Attachment_5-Past_Performance_Questionnaire.pdf

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 319TH AIR BASE WING (AMC)

GRAND FORKS AIR FORCE BASE, NORTH DAKOTA

MEMORANDUM FOR

FROM: 319th Contracting Flight

575 Tuskegee Airmen Blvd, Bldg 418

Grand Forks AFB ND 58205-6436

SUBJECT: Request for Past Performance Evaluation, FA4659-14-R-0008, Repair I/I Sanitary

Sewer & Lift Stations, Grand Forks AFB ND

1. You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a contract for Repair Sanitary Sewer & Lift Stations at GFAFB. Please fill out the attached questionnaire in entirety.

2. Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, contact Jennifer Marjanovic at 701-747-5284, email:

jennifer.marjanovic@us.af.mil or the undersigned at 701-747-5299 or by email:

jeremiah.snedker@us.af.mil.

JEREMIAH SNEDKER

Contracting Officer

1 Attachment:

1. Past and Present Performance Questionnaire mailto:jennifer.marjanovic@us.af.mil mailto:jeremiah.snedker@us.af.mil

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ) FA4659-14-R-0008

(Fill all applicable fields)

SECTION 1: CONTRACT IDENTIFICATION

Subject Contractor Name and POC:________________________________________________________

Contractor Address:____________________________________________________________________

Contractor performed as the: PRIME SUB KEY PERSONNEL.

Contract Title:_________________________________________________________________________

Contract Number: ______________________Contract Type(e.g., FFP, FPIF, CPIF, CPFF):___________

Was this a competitive contract? Yes _____ No _____

Contract Start Date:______________________Contract End Date:_______________________________

Date of Most Recent Service Provided:_____________________________________________________

Initial Contract Cost: $_____________________Total Modification Increase/Decrease $_____________

Current/Final Contract Cost: $____________________________________________________________

Total Amount Actually Spent on Contract: $_________________________________________________

Description of Contract and Services provided:

Reasons for differences between initial contract cost and final contract costs:

Description of Total Funds Expended:

SECTION 2: EVALUATOR IDENTIFICATION(Person filling out survey)

A. Evaluators Name (s):_________

B. Position (e.g., Program Manager, PCO/ACO):

C. Description of Evaluators Contract Involvement:

D. Length of time (number of years/months) evaluator worked on subject contract:__________________

E. Phone Number(s): ______

F. Email Address:_____________________________________________________________________

G. Other suggested points of contact: ______

SECTION 3: PERFORMANCE INFORMATION:

See the table below for guidance on how to fill out the following survey. Please fill out survey completely to include narratives with detail.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met 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/met 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 were effective.

Performance meets/met 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/did 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.

Performance does not meet/did 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.

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

Using the definitions matrix above, choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. Place an “X” in the appropriate column below:

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.

The contractor: E G S M U N

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

22. Contractor complied with all requirements of the subcontracting plan as required by FAR 52.219-9.

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

YES/NO

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

“Narrative.”

YES/NO

Narrative for Questions 1-23: *Please provide a narrative explanation for any ratings of (E)

Exceptional, (M) Marginal, or (U) Unsatisfactory.*

24. Was this contract partially or completely terminated for default or convenience or is there any pending terminations? No ___ /Yes___(Default___Convenience___Pending Terminations___) If “Yes”, please explain (e.g., inability to meet cost, performance, or delivery schedules).

25. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs (please explain if yes)?

26. Please provide any additional comments concerning this contractor’s performance, as desired.

The undersigned certifies to the best of their knowledge that the information contained herein is accurate and complete.

Evaluator’s Signature Date

Please return this completed questionnaire to:

Jennifer Marjanovic

EMAIL: jennifer.marjanovic@us.af.mil

FAX No: 701-747-5284

Thank you for your prompt response and assistance!