Attachment_5_-_Past_Performance_Questionnaire_with_Cover_Letter_-_protective_coating.pdf

DEPARTMENT OF THE AIR FORCE

TH

CONTRACTING FLIGHT

GRAND FORKS AIR FORCE BASE NORTH DAKOTA

MEMORANDUM FOR (Insert POC Name)______________

FROM: 319th Contracting Flight

575 Tuskegee Airmen Blvd, Bldg 418

Grand Forks AFB ND 58205-6436

SUBJECT: Request for Past Performance Evaluation, FA4659-16-R-0005, Protective Coatings

Maintenance, 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 Protective Coatings Maintanence, Grand Forks AFB ND. Please fill out the attached questionnaire and fax to 701-747-4215 by ______________(insert solicitation close date).

2. Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions, contact Daniel Cary at 701-747-5301, email: daniel.cary@us.af.mil or the undersigned at 701-747-5281 or by email: elizabeth.squires@us.af.mil.

ELIZABETH A. SQUIRES, MSgt, USAF

Contracting Officer

Attachment:

Past and Present Performance Questionnaire mailto:daniel.cary@us.af.mil mailto:elizabeth.squires@us.af.mil

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ) FA4659-16-R-0005

(Fill all applicable fields)

SECTION 1: EVALUATOR IDENTIFICATION (Person filling out survey) Evaluators Name (s):

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

Description of Evaluators Contract Involvement:

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

Phone Number(s):

Email Address:

Other suggested points of contact:

SECTION 2: CONTRACT/PROJECT IDENTIFICATION

Subject Contractor Name and POC:

Contractor Address:

Contractor performed as the (circle one): 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 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 Exceptional

Performance meets/met contractual requirements with many exceeded to the Customer’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.

G Good

Performance meets/met contractual requirements with some exceeded to the Customer’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.

S Satisfactory

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.

M Marginal

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.

U Unsatisfactory

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.

N Neutral 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. Attention to detail and quality of initial performance. (Was work done right the first time?)

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

9. Provided timely resolution of contract discrepancies.

10. Identified potential problems before they were serious or urgent.

11. Provided timely notification of problems or unforeseen conditions as they are found.

12. Displayed initiative in solving problems and suggested effective solutions.

13. Developed realistic progress schedules.

14. Met established project schedules.

15. Provided timely resolution of warranty defects.

16. Understood scope of work and bid accordingly to accomplish all work required to complete the project.

17. Was responsive to contract changes.

18. Provided reasonable cost and time proposals for contract changes.

19. Provided adequate project supervision.

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

21. Paid subcontractors/suppliers in a timely manner.

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

23. Cooperated with personnel after award.

24. How did the Contractor Perform on airfield striping requirements?

25. How did the Contractor Perform on interior painting requirements?

26. How did the Contractor Perform on exterior paiting requirements?

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

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

YES/NO

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

“Narrative.”

YES/NO

Narrative for Questions 1-29: *Please provide a narrative explanation for any ratings of (E) Exceptional,

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

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

26. 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)?

27. 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:

TSgt Daniel Cary and MSgt Elizabeth Squires

EMAIL: daniel.cary@us.af.mil elizabeth.squires@us.af.mil

FAX NUMBER: 701-747-4215

Thank you for your prompt response and assistance!