Approved PPT Questionnaire.doc

DOC document 236 KB Posted Jul 16, 2009

Attached to: Repair Facility 2610 Federal contract opportunity
Solicitation number: FA4897-09-R-0015_
Issued by: Department of the Air Force Air Combat Command

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Past Performance Questionnaire

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Other files for this federal contract opportunity

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2610A-Amendment 0006 Drawing.pdf	PDF	Aug 22, 2009
Amendment 0006.doc	DOC document	Aug 21, 2009
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Amendment 0004.doc	DOC document	Aug 11, 2009
AMENDMENT 0003.doc	DOC document	Aug 10, 2009
Emergency Roof Shoring B2610 - Final Report	—	Aug 10, 2009
FAC 2610 - Furnishings List.docx	DOCX document	Aug 10, 2009
DIGITALSENDER_20090729_084248_0150.pdf	PDF	Jul 30, 2009
SITE VISIT ANNOUCEMENT.docx	DOCX document	Jul 27, 2009
Drawings Repair 2610.pdf	PDF	Jul 17, 2009
Amendment 0002.doc	DOC document	Jul 17, 2009
Solicitation 15 Jul 09 Amendment .doc	DOC document	Jul 16, 2009
2610 MHAFB 100 Resubmittal PDF SET.pdf	PDF	Jul 16, 2009
B2610 - ACM-LBP Technical Specs(Use).doc	DOC document	Jul 16, 2009
Repair Fac 2610 - Addendum 1.doc	DOC document	Jul 16, 2009
3836 - HDR Engineering - Final Report - MHAFB Bld 2610.pdf	PDF	Jul 16, 2009
Notification of Complaince with Insurance.doc	DOC document	Jul 16, 2009
DETERMINATION OF RESPONSIBILITY RFP.doc	DOC document	Jul 16, 2009
Solicitation 15 Jul 09 .doc	DOC document	Jul 16, 2009
Information to Offerors.doc	DOC document	Jul 16, 2009
ID10_dvb_July 3.mht	MHT file	Jul 16, 2009

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SOLICITATION FA4897-09-R-0015

RENOVATE BUILDING 2610

PAST PERFORMANCE QUESTIONNAIRE

The government is placing increased emphasis in its acquisitions on “past performance” as an evaluation factor. The information that will be provided in this questionnaire is significantly more important than cost or price in determining a source to award subject solicitation.

Part I needs to be completed by the Offeror then forwarded to his/her Reference in accordance with the instructions below.

Part II needs to be completed by the Reference then forwarded to the 366 Contracting Squadron in accordance with the instructions below.

PART I. OFFEROR’S PAST OR PRESENT CONTRACT INFORMATION

Instructions on how to fill out questionnaire. First make sure the document is protected (locked). Then you can use the “Tab” key to tab through each line or you can use your mouse to click on the line you want to type in your applicable information. Do not type past the length of the line. Tab to the next appropriate line to continue. Upon completion click “Save” to save your information.

Instructions on how to forward questionnaire. When you have completed your portion of this questionnaire, you then need to forward this to your Reference. It is preferred that you forward this via electronic means (i.e. e-mail, CD). It is advised that you use return receipt. Be sure to attach a cover letter requesting your Reference fill out the evaluation portion and forward to the 366 Contracting Squadron on or before the Offer/Due Date and Time. The 366 Contracting Squadron should receive this completed questionnaire via electronic means directly from your Reference. Printed hard, typed or hand written copies will still be accepted via mail or Fax.

1. Contractor (Name, Address, and Zip code):

2. Contract Number:

3. Program/Project Title:

4. Type of Contract:

Fixed Price FORMCHECKBOX Cost Reimbursement FORMCHECKBOX Other FORMCHECKBOX (Explain)

5. Description, location, and relevancy of work to large scale renovation and structural repair of existing building:

6. Brief description of effort as Prime FORMCHECKBOX or Subcontractor FORMCHECKBOX

(Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition).

7. Complexity of Work: Difficult FORMCHECKBOX Routine FORMCHECKBOX

8. Performance Period:

9. Date of Award:

10. Original Contract Dollar Value:

11. Current/Completed Contract Dollar Value:

12. If amounts for 10 and 11 above are different, provide a brief explanation:

13. Contract Completion Date (including extensions):

14. Type and Extent of Subcontracting:

15. Point of Contact Information:

a. Procuring Contracting Officer:

Name:

Address:

Telephone Number:

E-mail:

b. Administrative Contracting Officer (if applicable):

Name:

Address:

Telephone Number:

E-mail:

c. Contracting Officer’s Representative:

Name:

Address:

Telephone Number:

E-mail:

PART II. RESPONDENT/GOVERNMENT OFFICIAL’S INFORMATION AND PERFORMANCE EVALUATION

The government is placing increased emphasis in its acquisitions on “past performance” as an evaluation factor. You have been provided as a reference in response to the solicitation to Renovate Building 2610 at Mountain Home AFB ID. In order for the government to evaluate the past performance of the firm providing you as a reference, please complete this questionnaire and forward to the 366 Contracting Squadron in accordance with the instructions listed below.

The individual knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgment of others within their organization, as applicable.

Instructions on how to fill out questionnaire: First make sure the document is protected (locked). Then you can use the “Tab” key to tab through each line or you can use your mouse to click on the line you want to type in your applicable information. Do not type past the length of the line. Tab to the next appropriate line to continue. For the evaluation portion it is easiest to use the mouse to point and click on the square of your choice. Choose just one square for each item. Upon completion click “Save” to save your information.

Instructions on how to forward questionnaire: When you have completed your portion of this questionnaire, you then need to forward this to the 366 Contracting Squadron, attention Cindy Dixon, before the Proposal due Date and Time. It is preferred that you forward this via electronic means (i.e. e-mail, CD). It is advised that you use return receipt. The 366 Contracting Squadron should receive this completed questionnaire via electronic means directly from the Reference. Printed hard, typed or hand written copies will still be accepted via mail or Fax.

E-Mail to: cindy.dixon@mountainhome.af.mil

FAX to:

208-828-4031 or DSN 728-4031

Mail to:

366 Contracting Squadron

Attn: Cindy Dixon

366 Gunfighter Avenue Suite 498

Mountain Home AFB, ID 83648-5258 P.O.C: Cindy Dixon at 208-828-3116 or DSN 728-3116

1. Respondent/Government Official’s Information

Name:

Position/Title:

Address:

Telephone Number:

Fax:

E-mail:

2. Relationship and time involved with Contractor:

3. Date questionnaire was completed:

The following chart depicts the ratings that are to be used to evaluate the contractor’s performance:

Exceptional

Very Good

Satisfactory

Neutral

Marginal

Unsatisfactory

Performance met all contract requirements and exceeded many. Problems, if any, were negligible, and were resolved in a timely and highly effective manner.

Performance met all contract requirements and exceeded some. There were a few minor problems which the contractor resolved in a timely, effective manner.

Performance met contract requirements. There were some minor problems, and corrective actions taken by the contractor were satisfactory.

No record of past performance, or the record is inconclusive.

Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance did not meet contractual requirements. There were serious problems, and the contractor’s corrective actions were ineffective.

For any neutral, marginal, or unsatisfactory rating, please provide explanatory narratives in the remarks block. These narratives need not be lengthy, just detailed. If a question is not applicable, mark N/A. If more space is needed, use the back of the questionnaire or attach additional pages. Be sure to identify your continued narration with the respective line number.

4. Quality of Work

N/A

a. Quality of Workmanship

FORMCHECKBOX

b. Adequacy of Quality Control

FORMCHECKBOX

c. Adequacy of Materials

FORMCHECKBOX

d. Adequacy of Submittals

FORMCHECKBOX

e. Adequacy of As-Builts

FORMCHECKBOX

f. Use of specified materials

FORMCHECKBOX

g. Identification/correction of deficient work in a timely manner.

FORMCHECKBOX

h. Suggested solutions and initiative to implement solutions.

FORMCHECKBOX

Remarks:

5. Timely Performance

N/A

a. Provided submittals in a timely manner.

FORMCHECKBOX

b. Submittals were well researched and clearly identified the proposed item.

FORMCHECKBOX

c. Submittals accurately matched contract requirement.

FORMCHECKBOX

d. Developed realistic progress schedules.

FORMCHECKBOX

e. Met established progress schedules.

FORMCHECKBOX

f. Submission of updated and revised progress schedules.

FORMCHECKBOX

g. Resolution of delays.

FORMCHECKBOX

h. Completion of punch list items.

FORMCHECKBOX

6. Management Effectiveness

a. General Business Practices:

N/A

(1) Contractor provided experienced managers, and supervisors with the technical and administrative abilities needed to meet contract requirements.

FORMCHECKBOX

(2) Hired experienced subcontractors.

FORMCHECKBOX

(3) Maintained an effective subcontracting plan.

FORMCHECKBOX

General Business Practices Continued:

N/A

(4) Complied with goals established in the subcontracting plan.

FORMCHECKBOX

(5) Paid subcontractors/suppliers in a timely manner.

FORMCHECKBOX

(6) Provided well-substantiated pricing data for modifications.

FORMCHECKBOX

(7) Completed all contract work prior to requesting final inspection. Left no major discrepancies.

FORMCHECKBOX

(8) Contractor provided timely and satisfactory response to warranty issues after project completion.

FORMCHECKBOX

(9) The contractor cooperated to resolve problems, attended meetings (as applicable) and maintained communication to assure satisfactory resolution.

FORMCHECKBOX

b. Pricing

N/A

(1) The contractor submits proposals that accurately represent the work required.

FORMCHECKBOX

(2) The contractor's supporting price/cost information for modifications is accurate, complete and reasonable (not over inflated or under estimated).

FORMCHECKBOX

(3) The contractor's overall pricing performance.

FORMCHECKBOX

c. Site Management/Superintendent

N/A

(1) Site manager ensured compliance to contract requirements and safety regulations.

FORMCHECKBOX

(2) Site manager acted promptly to resolve problems and ensure work quality.

FORMCHECKBOX

(3) Site manager had sufficient authority to make decisions or take actions during project performance.

FORMCHECKBOX

(4) Site manager consistently present on site when work was performed.

FORMCHECKBOX

Contractor's overall Management Effectiveness performance.

FORMCHECKBOX

7. Compliance With Labor Standards

N/A

a. Submitted payrolls in a timely manner.

FORMCHECKBOX

b. Payrolls were complete and correct.

FORMCHECKBOX

c. Compliance with labor laws and regulations with specific attention to the Davis-Bacon Act.

FORMCHECKBOX

8. Compliance with Safety Standards

N/A

a. Adequacy of safety plan.

FORMCHECKBOX

b. Implementation of safety plan.

FORMCHECKBOX

9. Overall Performance Rating

N/A

Please rate the contractor’s overall performance under this contract.

FORMCHECKBOX

The following area is provided for your continued narration if more space is needed. Be sure to identify your continued narration by its respective Part and Item number (i.e. Part I – 5 or Part II – 4a). The computer should automatically add pages if it is required as you type your narration.

ATTACHMENT 8

SOURCE SELECTION INFORMATION

See FAR 2.101 and 3.104

File details come from the government source that posted it. Updated Nov 14, 2017.