Atch6PPQLtr_201700517.pdf

Attachment 6

FA5000‐17‐R‐0005

For Offical Use Only /

Source Selection Information, See FAR 2.101 and 3.104

Past Performance Cover Letter/Questionnaire

FA5000-17-R-0005

SUBJECT: Request for Past Performance Evaluation TO:

is currently participating as an offeror in response to the Government’s Request for Proposal No. FA5000-17-R-0005 for a firm fixed price Air Compressor Maintenance contract at Joint Base Elmendorf- Richardson, Alaska.

The government will be selecting contractors for this project based on selection factors. One of the key factors in the government’s final decision is past performance. To assist the government in its assessment of contractor past performance, we are required to identify previous projects and clients who are familiar with our past work.

As one of our customers for past contracting work on , we are requesting that you complete the attached questionnaire regarding our past performance. This letter also authorizes you to discuss our past performance with the government and to release information regarding our past performance to the government.

Your prompt attention in completing the attached questionnaire will ensure we receive full consideration in this competition. Please return the completed form to the government representative point of contact identified below, to arrive no later than the deadline for receipt of quotations at 10:00 A.M AST on 16 Jun 2017.

Please email the completed questionnaire to all email addresses below:

donald.dougherty.1@us.af.mil, or anna_maria.smith@us.af.mil and 673CONS.LGCB.Acquisition@us.af.mil

Thank you for your assistance.

(Signature and title of individual having the authority to sign for and legally bind the offeror.)

Attachment: Past Performance Questionnaire mailto:donald.dougherty.1@us.af.mil mailto:anna_maria.smith@us.af.mil mailto:673CONS.LGCB.Acquisition@us.af.mil

For Offical Use Only /

Source Selection Information, See FAR 2.101 and 3.104

PASTANDPRESENTPERFORMANCEQUESTIONNAIRE

SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference listed on the Past and Present Performance References form (Attachment 4)

CONTRACTOR COMPANY NAME: ADDRESS: CAGE CODE:

DUNS NUMBER:

POINT OF CONTACT: TELEPHONE NUMBER: FAX NUMBER:

CONTRACT NUMBER: CONTRACT TITLE:

SECTION B - RESPONDENT INFORMATION: To be completed by each reference providing information in Sections C & E.

This is a 3-page questionnaire---please complete all 3 pages.

TYPED/PRINTED NAME: TITLE: COMPANY/ORGANIZATION:

ADDRESS (Street, City, State, and Zip Code): TELEPHONE NUMBER (to include area code):

FAX NUMBER (to include area code):

E-MAIL ADDRESS: SIGNATAURE: DATE:

RETURN COMPLETED QUESTIONNAIRE TO THE INDIVIDUALS LISTED BELOW:

POINT OF CONTACT AND E-MAIL ADDRESS:

SSgt Anna Maria Smith – anna_maria.smith@us.af.mil Donald Dougherty – donald.dougherty.1@us.af.mil 673CONS.LGCB.Acquisition@us.af.mil

MAILING ADDRESS:

673 CONS/LGCB

10480 Sijan Ave, Ste 369

JBER, AK 99506

TELEPHONE

NUMBERS

VOICE:

(907) 552-8116 or

(907) 552-2126

COMPLETE & RETURN PRIOR TO

16 Jun 2017 at 10:00 A.M .Alaska Daylight Standard Time (ADST)

SECTION C - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeat from Section A and is requested only to confirm the information.

CONTRACT NUMBER CONTRACT TYPE (Firm- Fixed Price, Cost Reimbursement, etc.):

PERIOD OF

PERFORMANCE:

COMPETITIVE CONTRACT?

YES NO

INITIAL CONTRACT VALUE: CURRENT/FINAL CONTRACT

VALUE:

TOTAL VALUE

CONTRACT TITLE: CONTRACT BEING EVALUATED AS (indicate which):

PRIME CONTRACTOR SUBCONTRACTOR

BRIEF DESCRIPTION OF SERVICES:

REASON FOR DIFFERENCE BETWEEN INITIAL AND CURRENT/FINAL CONTRACT COSTS:

mailto:donald.dougherty.1@us.af.mil 1138369699C Highlight

1138369699C Highlight

SECTION D - EVALUATION CONFIDENCE RATING SCALE:

RATING DEFINITION

S Satisfactory During the contract period, contractor performance is meeting (or met) contract requirements. For any problems encountered, contractor took effective corrective action.

U Unsatisfactory

During the contract period, contractor performance is not meeting (or did not meet) contract requirements. For any problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

SECTION E: CONTRACTOR'S PERFORMANCE RATINGS: To be completed by each reference using the rating scale in Section D, Yes/No answers, or a brief response as indicated.

RECENCY, RELEVANCY& ADMINISTRATIVEINFORMATION

QUESTIONS NO YES

1. Is your service contract for air compressor maintenance within the last 5 years?

2. Does your air compressor maintenance have emergency and routine service calls?

3. Does your air compressor maintenance contract service 100 or more air compressors?

4. What are the sizes and numbers of air compressors maintained? (check all that applies) Reciprocating less than 40hp, Total number _____.

Rotary to 40hp, Total number _____.

Rotary greater than 40hp, Total number _____.

5. What is the frequency of maintenance? (check all that applies) Daily Monthly Quarterly Annual

QUALITY OF SERVICE S U

6. How would you rate the contractor’s ability to maintain air compressors maintenance outlined in your Performance Work Statement, Statement of Work, or equivalent requirements document?

7. How would you rate the contractor’s ability to proactively respond, recognize, resolve unanticipated difficulties, correct deficiencies, re‐performance, or emergencies in the manner consistent with the contract’s quality control procedure?

8. How well did the contractor provide for sufficient and qualified manpower in the performance of this contract?

9. How would you rate the contractor’s ability to remain on schedule, meet specific response times, and scheduled time frames for completion of specific tasks while still providing quality service?

OVERALL ASSESSMENT S U

10. What is your overall assessment of this past performance for this contractor?

11. If given the opportunity, would you hire/select this contractor again? If not, why?

Y N

Evaluator's Signature Date

Thank you for your prompt response and assistance!