FA486110RA200_NELLIS_MACC_Atch23.5 _ Past Performance Questionnaire _ 15 Feb 10.docx

ATTACHMENT 23.5-PAST PERFORMANCE QUESTIONNAIRE

FA4861-10-R-A200

Nellis MACC

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

MACC

Please Fax or mail the completed questionnaire to:

99 CONS/LGCA

ATTN: 1ST LT KERIANNE NOEL / TSGT MAYA HEMINGWAY

5865 Swaab Blvd.

Nellis AFB, NV 89191

FAX: (702) 652-2532

OR EMAIL: KERIANNE.NOEL@NELLIS.AF.MIL & MAYA.HEMINGWAY@NELLIS.AF.MIL

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code under which contract was performed:

C. Contract number / Program Title:

D. Contract type (ex: FFP, Cost, T&M):

E. Was this a competitive contract? Yes No

F. Was it a design-build contract? Yes No

G. Period of Performance:

H. Performs duties as: prime contractor _________ sub-contractor________

I. Initial (at time of award) contract value: $ (Basic plus all options)

J. Current/final contract value: $ (Basic plus exercised options)

K. Reasons for differences between initial contract value and final contract value:

L. Description of work provided:

M. Are there Contractor Performance Assessment Reports (CPAR) or other Past Performance Reports available for this contract? Yes No

N. To help determine program relevancy, please indicate below the work the contractor has or is performing under this contract by placing an “X” in the appropriate block:

A-E Design work

Civil (pavements, site utilities) and/or Structural work

Electrical and/or Communications work

Mechanical (plumbing, HVAC) work

Fire Protection work

Security (secure rooms for classified work) and/or Force Protection work

New Construction (including building additions)

Interior renovation

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: EVALUATOR IDENTIFICATION

A. Evaluator’s name:

B. Evaluator’s title:

C. Evaluator’s phone/fax number:

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by marking the performance scale indicated in the appropriate block. The scale is defined as follows:

CODE PERFORMANCE LEVEL

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.

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 satisfactory.

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 provide a rating.

NOTE:

Please discuss each and every response for which you indicated Exceptional (E), Satisfactory (S), Marginal (M), and Unsatisfactory (U) in response to the questions below (use additional sheets, if necessary).

General Project Execution

A. Project Management

A1. Provides a good project management structure, to include a single point of contact with responsibility for all contract requirements.

A2. Communicates effectively with Government team and with on-site superisors to ensure accurate/timely information flow.

A3. Requires minimal Government direction regarding contract and technical requirements already available to them (i.e. they read/understand the contract in its entirety).

A4. Hires, trains, and applies a qualified workforce to this effort.

Remarks:

B. Technical Performance

B1. Complies with technical requirements and contract objectives.

B2. Adheres to contract performance schedule.

B3. Provides complete and timely submission of design submittals and all supporting documents.

B4. Provides complete and timely submission of construction submittals and other required documents.

B5. Provided post-construction documents (manuals, warranties, as-built drawings, etc.) in a timely manner.

B6. Contractor was responsive to warranty calls and quickly fixed legitimate problems.

C. Safety/Labor Compliance

C1. Provides a Safety Program compliant with OSHA and contract requirements.

C2. Demonstrates safety awareness and performance.

C3. Complies with labor laws/standards.

D. Customer Satisfaction

D1. Overall commitment to customer satisfaction.

D2. Contractor is reasonable and cooperative in dealing with customer.

D3. Responds to customer questions concerning technical/service/administrative issues.

D4. Demonstrates professionalism and courtesy in dealing with customers.

Change and Cost Control Management

E. Change and Cost Control Management

E1. Contractor did not try to “nickel and dime” the customer with numerous change order requests.

E2. Flexibility and efforts made to accommodate the customer within the terms of the contract contract.

E3. Timeliness/effectiveness of contract problem resolution.

E4. Meets and performs within originally awarded contract costs.

E5. Alerts Government of potential unforseen costs/changes before they occur.

E6. Submits reasonable supportable costs for change requests.

E7. Submits timely, accurate, and complete invoices.

Quality Control Program

F. Quality Control Program

F1. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements.

F2. Adequacy of design quality control process.

F3. Adequacy of contruction quality control process.

F4. Performs quality work with minimal rework needed.

F5. Monitors and controls performance of subcontractors.

F6. Ensures poor performance by subcontractors or in-house personnel is not repeated.

Overall Performance

G. Overall Rating

G1. How would you rate the contractor’s overall performance for this contract?

Government Contracts Only: Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes Default Convenience Pending Termination

No

If yes, please explain (e.g., inability to meet cost, performance, delivery schedules, etc)

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s strong points in the performance of the contract?

What were the contractor’s shortcomings in the performance of the contract?

Would you have any reservations about awarding to this contractor in the future or having them perform one of your critical and demanding programs?

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

Please provide any additional comments concerning this contractor’s performance, as desired.

Do you know of any other similar contracts performed by this contractor? If yes, can you identify contract/program, and provide a point of contact?

Evaluator’s Signature Date

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!