Attachment_5_Past_Performance_Questionnaire.pdf

FOR OFFICIAL USE ONLY (FOUO)

DEPARTMENT OF THE AIR FORCE

319TH CONTRACTING FLIGHT (ACC)

GRAND FORKS AIR FORCE BASE, NORTH DAKOTA

19 Jun 2018

FOR OFFICIAL USE ONLY

The 319th Contracting Flight of the Air Force Air Combat Command is in the process of selecting a con-tractor for a Static Display Inspection, Washing and Painting program. The contractor shall provide all services, materials, labor, and equipment to provide corrosion control, touch-up painting, major/full painting, repairs with area painting, and other sustainment work for eight (8) aircraft, two (2) missiles and one (1) missile tractor/transporter on static display in the airpark at Grand Forks AFB, ND, in accordance with (IAW) the Performance Work Statement (PWS).

One of the considerations in proposal evaluation is the verification of the offerors' 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 first-hand 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. As discussed in our initial phone contact with your office, our schedule is extremely tight and we need your written response no later than 5 calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out by hand and emailed to nicque.robinson-dela_cruz@us.af.mil. Please call 1st Lt Nicque Robinson-Dela Cruz at 701 747 5682 prior to transmission or if you have any questions. Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this award.

_________________________ 1 Atch Signature Questionnaire

FOR OFFICIAL USE ONLY (FOUO)

DEPARTMENT OF THE AIR FORCE

319TH CONTRACTING FLIGHT (ACC)

GRAND FORKS AIR FORCE BASE, NORTH DAKOTA

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ________________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs: ____________________________

J. Description of service provided: ________________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

Number of years evaluator worked on subject contract: _____________________

SECTION 4: EVALUATION

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

B BLUE/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.

P PURPLE/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.

G GREEN/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 were satisfactory.

Y YELLOW/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.

R RED/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 NOT APPLICABLE - Unable to provide a score.

The questions shown below should be tailored to the Factors/Subfactors of the instant acquisition.

Technical Performance B P G Y R N

T1 Quality & repeatability of operations & maintenance.

T3 Quality/integrity of technical data/report preparation efforts

T4 Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements

T5 Ability to implement current standard practices for computer hardware design, operation, maintenance, upgrades and configuration control

T6 Adequacy/effectiveness of environmental safety procedures

Program Management B P G Y R N

P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

P4. Understand/complied with customer objectives and technical requirements

P5. Successfully responded to emergency and/or surge situations

P6. Quality/effectiveness of sub-contracted efforts

Program Management B P G Y R N

P7. Effectiveness of material management (including Government Furnished Property or Material)

P8. Effectiveness of acquisition management

P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Transition/phase-in B P G Y R N

T1. Contractor ability to smoothly transition resources and personnel.

Employee Retention/Attraction B P G Y R N

E1. Ability to hire/apply a qualified workforce to this effort.

E2. Ability to retain a qualified workforce on this effort.

E3. Effectiveness of employee compensation towards quality of work.

Small and Small Disadvantaged Business Participation B P G Y R N

S1. Ability to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan

S2. Ability to effectively manage small business participation to meet technical performance.

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

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

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address: 319 CONF/LGCA

295 Steen Blvd., Bldg. 242 Grand Forks AFB ND 58205-6222

Or email to: nicque.robinson-dela_cruz@us.af.mil mailto:nicque.robinson-dela_cruz@us.af.mil