Att6_PPQ_.pdf

DEPARTMENT OF THE AIR FORCE

PACIFIC AIR FORCES

JOINT BASE ELMENDORF-RICHARDSON, Alaska

For Official Use Only Page 1 of 5

The 673d Contracting Squadron of the United States Air Force PACAF/AFICA is in the process of competitively selecting a source for a Firm-Fixed Price Contract.

One of the considerations in quotation evaluation is the verification of the offerors' past performance on contracts or other work efforts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. We have a short time line and would prefer the questionnaire be returned by TBD.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to shannon.simmons.4@us.af.mil and ryan.debonis.1@us.af.mil. Your completed questionnaire will become a part of the official Source Selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Ryan DeBonis, Contracting Officer

FA5000-18-Q-0142

Demolition Attachment #6 mailto:jonathan.roddy@us.af.mil mailto:robert.peters.11@us.af.mil 1295028080A Highlight

1266019803C Highlight

When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

For Official Use Only Page 2 of 5

`Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program/Project Title:

F. Period of Performance

1. Original Schedule:

Beginning Date _________ through ____________

2. Did contractor meet the scheduled completion date?

3. If not, reason for difference:

G. Contract Dollar Value:

H. Description of work performed:

I. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Joint Venture

Section 2: Customer or Agency Identification

A. Customer or agency name and location:

Section 3: Respondent Identif ication

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/e-mail address:

D. Respondent’s responsibility/position/role:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Please provide supporting comments in space provided for any rating less than Satisfactory. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

For Official Use Only Page 3 of 5

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements.

The contractual performance 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. The contractual performance 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 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 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 being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

The Contractor: E V S M U N/A

1. Provided experienced managers/supervisors and appropriate trades with the technical and administrative abilities needed to meet contract requirements.

SUPPORTING INFORMATION:

2. Provided effective quality control and/or inspection procedures and corrected deficiencies in timely manner to meet contract requirements.

SUPPORTING INFORMATION:

3. Developed and met realistic progress schedules.

SUPPORTING INFORMATION:

4. Was responsive to contract changes and/or timely resolution of warranty defects.

For Official Use Only Page 4 of 5

The Contractor: E V S M U N/A

SUPPORTING INFORMATION:

5. How would you rate the contractor’s removal and disposal of hazardous waste?

SUPPORTING INFORMATION:

6. How would you rate the contractor's overall performance on this contract?

SUPPORTING INFORMATION:

7. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.

EXPLANATION:

☐ Yes

☐ No

8. Would you award another contract to this contractor? If not, explain.

EXPLANATION:

☐ Yes

☐ No

Additional remarks:

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

For Official Use Only Page 5 of 5

Mailing Address:

673d Contracting Squadron Attn: Ryan DeBonis and SrA Shannon Simmons 10480 Sijan Ave. Suite 231

JBER, AK 99506-2500

E-Mail to: shannon.simmons.4@us.af.mil and ryan.debonis.1@us.af.mil (Preferred method)