Attachment_4,_Performance_Survey.doc

FA4814-14-R-0008

Attachment 4 Multiple Award Construction Contract Customer Evaluations MacDill AFB, Florida

CUSTOMER EVALUATION QUESTIONNAIRE

Reference: FA4814-19-R-A001, Multiple Award Construction Contract When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101 and 3.104

CUSTOMER EVALUATION QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101 and FAR 3.104

FROM: 6 CONS/PKM

SUBJECT: Request for Customer Evaluation The 6th Contracting Squadron at MacDill Air Force Base (AFB), FL is in the process of selecting contractors for a Multiple Award Construction Contract. Detailed information regarding this solicitation may be found at www.fbo.gov (refer to RFP FA4814-19-R-A001).

One of the considerations in the proposal evaluation process is the verification of the offeror’s ability to perform the contract successfully. We depend on information received from agencies such as yours, which have had first-hand experience with the offeror, to help determine the offeror’s ability to perform successfully.

Our areas of interest are summarized in the attached questionnaire. Our schedule is extremely tight; therefore, your written response is requested no later than 5 working days from the receipt of this letter. The preferred method of transmission is email.

You may e-mail the completed questionnaire to MSgt Joshua Malyemezian at 6cons.lgcm@us.af.mil. If a confirmation e-mail is not received or you do not have the capability to send the documents electronically, please call MSgt Malyemezian at 813-828-1178 or DSN: 968-1178.

Do not return questionnaires to the Offeror.

Your assistance is greatly appreciated, and a prompt response will be important to the successful and timely completion of this source selection.

PATRICK L. BOYETTE

Procuring Contracting Officer Attachment:

Customer Evaluation Questionnaire

GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address: _____________________________________________ Telephone Number: ____________________________________ Fax Number: _________________________________________ Point of Contact: ______________________________________ Project Title or Brief Description of Work:

Contract Number: _____________________ Dollar Amount: $_________________ per _________________ Contract Period or Dates of Performance Provided by Offeror: _______________________ Contractor performed as the:

( Prime Contractor ( Sub-Contractor ( Key Personnel

A. RESPONDENT INFORMATION:

Name of Respondent: __________________________________ Title: _______________________________________________ Company Name/Address: _______________________________ Telephone Number: ____________________________________ Fax Number: _________________________________________ Email Address: ________________________________________ B. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF “M” OR “U”.

CONTRACTOR’S NAME: _____________________________

CONTRACT NUMBER: _______________________________

Place an “X” in the appropriate column using the definitions matrix above.

Remarks: _______________________________________________________________

Signature of Reviewer

Date