Attch_8_Past_Performance_Questionaire.pdf

Attachment 8 For Official Use Only FA4626-17-R-0005 When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Past Performance Questionnaire

For Official Use Only Page 1 of 7

The 341st Contracting Squadron, Malmstrom AFB, Montana of the Air Force Global Strike Command is in the process of competitively selecting a source for an electrical component upgrade project.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than 8 May 2017 This schedule will allow us sufficient time to analyze the data prior to the start of negotiations, evaluation boards, and/or selection of an apparent awardee.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to tamara.wyatt.2@us.af.mil. Your completed questionnaire will become a part of the official source selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

MARK D. JEFFERSON

Contracting Officer 341st Contracting Squadron 7015 Goddard Drive Malmstrom, AFB, Montana, 59402

1 Atch Past Performance Questionnaire http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

Past Performance Questionnaire

For Official Use Only Page 2 of 7

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Note: If offeror holds or has held other contracts with your agency/organization in the last three (3) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

Past Performance Questionnaire

For Official Use Only Page 3 of 7

C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/fax number/e-mail address:

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

E. Other suggested points of contact:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

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

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

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

Past Performance Questionnaire

For Official Use Only Page 4 of 7

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Note: The following are SAMPLE questions. Past Performance evaluation teams MUST construct a simple and concise Past Performance Questionnaire, tailored to seek out key information tied to the significant aspects of the planned acquisition. Avoid questions that can be answered with a “yes” or “no” but instead include probing and direct questions to draw out the required information desired.

The Contractor: E V S M U N/A

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

SUPPORTING INFORMATION:

2. Demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

SUPPORTING INFORMATION:

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

SUPPORTING INFORMATION:

4. Home office participated in solving significant local problems.

SUPPORTING INFORMATION:

5. Followed approved quality control plan.

SUPPORTING INFORMATION:

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

SUPPORTING INFORMATION:

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

Past Performance Questionnaire

For Official Use Only Page 5 of 7

The Contractor: E V S M U N/A

SUPPORTING INFORMATION:

8. Provided timely resolution of contract discrepancies.

SUPPORTING INFORMATION:

9. Identified problems as they occurred.

SUPPORTING INFORMATION:

10. Suggested alternative approaches to problems.

SUPPORTING INFORMATION:

11. Displayed initiative to solve problems.

SUPPORTING INFORMATION:

12. Developed realistic progress schedules.

SUPPORTING INFORMATION:

13. Met established project schedules.

SUPPORTING INFORMATION:

14. Provided timely resolution of warranty defects.

SUPPORTING INFORMATION:

15. Was responsive to contract changes.

SUPPORTING INFORMATION:

16. Provided adequate project supervision.

SUPPORTING INFORMATION:

Past Performance Questionnaire

For Official Use Only Page 6 of 7

The Contractor: E V S M U N/A

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

SUPPORTING INFORMATION:

18. Paid subcontractors/suppliers in a timely manner.

SUPPORTING INFORMATION:

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

SUPPORTING INFORMATION:

20. Cooperated with Government personnel after award.

SUPPORTING INFORMATION:

21. Met or exceeded small business and small disadvantaged business goals set forth in the approved subcontracting plan.

SUPPORTING INFORMATION:

22. How would you rate the contractor's overall performance on this contract?

SUPPORTING INFORMATION:

23. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain.

EXPLANATION:

☐ Yes

☐ No

24. Would you award another contract to this contractor? If not, explain.

EXPLANATION:

☐ Yes

☐ No

Past Performance Questionnaire

For Official Use Only Page 7 of 7

Additional remarks:

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

Tamara Wyatt 7015 Goddard Drive, Bldg 145 Malmstrom AFB, MT 59402

FAX to: (406) 731-3748

E-Mail to: tamara.wyatt.2@us.af.mil