5634, or e-mail to:

Contract Administrator, SrA Gregory Smith: gregory.smith.86@us.af.mil And Contracting Officer, John Person: john.person@us.af.mil.

Please ensure e-mailed document is MS Word (*.docx) or Adobe readable (*.pdf) format only.

C. PERFORMANCE INFORMATION:

Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF “M” OR “U”.

EXCEPTIONAL

GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

NEUTRAL

CONTRACTOR’S NAME: _____________________________

CONTRACT NUMBER: _______________________________

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

WORK PERFORMANCE QUESTIONS: Circle the letter below that best answers the question based on the definitions matrix above. Provide additional comments when necessary.

A. Quality Control

1. Was the quality of the workmanship sufficient?

2. Were the as-built drawings accurate and timely submitted?

3. Was identification/correction of deficient work accomplished timely?

ADDITIONAL COMMENTS: ________________________________________________________________

B. Timely performance

1. Were submittals provided on time?

2. Did the submittals clearly identify the proposed item?

3. Were progress schedules realistic?

4. Were progress schedules met?

C. Management Effectiveness

1. General Business Practices

a. Were experienced managers/supervisors provided who possessed the technical and administrative abilities necessary to manage the project and meet contractual requirements?

b. Were experienced subcontractors hired?

c. Were subcontractors/suppliers paid timely?

d. Was all contract work completed prior to requesting a final inspection, with no major deficiencies?

e. Were timely and satisfactory responses to warranty issues provided after project completion?

f. Did the contractor cooperate to resolve problems, attend meetings (as applicable) and maintain effective communication to ensure satisfactory resolution?

2. Pricing

a. Were price proposals submitted timely accurately representing the required work?

b. Was accurate, complete and reasonable supporting pricing information provided for modifications/change orders (not overinflated or underinflated)?

3. Site Management/Superintendence

a. Did the site Manager/Superintendent have sufficient authority to make decisions or take action during project performance?

b. Was he/she consistently on site while work was being performed?

c. Did he/she ensure compliance with contract and safety requirements?

d. Was prompt action taken by him/her to resolve problems with work quality?

D. Compliance with Labor Standards

1. Were payrolls submitted timely?

2. Were payrolls completed and accurate?

3. Was the contractor compliant with all labors laws and regulations, with specific attention to the requirements of the Davis-Bacon Act?

E. Compliance with Safety Regulations

1. Were workplace safety standards and regulations (OSHA, Federal, State, Local and Agency) met?

2. Did the contractor submit and implement/enforce an adequate health and safety plan?

F. Compliance with Environmental and Other Standards

1. Did the contractor submit and implement an adequate environmental pollution control plan? (Including, but not limited to recycle and disposal of waste material, hazardous waste management and/or sediment and erosion control.)?

Other Past Performance Considerations

1. Assessment of liquidated damages (frequency, circumstances, severity of problem etc.)

2. Was the contractor cooperative in negotiating modifications so that (Yes No) they would result in fair and reasonable cost adjustments to the contract?

3. The contractor provided all deliverables (including documentation) in (Yes No) a timely and accurate manner.

4. Have there been any labor disputes or violations of public law? (Yes No)

5. Have there been any indicators that the contractor has had any (Yes No) financial difficulties?

6. Contractor submitted modifications and other required proposals in a (Yes No) timely manner.

7. Was the contractor ever issued a Cure or Show Cause Notice (Yes No) under the referenced contract? If yes, explain outcome in “Additional Comments”

Please include any additional comments as appropriate:

Please circle the most applicable statement below:

1. I would enter into another contract with this contractor.

2. I might enter into another contract with this contractor.

3. I would not enter into another contract with this contractor.

ADDITIONAL REMARKS:___________________________________________________

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