6._Attch_8_Past_Performance_Questionnaire.docx

SSP ATTACHMENT 7

PAST PERFORMANCE QUESTIONNAIRE

You have been provided as a reference in response to Solicitation FA4661-16-R-0003: Dyess AFB, TX Moving and Storage Services in order for the Government to evaluate the past performance of the firm providing you as a reference. Please provide concise comments regarding your assessment of the Contractor’s performance regarding this project. The name of individuals providing reference information about an Offeror’s past performance shall not be disclosed in accordance with FAR 15.306(e)(4).

Upon completion of this survey, please email it to TSgt Gary Conn at gary.conn@us.af.mil and Liz Walker at margaret.walker.1@us.af.mil no later than 28 Feb 2017, 3:00 P.M. CST.

The individual knowledgeable of the Contractor’s day to day operations and overall performance should complete this questionnaire. The individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgement of others within their organization, as applicable.

1. RESPONDENT INFORMATION: Please provide the information requested below to assist the Government. You may be contacted for additional information pertaining to past/present performance of the Contractor identified below. This information will be kept confidential.

A. Company Name:

B. Name:

C. Position and Title:

D. Telephone:

E. Address:

F. Relationship and Time involved with the Contractor:

2. CONTRACT INFORMATION: Please provide the following information about the Contractor provided or are currently providing services for your company/agency:

A. Contractor:

B. Contractor’s Address:

C. Point of Contact:

D. Contract Number, if applicable:

E. Period of Performance (entire period):

F. Contract Type:

G. Contract Amount (Basic year and all option years):

H. Prime Contractor: YES/NO

I. Description of Work Performed What services were/currently provided to your company/agency? Please describe it concretely. What is the level of complexity?

3. PERFORMANCE INFORMATION

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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 most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

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

COMMENTS:

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

3. Contractor furnished proper vehicles and crew members for move requirements.

4. Contractor furnished proper containers, crates, and packing materials.

5. Contractor’s ability to meet specific response times and required time frames for providing the services.

6. Contractor’s flexibility in satisfying the requirements of its customers.

7. Key personnel were knowledgeable about contractual requirements.

8. Contractor provided timely resolution of contract discrepancies.

9. Contractor managed subcontractors well.

10. Contractor’s safety standards to meet the applicable Government policies, regulations, and contract requirements.

11. Contractor retained the necessary skilled personnel and maintained a low turnover rate.

12. Contractor was responsive to contract changes.

13. Cooperated with Government personnel after award.

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

15. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.

EXPLANATION:

☐ Yes ☐ No

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

EXPLANATION:

☐ Yes ☐ No

Additional remarks:

The undersigned hereby confirms that the information provided in this document is correct as written. Should any corrections be required, the undersigned shall contact the Contract Administrator at 325-696-8239 or email: gary.conn@us.af.mil by XX Month 2016, TIME CST.

Respondent’s Signature Date