Attachment_2_PPQ's_for_Catholic.pdf

Attachment 2 Solicitation: FA4690-18-Q-A017

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DEPARTMENT OF THE AIR FORCE

28TH CONTRACTING SQUADRON (AFGSC)

ELLSWORTH AIR FORCE BASE SOUTH DAKOTA

PAST PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: Telephone Number:

Address: Point of Contact:

Email:

CAGE Code: DUNS Number:

Contract Number: Dollar Amount:

Contract Type: Date of Award:

Contract Period or Dates of Performance Provided by Offeror:

Project Title and Brief Description of Work or Services performed: **

Contractor performed as the Prime Contractor Sub-Contractor

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: __________________________ Title: ____________________________

Address: ________________________________ Telephone Number: ___________________

________________________________ Email Address: _______________________

C. EMAIL COMPLETED SURVEY FORM TO: tanner.meyer@us.af.mil and tyler.jordan.6@us.af.mil.

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D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (A, U and UNK) that most accurately describes the contractor’s performance or situation. Please provide an explanation for any ratings of U.

Rating Definition

Acceptable (A)

Based on the offeror's performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror's performance record is unknown.

Unacceptable (U)

Based on the offeror's performance record, the Government does not have a reasonable expectation that the offeror will be able to successfully perform the required effort.

Unknown (UNK)

In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so spars that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the offeror shall be determined to have unknown past performance.

CONTRACTOR’S NAME: _________________ CONTRACT NUMBER: ________________

Place an “X” in the appropriate column using the definitions matrix above. Explain the circumstances of any “unsatisfactory” rating or general comments in the “Remarks” area of each item.

A U UKN

1 Rate how well the contractor oversaw comprehensive

Catholic religious education and formation programs for the parish community.

Remark:

A U UKN

2 Rate how well the contractor worked with other religious services staff members.

Remarks:

3 Rate how knowledgeable the contractor was with providing pastoral care in a diverse and pluralistic religious environment.

4 Rate how flexible, cooperative, and reasonable the contractor was/is in meeting mission requirements, particularly during short-notice mission changes.

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5 Was the contractor ever issued a cure or show cause notice, or was the contract terminated? If yes, please explain.

YES

NO

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

YES NO

E-Mail to: tanner.meyer@us.af.mil tyler.jordan.6@us.af.mil