Attachment 5 PastPerformanceQuestionaire_10 Mar 10.docx

Solicitation No: FA4800-12-R-0001

Attachment 5

Solicitation No: FA4800-11-R-0009

PAST PERFORMANCE QUESTIONAIRE

The below-named contractor/offeror is being considered for award of a contract for Contractor Civil Engineer Supply Store (COCESS) at Langley Air Force Base, VA, 23665. A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Completed questionnaires can be returned via fax, email or mail to the following:

FAX: 757-764-3884

EMAIL: Patrick.smith12@langley.af.mil

A. GENERAL INFORMATION

Offeror’s Name: B3/CC Distributors

Telephone Number: 757-865-1702,1703 Point of Contact: Mr. Bobby Coleman

B. RESPONDENT INFORMATION

Name: Patrick E. Smith Title Chief, Logistics Support

Organization & Address: 633d Civil Engineer Squadron/CEOSM 37 Sweeney Blvd, Rm 151 Langley AFB, VA, 23665

Telephone: 757 846-6495 FAX: 757 764-3884 Email: patrick.smith12@langley.af.mil

C. CONTRACT INFORMATION

Contract Title: ServMart Contract Period of Performance: 1 Nov 05 - 31 Oct 10 Contract Number: FA480006C0001 Dollar Amount of Contract:_$0.01_ Services Performed: Provide all necessary labor, supervision, equipment, supplies, and materials to manage and operate a hardware supply store, comparable to a full-service, commercial retail store, on Langley AFB. The contractor shall research, cross-reference, identify, procure, issue, deliver, and stock a variety of materials, equipment, parts, tools, and supplies for construction, grounds maintenance, and facility maintenance and repair for use by base personnel.

D. PERFORMANCE INFORMATION

The Air Force will use your survey responses to determine a level of confidence, based on the offeror’s past performance record, concerning the offeror’s ability to successfully perform our requirement in accordance with the contract. Please assign the following performance level codes to each of the questioned areas listed below based on the contractor’s performance at your organization or installation. The confidence codes selected will indicate the degree of doubt concerning performance in each area.

RESPONDENT WILL NOT FURNISH ANY PAST PERFORMANCE INFORMATION TO OFFEROR SUBMITTING A PROPOSAL FOR THIS SOLICITATION.

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:

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or US (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

E. PERFORMANCE EVALUATION AREAS

Please use the above ratings and their assigned definitions to describe the offeror’s performance in the following areas:

2. Contractor ability to provide a fully functional web-based purchasing system with standard industry capabilities to include, but not limited to, the ability to conduct product market research across multiple supplier websites, transmit/receive transactions via the Internet, view order history, view live order tracking/status and modify/cancel orders not shipped yet by individual work order number, attach notes to the purchase order (for internal use only), and the ability to delete purchase order either singularly or by “batch” prior to release.

x

3. Contractor’s ability to track orders and receive status of orders

COMMENTS/REMARKS________________________________________________________________________

5. If a government contract, did the contractor receive any Contract Discrepancy Reports, Letters of Concern, or Cure Notices?_____No________ If yes, please describe:

6. If given the opportunity, would you award another contract to this contractor?___Yes____

Please explain response below:

633d CES is charged with the vital mission to maintain infrastructure here at LAFB. The ServMart operation is an integral part in helping the squadron achieve this goal. The staff provides superior service in assisting personnel in product research and helps ensure we have the proper materials to do the job. B3 has demonwith a professionalism to be superior in every category. ____________________________________________________________________________________________

7. How would you rate the contractor’s overall performance? E VG G M US N/A

Excellent

Signature of Respondent___________________________________ Date____________

Job Title:________________________________________________________________

Thank you for taking the time to complete this questionnaire.

LEGEND OF TERMS

OFFEROR: The contractor in which past performance is being evaluated

SOLICITATION NUMBER: The procurement document number the government uses to identify a specific Request for Proposal (RFP)

RESPONDENT: The person and/or organization evaluating past performance

CONTRACT NUMBER: If the offeror had a contract or purchase order with your company/firm, the identifying contract number associated with awarded contract/purchase order

CONTRACT TITLE: Project title of work performed

CONTRACT VALUE: Contract/purchase order total dollar value

BRIEF DESCRIPTION OF WORK: Describe type of working being performed