5._Atch_4_-_Past_Performance_Questionnaires.pdf

For Official Use Only

When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

For Official Use Only Page 1 of 7

Section L Attachment: Past Performance Questionnaire Attachment 4

The 6th Contracting Squadron at MacDill Air Force Base, FL is in the process of competitively selecting a source for Tactical Training for JCSE. This requirement will provide an immediate and continual tactical training regimen for JCSE members who deploy into hostile environments. This requirement will provide JCSE members with hostile environment and weapons familiarization that may be required when employed under a wide variety of operational scenarios.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than 11 August 2017. This schedule will allow us sufficient time to analyze the data.

To assist you in preparing your response and expediting your reply, the questionnaire should be filled out electronically and e-mailed to Mandy O’Malley at mandy.omalley.2@us.af.mil or Barbara Squitieri at barbara.squitieri@us.af.mil.

Please call Mandy O’Malley at (813)828-4724 or Barbara Squitieri at (813)828-1737 if you have any questions. Your completed questionnaire will become a part of the official source selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

EDWARD J. SIMMONS

Contracting Officer

6 CONS LGCB, 828-4783

1 Atch

Past Performance Questionnaire http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:mandy.omalley.2@us.af.mil mailto:barbara.squitieri@us.af.mil

For Official Use Only Page 2 of 7

Section L Attachment: Past Performance Questionnaire Attachment 3

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date through

2. Current Schedule (assuming all options exercised):

Beginning Date through

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

Note: If offeror holds or has held other contracts with your agency/organization in the last three (3) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

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C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other

Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/fax number/e-mail address:

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

E. Other suggested points of contact:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the

Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

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The Contractor: E V S M U N/A

How would you rate the contractor's overall performance on this contract?

Cooperated with Government personnel after award.

Met established performance objectives.

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

EXPLANATION:

□ Yes

□ No

Would you award another contract to this contractor? If not, explain. EXPLANATION:

□ Yes

□ No

Additional remarks:

Respondent’s Signature Date

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Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Please return this completed questionnaire via e-mail to both parties below:

E-Mail Address: Mandy O’Malley; mandy.omalley.2@us.af.mil

Barbara Squitieri; barbara.squitieri@us.af.mil http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:mandy.omalley.2@us.af.mil mailto:barbara.squitieri@us.af.mil