Attachment_3 _Past_Performance_Questionaire.pdf

DEPARTMENT OF THE AIR FORCE

7TH CONTRACTING SQUADRON (ACC)

381 THIRD STREET

DYESS AIR FORCE BASE, TEXAS 79607-1581

28 July 2014

MEMORANDUM FOR PROSPECTIVE EVALUATORS

FROM: 7 CONS/LGCA

381 Third Street Dyess AFB TX 79607-1581

SUBJECT: Solicitation FA4661-14-R-0014, Repair Base Water Mains Phase III, Past Performance Questionnaire

1. The 7th Contracting Squadron is conducting a proposal evaluation for subject solicitation at Dyess AFB, TX. Under the solicitation, the Air Force will perform a Lowest Price Technically Acceptable (LPTA) evaluation. The contractor listed in Section A of the attached questionnaire has identified your office as a source to evaluate the contractor’s past performance and it also authorizes release of this information to our office.

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

3. Please complete the questionnaire as thoroughly as possible and providing comments wherever applicable. For any rating of N, we request you provide an explanatory narrative and attach to your response. The narratives need not be lengthy, but should be detailed and descriptive. Use separate evaluation forms for each contract/order being evaluated.

4. Your time and effort in providing this information is greatly appreciated. The requested information is critical to our evaluation. Please complete and return the completed package as quickly as possible but not later than 2:00 PM CST 11 September 2014. You may email a scanned copy to keaston.simmons@us.af.mil , FAX it to 325-696-4084, or mail it to the following address:

7th Contracting Squadron Attn: SSgt Keaston Simmons 381 Third Street Dyess AFB TX 79607

5. If you have any questions, please call SSgt Keaston Simmons at (325) 696-3152. Thank you for your cooperation and quick response to this request.

RONALD G. MILLER

Director of Business Operations Contracting Officer

Global Power For America mailto:keaston.simmons@us.af.mil

Attachment 3: Repair Base Water Mains Phase III Solicitation FA4661-14-R-0014

SECTION A: Contractor Information (to be completed by the contractor requesting evaluation prior to mailing. NOTE: Contractor shall also include a verbatim copy of each SECTION A (completed and mailed to the proposed respondents) and corresponding respondents’ name/address in VOLUME I (Past Performance), Refer paragraph L-3) A. Contractor’s name and address:

B. Point of Contact:

C. Phone/Fax Numbers (with area code) & E-mail Address:

D. Contract number:

E. Project Title or Description of Work performed under this project:

F. Contractor’s Role (Prime, sub, designer, etc.) _______________________________________________________________________

G. Contracting or Procurement Official (Name & Contact information): ____________________________________________________

H. Contract Type: Firm-Fixed-Price Indefinite-Delivery/Indefinite Quantity Task Order Cost-Reimbursement

I. Project Award Date: Scheduled Completion Date:

Current/Final Completion Date:

J. Project Award Amount: Current/Final Project Amount:

K. Comments (if desired): _________________________________________________________________________________________

L. Authorization is hereby granted to provide the information requested in SECTION B of this Questionnaire.

(Signature)

(Name and Title of Authorizing Official) (Date)

SOURCE SELECTION SENSITIVE

SECTION B: RESPONDENT INFORMATION (to be completed by respondent.)

EVALUATED BY:

(Signature) (Date)

Address:

(Typed or Printed Name)

(Title)

Phone/Fax Numbers (with area code) & E-mail Address

NOTE: The identity of individual(s) providing reference information shall not be disclosed.

PERFORMANCE INFORMATION: Answer the following Performance with a YES (Y) or NO (N) that most accurately describes the contractor’s performance or situation. PLEASE

PROVIDE A NARRATIVE EXPLANATION FOR ANY “N” ON A SEPARATE SHEET

(Part I, Question 1).

Y Yes

N No

N/A Not Applicable

EVALUATION AREAS

I. QUALITY CONTROL: Y N N/A

1. Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project.

2. Contractor developed and submitted realistic progress schedule(s).

3. Contractor provided well researched and clearly identified submittals that matched contract requirements.

4. Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any, punch list items.

II. TIMELY PERFORMANCE: Y N N/A

1. Contractor met established project schedules to complete the project on time, as scheduled.

2. Contractor performed all work without the issuance of a CURE NOTICE or a SHOW CAUSE LETTER (If a notice was issued, please describe the circumstances on a separate sheet of paper and identify if Liquidated Damages were assessed)

3. Contractor provided timely cost proposals.

4. Contractor submitted the progress schedule as required in a timely manner and did not start construction prior to its approval.

5. Contractor provided on-time submittals as required.

6. Contractor provided payrolls for both their firm and their subcontractors’ employees as required and scheduled.

7. Contractor provided timely resolution of all punch list items.

8. Contractor provided interim progress report as required in a timely manner

III. MANAGEMENT EFFECTIVENESS: Y N N/A

1. Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Contractor hired quality subcontractors and effectively managed and coordinated their work.

3. Contractor hired, maintained, and replaced as necessary, qualified personnel and subcontractors/suppliers.

4. Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule.

5. Contractor ensured the site manager was consistently present on site when work was performed.

6. Contractor paid employees/subcontractors/suppliers as required.

7. The contractor cooperated to resolve problems, attended meetings and maintained communication to assure satisfactory resolution.

IV. MANAGEMENT/SUPERINTENDENCE: Y N N/A

1. Site Manager ensured compliance to contract requirements and safety regulations.

2. Site Manager acted promptly to resolve problems and ensure work quality.

3. Site Manager had sufficient authority to make decisions or take actions during project performance.

4. Site Manager consistently present on site when work was performed.

V. COMPLIANCE WITH LABOR STANDARDS: Y N N/A

1. Submitted payrolls in a timely manner.

2. Payrolls were complete and correct.

3. Compliance with labor laws and regulations with specific attention to the Davis-Bacon

Act.

VI. COMPLIANCE WITH SAFETY STANDARDS: Y N N/A

1. Adequacy of Safety Plan.

2. Implementation of Safety Plan.

VII. GENERAL PERFORMANCE: Y N N/A

1. Contractor complied with the Specifications.

2. Contractor handled FOD (Foreign Object Damage) and responded to FOD issues.

3. Contractor adhered to base standards for construction sites. (Example: Site Cleaned up)

4. Contractor conducted and documented daily self-inspections

5. Contractor complied with submittal requirements. (Example: Contractor installed/used materials that were submitted for approval)

6. Contractor substituted “other materials” that were NOT approved by the government without notice.

7. Contractor responded in a timely manner to warranty repair claims

8. When the government claims salvage of materials to be removed, contractor removed them in an undamaged condition and promptly delivered them to the government.

9. Contractor adequately reviewed the government Statement of Objectives (SOO) and noted any deficiencies

10. Contractor coordinated work with government to identify solutions prior to their submission of initial Statement of Work (SOW) proposal packages

11. Contractor complied with rules and regulations