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PAST PERFORMANCE
EVALUATION QUESTIONNAIRE
Solicitation FA4861-13-R-A012
PAST PERFORMANCE
EVALUATION QUESTIONNAIRE
Solicitation FA4861-13-R-A008
MEMORANDUM FOR PROSPECTIVE EVALUATORS
FROM: 99 CONS/LGCA
5865 Swaab Blvd, Bldg 588 Nellis AFB NV 89191-7063
SUBJECT: Solicitation FA4861-13-R-A012, 799 ABS Creech Comm Storage Facility, Past Performance Questionnaire
1. The 99th Contracting Squadron is in the process of selecting a contractor for a Creech AFB requirement for a design build contract for the construction of a Communication Admin Building.
2. One of the considerations in proposal evaluation is the verification of the offerors' past and present performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had firsthand experience with an offeror, for the evaluation of the offeror's performance on those contracts.
3. Our areas of interest in the offeror are summarized in the enclosed questionnaire. Our schedule is extremely tight and we need your written response no later than 13 Sep 2013. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.
| 4. | To assist you in preparing your response and expediting your reply, the questionnaire may be filled out by hand and emailed to TSgt Paul Christiason, paul.christiason@us.af.mil. Please call Paul Christiason at 702-652-9090 prior to transmission or if you have any questions. You may also mail the questionnaire to Paul Christiason at: |
| 99th Contracting Sq/LGCA |
5865 Swaab Blvd, Bldg 588 Nellis AFB NV 89191-7063
5. Your completed questionnaire will become a part of the official Source Selection records. Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.
| PATRICK W. MOCK |
| Contracting Officer |
1 Attachment Questionnaire
DEPARTMENT OF THE AIR FORCE
99TH CONTRACTING SQUADRON (ACC)
NELLIS AIR FORCE BASE, NEVADA
Global Power For America
Source Selection Sensitive SECTION 1: Contract Information (to be completed by the contractor requesting evaluation prior to mailing)
A. Contractor’s name and address:
B. Point of Contact: C. Phone Number (with area code):
D. Email Address:
E. Contract number:
F. Project Title or Description of Work performed under this project:
G. Contract Type: |_| Firm-Fixed-Price |_| Indefinite-Delivery/Indefinite Quantity Task Order |_| Cost-Reimbursement
H. Project Award Date: Scheduled Completion Date:
Current/Final Completion Date:
I. Project Award Amount: Current/Final Project Amount:
J. Contractor being evaluated performed as the |_| Prime Contractor |_| Subcontractor |_| Supplier on this contract/order.
K. Authorization is hereby granted to provide the information requested in SECTIONS 2 & 3 of this Questionnaire.
(Signature of Contractor being evaluated)
(Name and Title of Authorizing Official) (Date) SECTION 2: RESPONDENT INFORMATION (to be completed by respondent.)
EVALUATED BY:
| Address: |
| (Typed or Printed Name) | |
| (Title) |
| Phone Number (with area code): | FAX Number (with area code): |
Email Address:
SECTION 3: EVALUATION (to be completed by respondent.)
| 1. | In this section of the questionnaire, you are asked to evaluate the contractor’s performance. If you wish to elaborate on any of your answers, please provide comments at the end of this section. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submitting it to the Contracting Office. |
| 2. | Any unacceptable or exceptional rating should be supplemented with an explanatory narrative in the remarks block of this survey. | |
| 3. | ONCE COMPLETED, THIS SURVEY WILL BE CONSIDERED SOURCE SELECTION SENSITIVE IN ACCORDANCE WITH FAR PART 3.104. The name of the respondent will not be released. | |
4. The following definitions are applicable rating levels for the contractor’s performance.
| CODE |
| PERFORMANCE LEVEL |
| DESCRIPTION |
| E |
| EXCEPTIONAL |
| Performance meets contractual requirements and exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with no problems identified for which corrective actions taken by the contractor were highly effective. |
| S |
| SATISFACTORY |
| Performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions were taken by the contractor and made satisfactory. |
| U |
| UNSATISFACTORY |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| N |
| NEUTRAL |
| Performance was not observed or not applicable to the current effort being reported against. |
EVALUATION AREAS
| a. |
| Overall commitment to customer satisfaction |
| b. |
| Contractor is reasonable and cooperative in dealing with customer |
| c. |
| Responds to customer questions concerning technical/service/administrative issues |
| d. |
| Demonstrates professionalism and courtesy in dealing with customers |
| a. |
| Provided effective quality control and inspection procedures. |
| b. |
| Developed and maintained realistic progress schedule(s) and progress reports. |
| c. |
| Provided well defined and clearly identifiable submittals as required. |
| d. |
| Completed all work in conformance with the specifications. |
| a. |
| Met established project schedules to complete the project on time, as scheduled. |
| b. |
| Performed all work without the issuance of a CURE NOTICE or a SHOW CAUSE LETTER (If a notice was issued, please describe the circumstances on a separate sheet of paper and identify if Liquidated Damages were assessed) |
| c. |
| Cost/design proposals were provided as required. |
| d. |
| Submitted the progress schedule and progress reports as required. |
| e. |
| Provided material submittals as required. |
| f. |
| Provided accurate payrolls for both prime and subcontractors’ employees as required and within established guidelines. |
| g. |
| Provided resolution of punch list items within time specified. |
| h. |
| Paid subcontractors and suppliers within a reasonable time. |
| i. |
| Provided resolution of contract discrepancies/issues. |
| 4. |
| RESPONSIVENESS |
| E |
| S |
| U |
| N |
| a. |
| Ensured compliance with contract requirements and safety regulations. |
| b. |
| Was diligent to resolve problems, attended meetings as needed, and maintained written and verbal communication with the government to keep the project on schedule. |
| c. |
| Anticipated problems before they occurred minimizing delay; provided realistic approaches to problems before they resulted; and performed as a “Team Member”. |
| d. |
| Adjusted performance schedules to meet customer needs when required. |
| e. |
| Responded to warranty issues within the timeframes specified in the contract. |
| 5. |
| TECHNICAL PERFORMANCE |
| E |
| S |
| U |
| N |
| a. |
| Compiled with technical requirements and contract objectives. |
| b. |
| Provided post-construction documents (manuals, warranties, as-built drawings, etc.) in a timely manner. |
| 6. |
| SUBCONTRACTS AND MANAGEMENT |
| E |
| S |
| U |
| N |
| a. |
| Contractor provided experienced/qualified knowledgeable subcontractor personnel to meet contract requirements |
| b. |
| Contractor provided experienced/qualified knowledgeable company personnel to meet contract requirements |
6.
| SUBCONTRACTS AND MANAGEMENT |
| E |
| S |
| U |
| N |
| c. |
| Contractor demonstrated the ability to hire, maintain, and replace *(as necessary) qualified subcontractors/suppliers during the contract period. |
| d. |
| Contractor demonstrated the ability to hire, maintain, and replace *(as necessary) qualified company personnel during the contract period. |
| e. |
| Contractor delegated authority to project managers and supervisors as necessary to meet contract requirements. |
| f. |
| Contractor ensured the site manager was consistently present on site when work was being performed. |
| a. |
| Contractor provided complete, supportable and technically acceptable designs. |
| b. |
| Contractor demonstrated the ability to incorporate user’s requirements into the design. |
| c. |
| Contractor constructed projects in the same manner as they were designed. |
| a. |
| Contractor provided complete, supportable, accurate, and reasonable cost proposals that met the requirements of the project. |
| b. |
| Contractor demonstrated the ability to control costs and/or design projects within the magnitude specified. |
| 9. |
| OVERALL RATING |
| E |
| S |
| U |
| N |
| a. |
| How would you rate the contractor’s overall performance for this contract? |
| b. |
| Would you award another contract to this contractor? |
| c. |
| Is the contract evaluated in CCASS? |
COMMENTS:
EVALUATED BY:
(Evaluator’s Signature) (Date)
NOTE: The identify of individual(s) providing reference information shall not be disclosed.
Thank you for your prompt response and assistance!
Please complete and return all pages of this questionnaire to:
Mail to: 99th Contracting Squadron/LGCA Attn: TSgt Paul Christiason 5865 Swaab Blvd, Bldg 588 Nellis AFB NV 89191-7063 or FAX to: 702-652-2532/3367
Source Selection Sensitive image1.png
