3._Past_Performance_Questionaire.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 319TH AIR BASE WING (AMC)

GRAND FORKS AIR FORCE BASE, NORTH DAKOTA

MEMORANDUM FOR PROSPECTIVE EVALUATORS

FROM: 319th Contracting Flight/LGCA 575 Tuskegee Airmen Blvd Grand Forks AFB ND 58205-6436

SUBJECT: Solicitation No. FA4659-14-R-0007, Grounds Maintenance—Past and Present Performance Questionnaire

1. The 319th Contracting Flight is conducting a proposal evaluation for subject solicitation at Grand Forks AFB ND. Under the solicitation, the Air Force will perform a past performance evaluation.

The contractor listed in Section A of the attached questionnaire has identified your office as a source to evaluate their past performance and authorizes release of this information to our office.

2. The individual most knowledgeable of the contractor's day-to-day operations and overall performance should complete the survey. However, that individual is encouraged to supplement his or her own knowledge with the judgment of others in the organization.

3. Please complete the questionnaire as thoroughly as possible. For any ratings of M (Marginal) or U (Unsatisfactory), request you provide an explanation in the "Remarks" section. The explanation need not be lengthy, but should be detailed and descriptive.

4. Please complete and return the questionnaire no later than 2:00 PM CST, 04 Jun 14. You may fax your completed questionnaire to Ryan Alfieri, Contract Specialist, at (701) 747-5286, email it to ryan.alfieri@us.af.mil or Matt D. Sanders, Contracting Officer, at matt.sanders.1@us.af.mil, or mail it to the following address:

319th Contracting Flight/LGCA Attn: Ryan Alfieri/Matt Sanders 575 Tuskegee Airmen Blvd Grand Forks AFB ND 58205-6436

5. If you have any questions, please call Ryan Alfieri at (701) 747-5275 or Matt Sanders at (701) 747-5281.

MATT D. SANDERS

Contracting Officer

Attachment:

Past and Present Performance Questionnaire

Grounds Maintenance

FA4659-14-R-007

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* 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.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: __________________ _____________________________ Email Address: _____________________

C. FAX COMPLETED SURVEY FORM TO: SSgt Ryan Alfieri Fax: 701-747-4215 Phone: 701-747-5275

D. 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.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor was effective.

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 were satisfactory.

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element 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.

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.

was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

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

The contractor: E G S M U N

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

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

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

4. Home office participated in solving significant local problems.

5. Followed approved quality control plan.

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

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

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

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

18. Paid subcontractors/suppliers in a timely manner.

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

20. Cooperated with Government personnel after award.

21. Was flexible in performance of changing requirements, such as additional work during emergencies or special events.

22. Identified problems as they occurred; suggested realistic approaches to problems; displayed initiative to solve problems; and performed as a “Team Member”.

23. Facilities were kept clean, particularly in respect to environmental and safety concerns.

24. Was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the

The contractor: E G S M U N government to keep all required services on schedule.

25. Maintained equipment so there was no work stoppage.

26. Realigned service schedules to meet customer needs, as required, with the consent of the QA personnel and the approval of the Contracting Officer.

27. Responded to re-performance requirements within the timeframes specified in the contract.

28. Provided complete, supportable, accurate, and reasonable cost proposals that met the requirements of the contract or modification thereto. They were not over-inflated nor were they underestimated.

29. How would you rate the contractor's overall performance?

30. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

31. Would you award another contract to this contractor? If not, explain in “remarks.” YES/NO

Remarks:______________________________________________________________________