Attach_5_-_Past-Present_Performance_Questionnaire.pdf

Aircraft Hangar Door Maintenance Services McConnell AFB

Attach 5 – Past Performance

FA462119RA015

Solicitation

Questionnaire

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

PAST & PRESENT PERFORMANCE QUESTIONNAIRE

SUBJECT: Request for Past Performance Evaluation

OFFEROR BEING EVALUATED:

TO:

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for the Hangar Door Maintenance Services contract at McConnell Air Force Base, Kansas. In order for this questionnaire to be valid for solicitation evaluation purposes, it must be sent/received directly from the person/company responding to this request to the 22d Contracting Squadron identified below.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at (316) 759-4525.

Please return the completed questionnaire via email to the contract administrator, SSgt Daniel Parks at daniel.parks.2@us.af.mil. He may also be reached at (316) 759-4537.

X Kenneth A. Butler Contracting Officer

Attachment:

Past & Present Performance Questionnaire mailto:daniel.parks.2@us.af.mil

Aircraft Hangar Door Maintenance Services McConnell AFB

Attach 5 – Past Performance

FA462119RA015

Solicitation

Questionnaire

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

PAST & PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name:

Point of Contact:

Telephone:

Address:

Project/Title of Work and Brief description of Work Performed:

Contract Number:

Dollar Value: per:

(Dollar Value should identify whether a total contract or 1-time job price, or the length/period (example: per year).

Contract Period of Performance and Dates: (Please specify the length of time (start/end dates) of the contract/work performed. If it was a 1-time job or whether there was option years/multiple years of performance).

The Contractor performed as:

Prime Contractor Sub-Contractor Key Personnel

Aircraft Hangar Door Maintenance Services Attach 5 – Past Performance

FA462119RA015

Solicitation McConnell AFB Questionnaire When Filled In This Document Is Source Selection Sensitive Information

IAW FAR 2.101 and FAR 3.104

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Telephone:

Email:

Address:

C. PERFORMANCE INFORMATION:

For assessment purposes, please use the following ratings and definitions:

Exceptional – Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good – Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory – Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal – Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory – Performance does not meet most contractual requirements 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.

FA462119RA015 Aircraft Hangar Door Maintenance Services Attach 5 –

Solicitation McConnell AFB Questionnaire When Filled In This Document Is Source Selection Sensitive Information

IAW FAR 2.101 and FAR 3.104 Description of Work, Key Tasks, Workloads, Quantities, Frequency:

(Please identify the tasks performed under this requirement being assessed. Try to include the major/key tasks and workloads, any quantities, frequency, etc.)

Did the requirement include routine inspection & maintenance? (whether annual, semi-annual, monthly, etc.)

Did the requirement include routine and emergency (24/7) responses? Included a service call/response, drafting of quotes for repair work, and performing repair work as needed for various types of hangar doors?

Was a CPARS report completed on the contractor regarding this requirement?

FA462119RA015 Aircraft Hangar Door Maintenance Services Attach 5 –

Solicitation McConnell AFB Questionnaire When Filled In This Document Is Source Selection Sensitive Information

IAW FAR 2.101 and FAR 3.104 Using the ratings and definitions described above, please rate the company’s overall performance regarding the following areas:

QUALITY: OVERALL RATING:

Comments regarding quality of work and how well the contractor met the requirements:

SCHEDULE: OVERALL RATING:

Comments regarding contractor's ability to deliver/perform work on time.

MANAGEMENT: OVERALL RATING:

Comments regarding contractor's overall management and supervision in performing the contract requirement. This may also include management of key personnel.

Business Relationships - How well did the Contractor communicate, and work with the government/your company.

REGULATORY COMPLIANCE: OVERALL RATING:

Comments regarding contractor's compliance with contract clauses, regulatory compliance requirements, and quality control.

OTHER AREA: OVERALL RATING:

Any other key, unique, or specific aspects/areas regarding this requirement? – If not you may leave blank.

FA462119RA015 Aircraft Hangar Door Maintenance Services Attach 5 –

Solicitation McConnell AFB Questionnaire When Filled In This Document Is Source Selection Sensitive Information

IAW FAR 2.101 and FAR 3.104 CONTRACT/PERFORMANCE ISSUES: Please include any comments regarding problems or issues regarding performance on this requirement.

ADDITIONAL COMMENTS: Please feel free to include any additional comments, concerns, issues, positive feedback related to the contractor’s performance regarding this requirement: (the government may request to interview/speak with you to clarify any concerns regarding performance during the evaluation process). You may include attachments such as a contract, the requirements description (Performance Work Statement (PWS), etc.)

Please email this completed Questionnaire to: SSgt Daniel Parks at: daniel.parks.2@us.af.mil