Attachment 30 - CE Services PPQ .pdf
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- Attached to
- Civil Engineering (CE) Base Operation Support (BOS), MacDill AFB, FL Federal contract opportunity
- Solicitation number
- FA481423R0001
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CUI//SP-SSEL
When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Section L Attachment: Past Performance Questionnaire FA481423R0001
Controlled Unclassified Information Page 1 of 7
The 6th Contracting Squadron of the Air Force 6 ARW is in the process of competitively selecting a source for the Civil Engineer Base Service Contract program at MacDill AFB, FL (FA481423R0001)..
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.
The enclosed questionnaire summarizes our areas of interest regarding the offeror’s performance. To meet the acquisition milestones, we request your written response no later than 10 calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.
To assist you in preparing your response and expediting your reply, you may complete the questionnaire electronically, sign digitally or manually, and e-mail it to adan.jaime.1@us.af.mil and 6cons.pkm.flight@us.af.mil. Please call Adan Jaime at 813-828-1674 if you have any questions. Your completed questionnaire will become a part of the official Source Selection records.
We greatly appreciate your assistance and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.
Adan Jaime Contracting Officer
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:adan.jaime.1@us.af.mil mailto:6cons.pkm.flight@us.af.mil
Controlled Unclassified Information Page 2 of 7
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):
H. 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):
C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):
Section 3: Respondent Identification
Controlled Unclassified Information Page 3 of 7
A. Respondent’s name:
B. Respondent’s title:
C. Respondent’s phone number / fax number / e-mail address:
D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):
E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:
F. Other suggested points of contact:
Section 4: Performance Information
In the tables 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 (not required, but very helpful). 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.
Controlled Unclassified Information Page 4 of 7
Facilities Maintenance Operations Performance E V S M U N/A
T1. How well did the contractor provide operations & maintenance services to your installation?
Did contractor provide these services to at least 150 buildings? If not, please indicate highest number of buildings contractor provided operations & maintenance to.
T2. How was the contractor’s performance with maintaining airfields/runways of at least 10,000 feet along with associated airfield lighting systems.
T3. How adequality/efficiently did the contractor operate/maintain electrical grid and associated switching stations/step-down transformers?
Was voltage at least 13.8kV? If not, please indicate highest voltage contractor worked on.
T4. How adequately/efficiently did the contractor provide maintenance/repair on central utility plant(s)?
Did the central utility plant(s) support facilities over 750K square feet? If not, please indicate the largest square footage that was supported by a central utility plant(s).
T5. How was the quality of the preventative maintenance program?
Did contractor provide preventive maintenance on at least 3,000 pieces of equipment/assets? If not, please indicate the number of assets the contractor performed preventive maintenance.
Engineering Performance E V S M U N/A
E1. How effective was performance providing Engineering and Design Support for Military Installations with over $20M annually in design work
E2. How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings.
Controlled Unclassified Information Page 5 of 7
Engineering Performance E V S M U N/A
E3. How Effective was their Programming Support for a Military Installation with at least 150 buildings.
E4. How effective was their performance providing Construction Management Support for an annual program over $10M.
E5. How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings.
Environmental Performance E V S M U N/A
EN 1. How effective was their performance completing Compliance submittals/filing for a Military Installation with over 150 buildings.
EN2. How effective was the contractor in completing Real Property records for a Military Installation with over 1500 facilities.
EN 3. How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation.
EN 4. How effective was the contractor in their performance completing National Environmental Policy Act (NEPA) / Environmental Impact Analysis Process (EIAP) Support for a Military Installation.
Controlled Unclassified Information Page 6 of 7
Environmental Performance E V S M U N/A
EN 5. How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation.
Emergency Management Performance E V S M U N/A
EM1. How effectively was the contractor’s performance in providing Installation Emergency Management (EM) Support for a Military Installation with at least 5 Mission partners and one primary mission
EM2. How effective was the contractor’s performance in providing Emergency Operations Center (EOC) Support for a Military Installation
EM3. How effective was the contractor’s performance in providing Emergency Response Support to an Incident Command System (ICS) Type 1, 2, or 3 incident
EM4. How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements.
Supporting Information:
EM5. How effective was the contractor’s performance in completing Unit Deployment Manager duties for a Military squadron.
Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?
☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).
Section L Attachment: Past Performance Questionnaire FA481423R0001
Controlled Unclassified Information Page 7 of 7
SECTION 5: GENERAL COMMENT
Given what I know today about the contractor’s ability to execute what he promised in his proposal, I _____________________________________ award to him today given that I had a choice.
REMARKS:
Please provide any additional comments concerning this contractor’s performance, as desired.
Respondent’s Signature Date
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
E-Mail to: adan.jaime.1@us.af.mil and 6cons.pkm.flight@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:adan.jaime.1@us.af.mil mailto:6cons.pkm.flight@us.af.mil
| Adan Jaime: | |
| through: | |
| Current Schedule assuming all options exercised: | |
| through_2: | |
| Reason for difference if applicable: | |
| K Was this a competitively awarded contract: Off | |
| Prime Contractor: Off | |
| Subcontractor: Off | |
| Key Personnel: Off | |
| ET1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| VT1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| ST1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| MT1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| UT1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| NAT1 How well did the contractor provide operations maintenance services to your installation Did contractor provide these services to at least 150 buildings If not please indicate highest number of buildings contractor provided operations maintenance to: | |
| ET2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| VT2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| ST2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| MT2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| UT2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| NAT2 How was the contractors performance with maintaining airfieldsrunways of at least 10000 feet along with associated airfield lighting systems: | |
| ET3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| VT3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| ST3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| MT3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| UT3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| NAT3 How adequalityefficiently did the contractor operatemaintain electrical grid and associated switching stationsstepdown transformers Was voltage at least 138kV If not please indicate highest voltage contractor worked on: | |
| ET4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| VT4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| ST4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| MT4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| UT4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| NAT4 How adequatelyefficiently did the contractor provide maintenancerepair on central utility plants Did the central utility plants support facilities over 750K square feet If not please indicate the largest square footage that was supported by a central utility plants: | |
| ET5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| VT5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| ST5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| MT5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| UT5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| NAT5 How was the quality of the preventative maintenance program Did contractor provide preventive maintenance on at least 3000 pieces of equipmentassets If not please indicate the number of assets the contractor performed preventive maintenance: | |
| EE1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| VE1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| SE1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| ME1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| UE1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| NAE1 How effective was performance providing Engineering and Design Support for Military Installations with over 20M annually in design work: | |
| EE2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| VE2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| SE2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| ME2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| UE2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| NAE2 How effective was their performance providing Operational Engineering Support for a Military Installation with a least 150 buildings: | |
| EE3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| VE3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| SE3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| ME3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| UE3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| NAE3 How Effective was their Programming Support for a Military Installation with at least 150 buildings: | |
| EE4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| VE4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| SE4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| ME4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| UE4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| NAE4 How effective was their performance providing Construction Management Support for an annual program over 10M: | |
| EE5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| VE5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| SE5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| ME5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| UE5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| NAE5 How successfully was their performance providing Planning Support for a Military Installation with at least 150 buildings: | |
| EEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| VEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| SEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| MEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| UEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| NAEN 1 How effective was their performance completing Compliance submittalsfiling for a Military Installation with over 150 buildings: | |
| EN2 How effective was the contractor in completing Real Property records for: | |
| EEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| VEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| SEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| MEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| UEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| NAEN 3 How effective was the contractor in their performance completing Cultural Resources Support for a Military Installation: | |
| EEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| VEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| SEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| MEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| UEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| NAEN 4 How effective was the contractor in their performance completing National Environmental Policy Act NEPA Environmental Impact Analysis Process EIAP Support for a Military Installation: | |
| Controlled Unclassified Information_5: | |
| Page 5 of 7: | |
| EEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| VEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| SEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| MEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| UEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| NAEN 5 How effective was the contractor in their performance completing Environmental Management System Support for a Military Installation: | |
| EEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| VEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| SEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| MEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| UEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| NAEM1 How effectively was the contractors performance in providing Installation Emergency Management EM Support for a Military Installation with at least 5 Mission partners and one primary mission: | |
| EEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| VEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| SEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| MEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| UEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| NAEM2 How effective was the contractors performance in providing Emergency Operations Center EOC Support for a Military Installation: | |
| EEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| VEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| SEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| MEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| UEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| NAEM3 How effective was the contractors performance in providing Emergency Response Support to an Incident Command System ICS Type 1 2 or 3 incident: | |
| EEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| VEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| SEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| MEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| UEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| NAEM4 How effective was the contractor performance in providing EM Training Support for a Military Installation meeting AFI requirements Supporting Information: | |
| EEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| VEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| SEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| MEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| UEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| NAEM5 How effective was the contractors performance in completing Unit Deployment Manager duties for a Military squadron: | |
| Yes_2: Off | |
| Default: Off | |
| Convenience: Off | |
| Pending Terminations: Off | |
| No_2: Off | |
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