Attch_3_PPQ170329.pdf

FA5000-17-R-0010, Attachment 3 Past Performance Cover Letter/Questionnaire

FOR OFFICIAL USE ONLY / Source Selection Information, See FAR 2.101 and 3.104 (when filled in)

FA5000-17-R-0010

SUBJECT: Request for Past Performance Evaluation (Suspense: 21 Apr /1300)

TO:

is currently participating as a quoter in response to the

Government’s Request for Quotation No. FA5000-17-R-0010 for a firm-fixed price Furniture Management

Section service 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. For the purposes of this questionnaire, past work is defined as contracts performed and/ or being performed for any customer within the last five (5) years from the issuance date of the solicitation (29 Mar 2017).

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(s) identified below, to arrive by the date and time stated in the above Subject Line.

Please email the completed questionnaire to all email addresses below:

Theresa.derby@us.af.mil

673CONS.LGCB.Acquisitions@us.af.mil

Thank you for your assistance.

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

Attachment: Past and Present Performance Questionnaire

FOR OFFICIAL USE ONLY / Source Selection Information, See FAR 2.101 and 3.104 mailto:Anthony.vaughn.3@us.af.mil

(when filled in)

Past Performance Cover Letter/Questionnaire

For Official Use Only / Source Selection Information, See FAR 2.101 and 3.104

Past and Present Performance Questionnaire

Requirement: JBER Furniture Management Office (FMO) Questionnaire Due Date: 21 Apr 2017/1300

Instructions: Please provide the requested information and return to the POC indicated at the bottom of this form by the above Due Date.

Amount:

Contractor:__________________________ Contract Number:____________________ _______________ Performance Period for contract referenced: ______________ _______________to dd-mmm-yyyy dd-mmm-yyyy

Name:__________________________________________________ Title:___________________________________________________ Organization:____________________________________________ Phone:__________________________________________________

Digital Signature

How many items are on inventory for the contract?

Perform customer service?

Use of Bar Coding Software for inventory management and control?

Appliance and furniture repair program?

Radius for delivery area on your contract (in miles)?

Does the referenced contract provide Furniture Management?

If yes, proceed with the questionnaire. If no, please sign and return to the POC.

SCOPE OF WORK

Please provide responses if the referenced contract includes the following

Perform warehousing, redistributing, maintaining/repairing and turning in of furnishings and appliances?

Perform receiving and issuing of furnishings and appliances?

For warehouse operations and furniture delivery what was the annual contract value? $____________________

COMPLEXITY

How many deliveries were made from the warehouse to delivery site annually?

How many appliance repairs did the contract support annually?

How many furniture repairs/finishes did the contract support annually?

MAGNITUDE

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

>50 mi 30-50 mi 10-29 mi <10 mi

>2K deliveries 1K-2K deliveries 500 – 999 deliveries <500 deliveries

>300 repairs 150-300 repairs 50-149 repairs <50 repairs

>100 repairs 55-100 repairs 10-54 repairs <10 repairs

>55K items 40K-55K items 25K-39K items <25K items

Past Performance Cover Letter/Questionnaire

For Official Use Only / Source Selection Information, See FAR 2.101 and 3.104

Past and Present Performance Questionnaire

Please provide the requested information and return to the POC indicated at the bottom of this form by the above Due Date.

Amount:

to dd-mmm-yyyy dd-mmm-yyyy

Thank you for your input and please contact the following personnel with any questions/concerns and return this form when complete to:

Theresa Derby - Comm: 907-552-5623/DSN: 317-552-5623, e-mail: theresa.derby@us.af.mil

Stuart McElhinney - Comm: 907-552-3766/DSN: 317-552-5623, e-mail: Stuart.McElhinney@us.af.mil

E EXCEPTIONAL

S SATISFACTORY

M MARGINAL

U UNSATISFACTORY

N/A NOT APPLICABLE

COMMENTS

DEFINITION

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

No past performance record or the record is inconclusive.

If given the opportunity, would you hire/select this Contractor again?

Performance met all contract requirements and exceeded many to the Customer’s benefit. Problems if any were negligible and resolved in a timely, highly effective manner.

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

Throughout the life of the contract, what Quality Assessment Rating would you assign the contractor's performance (in accordance with the rating definitions provided above)?

QUALITY ASSESSMENT RATINGS

Rating

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

E S M U N/A

YES NO

Requirement: JBER Furniture Management Office (FMO)

Contractor:__________________________ Contract Number:____________________ _______________ Performance Period for contract referenced: ______________ _______________

Name:__________________________________________________ Title:___________________________________________________ Organization:____________________________________________ Phone:__________________________________________________

Digital Signature

Questionnaire Due Date: 21 Apr 2017/1300 mailto:anthony.vaughn.3@us.af.mil