FA4625-15-R-0001_Atch_9_COCESS_Past_Performance_Questionnaire_27_Apr_2015.pdf

FA4625-15-R-0001

PAST PERFORMANCE QUESTIONAIRE

The below-named contractor/offeror is being considered for award of a contract for Contractor Operated

Civil Engineer Supply Store (COCESS) at Whiteman AFB, MO. A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Completed questionnaires can be returned via fax, email or mail to the following:

509 CONS/LGCA

ATTN: A1C Deric Ebersohl

660 Tenth Street, Ste 222

Whiteman AFB, MO 65305

Or FAX to: (660) 687-7083

Or email: 509cons.sollgca@whiteman.af.mil

A. GENERAL INFORMATION

Offeror’s

Name:_______________________________________________________________________________

Address:_____________________________________________________________________________

Telephone Number:________________________ Point of Contact:____________________________

B. RESPONDENT INFORMATION

Name:_____________________________________

Title:_____________________________________________

Organization &

Address:_________________________________________________________________________

Telephone: ___________________ FAX:__________________

Email:___________________________________

C. CONTRACT INFORMATION

Contract Title:______________________________________________________________________

Period of Performance:__________________________ Contract

Number:__________________________________

Total contract value, including all modifications and options:__________________________________

Annual contract expenditures:__________________________________________________ mailto:509cons.sollgca@whiteman.af.mil

Total occupied square footage of facilities supported:_______________________________________

Number of separate and distinct commodities provided under contract:_________________________

Description of contract effort:___________________________________________________________

(Include whether the effort supported a multi craft facility maintenance operation providing building supplies, repair parts and system components to carpenters, electricians, heating, ventilation and air conditioning mechanics, plumbers, and entomologists)

D. PERFORMANCE INFORMATION

The Air Force will use your survey responses to determine a level of confidence, based on the offeror’s past performance record, concerning the offeror’s ability to successfully perform our requirement in accordance with the contract. Please assign the following performance level codes to each of the questioned areas listed below based on the contractor’s performance at your organization or installation.

The confidence codes selected will indicate the degree of doubt concerning performance in each area.

RESPONDENT WILL NOT FURNISH ANY PAST PERFORMANCE INFORMATION TO

OFFEROR SUBMITTING A PROPOSAL FOR THIS SOLICITATION.

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E

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

VG

VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S

SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.

M

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

US

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

N/A NOT APPLICABLE - Unable to provide a score.

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or US (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

E. PERFORMANCE EVALUATION AREAS

Please use the above ratings and their assigned definitions to describe the offeror’s performance in the following areas:

E VG S M US N/A

1. Contractor’s ability to provide user access to the system via a web browser without requiring client software

2. Contractor ability to provide a fully functional web-based purchasing system with standard industry capabilities to include, but not limited to, the ability to conduct product market research across multiple supplier websites, transmit/receive transactions via the Internet, view order history, view live order tracking/status and modify/cancel orders not shipped yet by individual work order number, attach notes to the purchase order (for internal use only), and the ability to delete purchase order either singularly or by “batch” prior to release.

3. Contractor’s ability to track orders and receive status of orders

4. Contractor’s ability to perform a search using a generic description or keyword for items listed in the catalogs

5. Overall contract compliance in providing correct the commodity items on time and at a fair and reasonable price

6. Contractor maintained acceptable level of stock items for immediate issue/purchase

7. Contractor provided on-time delivery within original delivery date

8. Contractor’s overall quality of customer service

9. Contractor’s willingness and effectiveness in correcting identified deficiencies

10. Overall quality of service

11. Contractor met all applicable environmental requirements

12. Contractor provided experienced managers and supervisors with technical and administrative abilities to meet contract requirements

13. Contractor effectively managed materials requirements: (i.e.

maintained adequate stock levels)

14. Contractor maintained records/reported data

15. Contractor’s overall management and responsiveness

COMMENTS/REMARKS_______________________________________________________________

F. If a government contract, did the contractor receive any Contract Discrepancy Reports, Letters of

Concern, or Cure Notices?_____________ If yes, please describe:

G. If given the opportunity, would you award another contract to this contractor?_______

Please explain response below:

H. How would you rate the contractor’s overall performance? E VG G M US N/A

Signature of Respondent___________________________________ Date____________

Job Title:________________________________________________________________

Thank you for taking the time to complete this questionnaire.

LEGEND OF TERMS

OFFEROR: The contractor for which past performance is being evaluated

SOLICITATION NUMBER: The procurement document number the government uses to identify a specific

Request for Proposal (RFP)

RESPONDENT: The person and/or organization evaluating past performance

CONTRACT NUMBER: If the offeror had a contract or purchase order with your company/firm, the identifying contract number associated with awarded contract/purchase order

CONTRACT TITLE: Project title of work performed

CONTRACT VALUE: Contract/purchase order total dollar value, including all modifications and options

BRIEF DESCRIPTION OF WORK: Describe type of work being performed, to include whether the effort supported a multi craft facility maintenance operation providing building supplies, repair parts and system components to carpenters, electricians, heating, ventilation and air conditioning mechanics, plumbers, and entomologists.

Thank you for your prompt response and assistance!