Atch 4 PP Questionnaire.doc

DEPARTMENT OF THE AIR FORCE

HEADQUARTERS 49TH WING (ACC)

HOLLOMAN AIR FORCE BASE, NEW MEXICO

15 November 2011

Solicitation No.: FA4801-11-R-0001

Project Title: Base Telecommunications System

MEMORANDUM FOR CONTRACTING OFFICERS/PROJECT OWNERS

FROM:

49th CONTRACTING SQUADRON/LGCA

490 First Street, Ste 2160

Holloman AFB, NM 88330-8277

SUBJECT: Past Performance Questionnaire

1. One of the integral considerations in proposal evaluations is the verification of the offeror’s past and present performance on contracts, which reflect the offeror’s ability to perform. We depend on information received from agencies such as yours that have had first-hand experience with the offeror, and for the evaluation of their performance. Therefore, we request the attached questionnaire be completed concerning the offeror’s past and present performance.

2. The Government’s areas of interest in the offeror are summarized in the enclosed questionnaire. Because of your association with the offeror, you are urged to submit comments on Base Telecommunication System services or similar programs for which your activity has contracts or administers contracts with the offeror. Any additional information you think would benefit the Government in our evaluation of the offeror’s proposal would be appreciated. Please note we may contact the offeror on problems or areas of concerns identified to see what corrective actions have been taken or will be taken. Even though the offeror was required to provide points of contact for each reference provided to the Government, the individual’s name completing this questionnaire will not be disclosed to the offeror.

3. Due to time constraints, it is imperative that the questionnaire be completed and returned not later than 06 January 2012 to the 49th CONTRACTING SQUADRON/LGCA, ATTENTION: TSgt Julius Christopher Williams, Solicitation # FA4801-11-R-0002, Advanced Life Support Services, 490 First Street, Ste 2160, Holloman AFB, NM 88330-8277. The completed document should be marked Source Selection Sensitive/For Official Use Only. We would appreciate the questionnaire be returned to us by email or FAX (575) 572-7333 and then please mail us your hard copy.

4. If additional information is required, do not hesitate to contact TSgt Julius Christopher Williams (575) 572-7502 email: christopher.williams@holloman.af.mil or the undersigned at (575) 572-5293, email:sally.roberts@holloman.af.mil.

//SIGNED//

SALLY D. ROBERTS, Civ, DAF

Contracting Officer

ATTACHMENT 2 - PAST PERFORMANCE QUESTIONNAIRE

When filled in this document is source selection sensitive information iaw FAR 3.104

SECTION 1: CONTRACTOR INFORMATION

A. Contractor: _______________________________________________________________________

B. Cage code of contractor contract was awarded to (if applicable): _____________________________ C. Point of Contact:___________________________________________________________________

D. Phone Number (with area code)_______________________________________________________ E. Description of service provided:_______________________________________________________

F. Contract number: _______________________________________ G. Contract type: ________________________________ H. Was this a competitive contract? Yes _____ No _____

I. Period of performance: ______________________________________________

J. Initial contract cost: $____________________________

K. Current/final contract cost: $_______________________________

L. Reasons for differences between initial contract cost and final contract costs: ___________________

M. Contractor being evaluated performed as the: ______Prime Contractor ______Subcontractor

SECTION 2. RESPONDENT/EVALUATOR INFORMATION

A. Respondent/Evaluator's name: _________________________________________________________

B. Respondent/Evaluator's title:__________________________________________________________

C. Respondent/Evaluator’s Address:______________________________________________________

D. Respondent/Evaluator's phone/fax number:_______________________________________________

E. Number of years evaluator worked on subject contract: _____________________

Date:________________ Evaluator’s Signature

SECTION 3: EVALUATION

1. How would you rate the contractor’s effort to fill the contract with the required EMTs by the start date of the contract.

Please circle one: Excellent Satisfactory Unsatisfactory

If Unsatisfactory, please explain

2. Over the course of the contract, how many employees have resigned and subsequently had to be replaced? Please explain below:

If a replacement was needed, how soon did the replacement start?:

Less than 14 days _____

14 to 30 days _____ over 30 days _______

Please explain, if needed.

3. When EMTs responded to emergencies, was the response time seven (7) minutes or less with a compliance rate of 90%?

YES ____________ NO______________

If no, please explain why

4. Did the contractor ensure all contract personnel successfully maintain current certifications for such as BLS, ACLS, NREMT Paramedic and EMT certifications with a 100% compliance?

YES______________ NO_______________

If no, explain why

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

6. Has/Was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes ______ No _______

Default___ Convenience___ Pending Terminations___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

7. Would you award another contract to this contractor?

Yes______ No ______ If not, please explain.

8. Was the contract rated in a Government reporting system, such as Contractor Performance Assessment Reporting System (CPARS) or Contract Tracking and Reporting System (CTARS)? Yes ___ No ___

SECTION 4: NARRATIVE SUMMARY

1. What were the contractor’s/contractor’s employees’ most positive aspects in the performance of the contract?

2. What was the contractor’s/contractor’s employees’ most negative aspect in the performance of the contract? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Would you have any reservations about this contractor performing one of your critical and demanding programs?

4. Please provide any additional comments concerning this contractor’s/contractor’s employees’ performance. _____________________________________________________________________________________

Please return this completed questionnaire to (Mark For Official Use Only FOUO-Source Sensitive Material):

Mailing Address: 49TH CONTRACTING SQUADRON/LGCA

490 First Street, Ste 2160 Holloman AFB, NM 88330-8277

Fax: 49 CONS/LGCA, ATTENTION: TSgt Julius C. Williams, Comm: 575-572-7333 DSN: 572-7333 Email address: christopher.williams@holloman.af.mil or sally.roberts@holloman.af.mil.

Please put in Subject Line: FOUO- Source Selection Sensitive Material, PPQ for Solicitation FA4801-11-R-0002 Advanced Life Support Services Your submission of the PPQ is greatly appreciative.

Attachment 4 Global Power for America Cover letter

Attachment 5

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