FA5000-17-T-0024,_Attachment_4,_Cover_letter-Questionnaire_v2.pdf

FA5000-17-T-0024

Northern Edge 2017 (Boat Rental)

Attachment 4

Past Performance Cover Letter/Questionnaire

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW

FAR 2.101 AND 3.104

FA50000-17-T-0024

SUBJECT: Request for Past Performance Evaluation

TO:

is currently participating as a quoter in response to the

Government’s Request for Quotation No. FA5000-17-T-0024 for a firm fixed price Northern Edge 17

Surface EA Vessel Support 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 (February 28, 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 identified below, to arrive no later than 10:00 A.M. AKST on Thursday, March 30, 2017.

Please use the point of contact information below to mail or email the completed questionnaire:

Mailed to:

673d Contracting Squadron

Attn: Nicholas Tapp

10480 Sijan Ave Ste 363

JBER, AK 99506

- Or by email to:nicholas.tapp@us.af.mil; christina.wolf.4@us.af.mil , seth.stambaugh@us.af.mil &

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 quoter.)

mailto:nicholas.tapp@us.af.mil;%20christina.wolf.4@us.af.mil mailto:seth.stambaugh@us.af.mil%20&

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference

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, D, & 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: SIGNATURE: DATE:

RETURN COMPLETED QUESTIONNAIRE TO THE INDIVIDUAL LISTED BELOW:

POINT OF CONTACT AND E-MAIL ADDRESS:

Nicholas D. Tapp -- nicholas.tapp@us.af.mil

Seth M. Stambaugh – seth.stambaugh@us.af.mil

Christina M. Wolf – christina.wolf.4@us.af.mil

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

MAILING ADDRESS:

673 CONS/LGCB

10480 Sijan Ave, Ste

JBER, AK 99506

TELEPHONE

NUMBERS

VOICE: (907) 552-

5870 or 552-3771

COMPLETE & RETURN PRIOR TO 25 May 16, 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:

CONTRACT BEING EVALUATED AS (indicate which):

PRIME CONTRACTOR SUBCONTRACTOR

CONTRACT TITLE:

BRIEF DESCRIPTION OF SERVICES:

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

mailto:nicholas.tapp@us.af.mil mailto:seth.stambaugh@us.af.mil mailto:christina.wolf.4@us.af.mil

Evaluator's Signature Date

Thank you for your prompt response and assistance!

SECTION D – PERFORMANCE INFORMATION: To be completed by each reference.

Yes No

1. Does your contract involve providing commercial vessels ranging from 55 feet to 85 feet?

2. Does your contract involve providing support of basic human necessities (meals, water, latrine, etc.) for four (4) personnel?

3. Does your contract involve providing power requirements (120 VAC (15 amps max))?

4. Does your contract require each vessel and crew to be fully licensed for commercial operations?

SECTION E - QUALITY ASSESSMENT RATINGS: To be completed by each reference.

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.

N/A Not Applicable Used if the rating(s) are not going to be applied to a particular area for evaluation.

QUALITY OF SERVICE S U N/A

4. How would you rate the contractor's ability to maintain and sustain offshore operations to the standards outlined in your

Performance Work Statement, Statement of Work, or equivalent requirements document?

5. How well did the Contractor respond to any outages or emergencies on the vessels if any?

6. How would you rate the contractor's responsiveness and timeliness in submitting deliverables?

MANAGEMENT

7. How would you rate the contractor's overall effectiveness in managing the contract including environmental, safety health and security requirements?

8. How would you rate the contractor’s ability to effectively manage subcontractors?

OVERALL ASSESSMENT

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

10. Would you hire this contractor again? If not, please explain.