Attach 24 - Past Performance Questionnaire - 19 Jul 10.doc

FA4690-10-R-K102

Attachment 24

3rd Generation Multiple Award Construction Contract (MACC) 8(a)

19 July 2010

PAST PERFORMANCE QUESTIONNAIRE

MEMORANDUM FOR PAST PERFORMANCE

(Place label/address of POC here)

FROM: 28 CONS/LGCB

1000 Ellsworth Street, Suite 1200

Ellsworth AFB SD 57706-4904 SUBJECT: Request for Past Performance Information for RFP FA4690-10-R-K102;

3rd Generation Multiple Award Construction Contract (MACC) 8(a)

1. The 28th Contracting Squadron is in the process of selecting contractors for the Multiple Award Construction Contract. In our proposal instructions to offerors we requested they provide a brief prospectus of all contracts over the past three years that are similar in size and scope of work as the sample project contained in the solicitation as well as point of contact (POC) information (e.g., contracting agency, phone number, name of primary person responsible for the contract, address, e-mail address, and fax number) as one of our award criteria includes the evaluation of the offeror's past performance on prior contracts and contracts currently in progress. It is for that purpose that your comments are solicited on the attached questionnaire. Please have the questionnaire completed by the person(s) most familiar with the contractor’s performance. A simple “N/A” answer may be appropriate when no evidence is available to you in a particular area. Indicate, based on the definitions provided in the questionnaire, the contractor’s performance on the identified contract. Please provide narrative rationales for your answers that are marked less than "satisfactory" or areas that the contractor clearly exceeded contract requirements, e.g., "exceptional." Hand written responses, printed clearly, are sufficient.

2. Please submit your past performance questionnaire directly to the 28th Contracting Squadron (not to the company) either by fax with a cover sheet marked SOURCE SELECTION SENSITIVE INFORMATION to commercial number 605-385-1734, DSN 675-1759, or via e-mail (which is preferred) to david.goff@ellsworth.af.mil as soon as possible but no later than 2 Feb 11, 4:30 p.m. Mountain Standard Time*.

3. Please do not hesitate to contact our office if you have any questions regarding the questionnaire. If additional information is required, please contact me at your earliest convenience. Thank you in advance for your cooperation.

//SIGNED//

DAVID L. MENDELSOHN

Contracting Officer

Attachment:

Past Performance Questionnaire

Questionnaire on Contractor’s Present and Past Performance

Request you provide the following information on the contractor’s present and past performance by placing an X in the space provided by the most appropriate response. If you wish to elaborate on your answer, please provide comments on the lines provided after each question. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submittal to the 28th Comptroller and Contracting Squadron. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgement of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified program.

Performance Assessment Rating Description

NO

CONFIDENCE

Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.

Individual’s Name, Title, and Phone Number Completing Questionnaire:

Company’s Name: ______________________________________________________________________

Contractor’s Name:

Contract Number:

Contract Title:

Period of Performance (Including Options): __________________________________________________

Contract Amount (Including Options): ______________________________________________________

Contract Type: Firm Price______ Cost Reimbursement______ Other (Specify)_____________________

MANAGEMENT

1. Rate the contractor on their ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies, and weather delays without falling behind the regular schedule.

Substantial Satisfactory Limited

No

Unknown

Confidence

Confidence

Comments: ______________________________________________________________________________________

QUALITY OF SERVICE

2. Rate the contractor on their ability to provide effective quality control and/or inspection procedures to meet contract requirements and their ability to take appropriate action to take to correct deficiencies when identified. (Does the contractor conform with the government accepted quality control plan? Does the contractor provide effective quality control and /or inspection procedures to meet contractual requirements?)

Limited

Confidence

3. Rate the contractor’s ability to proactively recognize and resolve unanticipated difficulties. (Does contractor display initiative to solve problems? Does contractor identify risks/problems as they occur?)

Limited

Confidence

Comments: _____________________________________________________________________________________

TIMELINESS OF PERFORMANCE

4. Rate the contractor on their ability to provide a sufficient number of qualified personnel to ensure all contract requirements were successfully completed in an expedient manner. (Does contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?)

Limited

Confidence

CUSTOMER SATISFACTION

5. Rate the working relationship between the contractor and your company and your designated representatives. (Includes inspection personnel)

Limited

Confidence

6. Rate the contractor on their environmental awareness. (Includes environmental compliance and environmental initiatives, such as affirmative procurement)

Limited

Confidence

7. Has the contractor ever been given a Cure Notice, Show Cause Notice, Letter of Concerns, or had payment withheld for services not rendered?

Number of Cure Notices: _____

Number of Show Cause Notices: _____

Number of Letter of Concerns: ____

Number of times payment withheld for services not rendered: _____

Comments: ______________________________________________________________________________________

SUMMARY

8. Would you hire this contractor again? Highly Likely Likely Unlikely Highly Unlikely