Attachment 5 - Past Performance Questionnaire.docx

Attachment 5 Past Performance Questionnaire

The United States Air Force at Tyndall AFB is conducting a Source Selection Request for Proposal. (Name of Your Company) has identified you as a reference to validate past performance.

Solicitation Number, FA4819-20-R-0012 is for Missile Retriever Repower at the 82nd ATRS Squadron, Tyndall AFB, Florida.

Please complete the following questionnaire to assist our evaluation of the Contractor’s past performance, and return via email no later than 4:00 P.M Central Standard Time on 20 August 2020 to both Karl Deffert, Karl.Deffert@us.af.mil and Aleatha Walker, Aleatha.Walker@us.af.mil.

RESPONDENT INFORMATION:

Contracting Activity/Customer:

Point of Contact (POC):

Title of POC:

Telephone:

Email:

OFFEROR’S REFERENCE INFORMATION:

Contractor Name:

Point of Contact (POC):

Telephone Number:

Email:

CONTRACT INFORMATION:

Contract Number:

Task Order Number:

Type of Contract:

Performance Period: (Base plus any options):

Description of Services:

MAGNITUDE

Annual Contract Value:

Total Contract Dollar Value:

COMPLEXITY

Number of FTEs:

Associated Labor Categories:

Facility Type:

Contractor performed on this contract as:

Please refer to the following assessment definitions to assess the Contractor’s performance in each of the areas listed in this questionnaire:

(E) Exceptional - The Contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

(V) Very Good - The Contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

(S) Satisfactory - The Contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Contractor appear or were resolved satisfactorily.

(M) Marginal - Performance does not meet some contractual requirements. The contractual performance 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 contains serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

(N) Not Applicable – Unable to assess the area.

Overall Contract Execution

Cost: Executed the project according to defined budget and/or cost estimates.

Schedule: Completed the project within the defined schedule and their ability to communicate/resolve schedule conflicts.

Performance: Delivered a product/service that met the technical/ performance requirements that were agreed upon.

Warranty: Responded to and executed any warranty claim(s) for a product/service.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

Marine Repower Performance

Performed modifications to a ship/vessel to facilitate a repower.

Performed the removal and/or installation of a marine engine on an existing ship/vessel.

Executed the test and evaluation (sea trials) of a ship during and/or after a repower.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

General Knowledge and Experience

Demonstrated knowledge and expertise of the Detroit Diesel 12V92MTA, Caterpillar C32, or equivalent marine engines.

Demonstrated knowledge and expertise of a ship/vessel similar to the USAF Swiftships 120ft. Missile Retriever Vessel.

If other than “Satisfactory,” explain how the performance exceeds or does not meet contractual requirements:

Would you award this firm another contract:

If you answered “No” provide an explanation:

Was the contract terminated for default or cause:

If you answered “Yes” provide an explanation:

Additional Comments:

Signature: Date:

Print Name:

Title:

Telephone:

Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.

image1.png image2.png