Attach_4-_Past_Performance_Questionnaire.doc

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Attached to
Base Linen Services Federal contract opportunity
Solicitation number
FA4803-15-R-0001
Issued by
Department of the Air Force Air Combat Command

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Past Performance Questionnaire

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Attach 4

* PAST PERFORMANCE QUESTIONNAIRE

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 20th CONS/LGCAA

321 Cullen St.

SHAW AFB SC 29152-5105

Subject: Request for Performance Information, Solicitation # FA4803-15-R-0001, Base Linen Services.

1. One of the integral considerations in proposal evaluations is the verification of the offeror’s past performance on contracts, which reflect the offeror’s ability to perform on the proposed effort. This effort, solicitation number FA4803-15-R-0001 is for Base Linen Services for Shaw AFB, SC. We depend upon information received from agencies such as yours, which have had firsthand experience with the offeror, for the evaluation of their performance. Therefore, we request that the attached questionnaire be completed concerning the offeror’s present/past performance.

2. Our areas of interest are summarized in the enclosed questionnaire. You are urged to submit your comments on similar programs for which your activity has contracts or administers contracts with the offeror. Any additional information that you think would benefit Shaw AFB, SC in our evaluation of the offeror’s proposals would be appreciated. Please note we may contact the offeror on problem areas or concerns identified to see what corrective actions have been taken or will be taken.

3. Due to time constraints, it is imperative that the questionnaire be completed and returned by 2:00 PM on 23 February 2015 to:

20th CONS/LGCAA

Attn: Martin Chalmas

321 Cullen St.

Shaw AFB SC 29152-5105

Mark documents “SOURCE SELECTION SENSITIVE/FOR OFFICIAL USE ONLY”

Completed questionnaires may be faxed to (803) 895-5339 or DSN 965-5339, or emailed to martin.chalmas@shaw.af.mil.

4. If additional information is required, please contact, Martin Chalmas at (803) 895-5349, or Daniel P. Kane at (803) 895-5392.

DANIEL P. KANE

Contracting Officer

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA4803-14-R-0001

Base Linen Service

1.

Please complete this questionnaire. The following is an explanation of the evaluation codes: PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE
No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.
Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.
Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort.
Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.
Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort.

Evaluator please complete the following:

A. Contractor: __________________________________________________________

B. Cage Code _____________________________________________________________

C. Subcontractor:_____________________________________________________________

D. Contract number: ____________________________________________________________

E. Total annual contract dollar amount: _____________________________________________

F. Period of Performance: From: ____________________ To:___________________________

Exercised Option Periods: ______________________________________________________

G. Description of services being performed: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. How well did the contractor work to resolve problems encountered throughout the performance of the contract.

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. How well did the contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Did the contractor provide an effective quality control and/or inspection procedures to meet contract requirements?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Did the contractor correct defiencies in a timely manner and pursuant to their quality control procedures?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Based on your judgment of the contractor’s performance, would you award the contractor another contract?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Did contractor/personnel have sufficient experience to accomplish the requirements of the contract?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Please rate the contractor’s demonstrated ability on this contract in each of the following service areas (if applicable). “Satisfactory” needs no further explanation; however, if possible, please provide a short explanatory narrative for performance deemed Unknown Confidence, Little Confidence, or No Confidence.

a. Did contractor exhibit ability to identify and correct non-compliance issues or internal concerns (i.e. management, personnel, scheduling, quality issues)?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

b. The contractor prevents trends in unacceptable performance?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

c. During the course of the contract, was notification sent to contractor identifying unsatisfactory work:

[ ]Yes [ ] No

Narrative: _____________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

d. Was immediate action taken by contractor to correct the situation?

[ ]Yes [ ] No

Narrative: _____________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________

e. How well did contractor respond to contract changes?

1
2
3
4
5
UNKNOWN CONFIDENCE
NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY CONFIDENCE
SUBSTANTIALCONFIDENCE

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Please check “yes” or “no” to the following question:

Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied?

( YES

(Please Explain)

( NO

Narrative: _____________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RESPONDENT(S) TO QUESTIONNAIRE

A. Name(s):

B. Phone Number(s):

C. Position/Duty Title :

Name of reviewer (print) ;_______________________________________________

Location _____________________________________________________________

Telephone Number _____________________________________________________

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