Attch_4_Past_Performance_Questionnaire.pdf

FROM: USAF 366 FW/366 CONS

Attn: Thomas W. Ashton 366 Gunfighter Ave, Suite 498 Mountain Home AFB, ID 83648

SUBJ: REQUEST FOR PAST PERFORMANCE INFORMATION SOLICITATION

NUMBER: FA4897-17-R-0006

RSAF Maintenance and Operations Support

Our office is in the process of selecting a contractor for the subject services contract. One of the award criteria includes the evaluation of the Offeror’s past performance on prior or current contracts. We need your assistance by rating the Offeror’s past performance on the attached Past Performance Questionnaire form. Neither the name of your company nor the name of the person(s) completing the questionnaire will be revealed to the Offeror.

If you have any questions regarding the questionnaire please do not hesitate to contact Thomas W. Ashton at (208) 828-3107 or via Email at thomas.ashton@us.af.mil.

Instructions for completing the questionnaire:

1. Please have the questionnaire completed by the person(s) most familiar with the Offeror’s performance on subject contract. Your candid response to the questions is important to our evaluation effort and may affect the award outcome. Please note the “neutral” rating for questions not applicable to work performed on your contracting action.

2. The Offeror will provide the exact date questionnaires are due in their cover letter to you.

Please submit the Past Performance Questionnaire before the due date directly to Thomas W.

Ashton via Email thomas.ashton@us.af.mil or by facsimile to (208) 828-6486.

3. Please do not send the Past Performance Questionnaire to the Offeror. This questionnaire relates to an ongoing source selection and it will be considered Source Selection Sensitive Information. No information will be released outside of the Source Selection Evaluation Board.

We greatly appreciate your time and attention in completing this Questionnaire. Please do not hesitate to contact me with any questions or concerns which may arise.

Cordially, Thomas W. Ashton Contract Specialist mailto:thomas.ashton@us.af.mil

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER FA4897-17-R-0006

1. Please complete this questionnaire. Handwritten responses are sufficient, but please make them legible. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. Fax or email the completed questionnaire to:

366 CONS

ATTN: Thomas W. Ashton/Contracting Specialist 366 Gunfighter Ave Mountain Home AFB, ID 83648-5258

Email: thomas.ashton@@us.af.mil

DSN phone: 728-3107 Commercial phone: 208-828-3107 DSN fax: 728-6486 Commercial fax: 208-828-6486

2. Explanation of codes:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - Performance meets contractual requirements and exceeds many (requirements) to the Government's benefit. The contractual performance of the element 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 of the element 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 of the element 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 of the element 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 of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

A. Contractor: ___________________________

B. Contract number: _______________________

C. Period of Performance: ______________________

D. Negotiated price or cost at award: ______________

E. Briefly describe scope of contract:

4. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

EVALUATION AREAS

[Note: Remarks are requested for any rating other than "satisfactory"]

a. Contractor’s personnel.

E V S M U N

b. Contractor’s supervision

c. Contractor’s quality control

d. Quality of product/service

e. Contractor's cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g., scope changes, overrun/under run, Government-imposed schedule changes, etc.)

E V S M U N

f. Major discrepancies, cure or show cause notices

g. Overall rating of contractor’s performance

h. Timely Delivery/Completed work Delivered on Time

E V S M U N

5. Name/title, address and phone of person completing questionnaire.

PAST PERFORMANCE QUESTIONNAIRE