Attachment_Q_Past_Performance_Questionnaire.pdf

For Official Use Only

Attachment Q: Past Performance Questionnaire

For Official Use Only Page 1 of 5

The 23d Contracting Squadron, Moody AFB, GA of the Air Combat Command is in the process of competitively selecting a source for a Contractor Operated Civil Engineer Supply Store (COCESS) contract.

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 closing date and time. 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, the questionnaire may be filled out electronically and e-mailed to eulalia.belin@us.af.mil, and samuel.garfunkel@us.af.mil. Your completed questionnaire will become a part of the official contract file.

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

Attachment Q: Past Performance Questionnaire

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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:

H. Contract Dollar Value to Include Options:

I. Description of work performed:

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

K. Contractor’s Role: Prime Contractor Subcontractor Key Personnel

Section 2: 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 3: 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:

Attachment Q: Past Performance Questionnaire

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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.

The Contractor: E V S M U N/A

1. Contractor’s ability to provide a fully functional purchasing system with standard industry capabilities.

SUPPORTING INFORMATION:

2. Contractor’s processed the ability to track orders and receive status of orders.

SUPPORTING INFORMATION:

3. Contractor provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

SUPPORTING INFORMATION:

4. Contractor demonstrated the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

SUPPORTING INFORMATION:

Attachment Q: Past Performance Questionnaire

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The Contractor: E V S M U N/A

5. Contractor was in compliance in providing correct commodity items on time and at a fair and reasonable price.

SUPPORTING INFORMATION:

6. Contractor maintained acceptable level of stock items for immediate issue/purchase.

SUPPORTING INFORMATION:

7. Contractor provided on-time delivery within original delivery dates.

SUPPORTING INFORMATION:

8. Contractor’s overall quality of customer service.

SUPPORTING INFORMATION:

9. Provided timely resolution of contract discrepancies.

SUPPORTING INFORMATION:

10. Identified problems as they occurred.

SUPPORTING INFORMATION:

12. Provided timely resolution of warranty defects.

SUPPORTING INFORMATION:

13. Provided adequate project supervision.

SUPPORTING INFORMATION:

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

SUPPORTING INFORMATION:

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

EXPLANATION:

Yes

No

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

EXPLANATION:

Yes

No

Attachment Q: Past Performance Questionnaire

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Additional remarks:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

23d Contracting Squadron Attn: Allison Lewis 4380-B Alabama Rd Moody AFB, GA 31699-1794

E-Mail to: allison.lewis.2@us.af.mil or lucas.richardson@us.af.mil