FA4625-15-R-0006_Whiteman_Flooring_Past_Performance_Questionnaire_18_June_2015.pdf

FA4625-15-R-0006

DEPARTMENT OF THE AIR FORCE

509TH CONTRACTING SQUADRON (AFGSC)

WHITEMAN AIR FORCE BASE, MISSOURI

18 June 2015

The 509th Contracting Squadron, Whiteman Air Force Base, Missouri, Air Force Global Strike Command is in the process of selecting a contractor for a Flooring Indefinite Delivery/Indefinite Quantity contract.

One of the considerations in proposal evaluation is the verification of the offeror’s past and present performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had firsthand experience with an offeror, for the evaluation of the offeror's performance on those contracts.

Our areas of interest in the offeror are summarized in the enclosed questionnaire. Our schedule is extremely tight and we need your written response no later than the date proposals are due to this office.

This schedule will allow us sufficient time to analyze the data prior to evaluation.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out by hand and faxed to (660) 687-7083 (ATTN: A1C Kyle McCort), or email to 509cons.sollgca@whiteman.af.mil.

Please contact the above POC at (660) 687-5428 prior to transmission or if you have any questions.

Your completed questionnaire will become a part of the official Source Selection records.

Your prompt attention to this questionnaire will be greatly appreciated and will be one of the keys to the successful and timely completion of this Source Selection.

JAMES D. McCOY Contracting Officer

Attachment:

Past Performance Questionnaire mailto:509cons.sollgca@whiteman.af.mil

PAST PERFORMANCE QUESTIONAIRE

The below-named contractor/offeror is being considered for award of a contract for Flooring 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 Kyle McCort 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:

1. CUSTOMER SATISFACTION: ADDITIONAL COMMENTS

aa. Customer would have no reservation in awarding another contract to the Contractor.

bb. Cooperative, businesslike and concerned with the interest of the customer.

cc. Provided prompt and courteous service when responding to customer complaints.

Overall rating for Customer Satisfaction E G S M U N

2. ORGANIZATION: ADDITIONAL COMMENTS

aa. Contractor demonstrated clear, logical lines of authority from program manager. Demonstrated technical sufficiency including site superintendents and quality control.

bb. Contractor demonstrated the level of decision-making authority was delegated to staff members, project managers had on-site decision making authority.

cc. Contractor provided dedicated on-site staff (if required by contract).

Overall rating for Organization E G S M U N

3. QUALITY: ADDITIONAL COMMENTS

aa. Contractor provided effective quality control and inspection procedures which resulted in a quality finished project.

bb. Contractor developed and submitted realistic progress schedule(s).

cc. Contractor provided well researched and clearly identified submittals that matched contract requirements.

dd. Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any punch list items.

ee. Contractor complied with all Federal and local laws including OSHA, EPA., etc.

ff. Contractor provided properly designed design drawings/ as-builts and they encompassed all aspects of the Statement of Work.

gg. Contractor’s Quality Control (QC) person had no overlapping of duties or responsibilities that conflicted with performance as

QC.

Overall rating for contractor’s Quality E G S M U N

4. TIMELINESS: ADDITIONAL COMMENTS

aa. Contractor met established project schedules to complete the project on time, as scheduled.

bb. Contractor performed all work without the issuance of a CURE NOTICE or a SHOW CAUSE LETTER (if a notice was issued, please describe the circumstances on a separate sheet of paper and identify if Liquidated Damages were assessed).

cc. Contractor provided timely cost/design proposals.

dd. Contractor submitted the progress schedule and interim progress reports as required.

ee. Contractor provided on – time submittals as required.

ff. Contractor provided payrolls for both their firm and their subcontractors employees as required and scheduled.

gg. Contractor provided timely resolution of all punch list items.

Overall rating for contractor Timeliness E G S M U N

5. RESPONSIVENESS: ADDITIONAL COMMENTS

aa. Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and safety regulations.

bb. Contractor was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the Government to keep the project on schedule or minimize the delay.

cc. Contractor identified problems as they occurred;

corrective action taken when problems occurred, displayed initiative to solve problems; and performed as a “Team Member”.

dd. Contractor realigned performance schedules to meet customer needs when changes occurred.

ee. Contractor responded to warranty issues within the timeframes specified in the contract.

ff. The contractor’s quality control person demonstrated good working relationships with the Government inspectors and the Contracting staff

Overall rating for contractor’s Responsiveness E G S M U N

6. PRICING STRUCTURE: ADDITIONAL COMMENTS

aa. Contractor provided complete, supportable, accurate, and reasonable cost proposals that met the requirements of the project or modification. They were not over-inflated nor were they underestimated.

bb. Contractor demonstrated the ability to control costs and/or design projects or modifications within the magnitude specified.

Overall rating for contractor’s Pricing Structure E G S M U N

7. SAFETY and ENVIRONMENTAL: ADDITIONAL COMMENTS

aa. Contractor demonstrated adequate inspection for safety requirements.

bb. Contractor identified and expediently resolved safety problems.

cc. How well did the contractor comply with environmental dd How well did the contractor comply with safety/security

Overall rating for contractor’s Safety and Environmental E G S M U N

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!