Atch_2_-_Past_Performance_Questionnaire.pdf

FA5613-18-R-0003

Attachment 2

This Acquisition is for Consolidated Custodial Services at the Kaiserslautern Military Community (KMC), Spangdahlem Air Base (SAB), and Geilenkirchen NATO Air Base (GK) areas. Areas to be cleaned include, but are not limited to, the Kaiserslautern Military Community Center (KMCC), the PAX Terminal, Indoor Pools, Child Development Centers (CDC), and fitness buildings.

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: Address:

Telephone Number:

Email Address:

Point of Contact:

Project Title or Brief Description of Work*:

Contract Number*: Contract Amount:

Contract Period or Dates of Performance*:

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

To be completed by the rater and returned directly to the contracting office.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RATER INFORMATION:

Primary Alternate

Name of Rater: Name of Rater:

Title: Title:

Address: Address:

Telephone Number: Telephone Number:

Email Address: Email Address:

C. RETURN COMPLETED SURVEY FORM WITHIN 4 WORKING DAYS AFTER RECEIPT TO:

Attn: 700 CONS/PKA Inge Jenkins ingeborg.jenkins.1.de@us.af.mil +49-631-536-6800

*Note: Once the PPQ is complete, it is considered to be Source Selection Information.

mailto:ingeborg.jenkins.1.de@us.af.mil

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF E, M or U.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets Performance meets Performance Performance does not Performance Performance contractual contractual meets meet some does not meet was not requirements with requirements with contractual contractual most contractual observed or many exceeded to some exceeded to requirements. requirements. The requirements and not applicable your organization’s your organization’s The contractual contractual recovery is not to the current benefit. The benefit. The performance of performance of the likely in a timely effort being contractual contractual the element or element or sub- manner. The reported performance of the performance of the sub-element element being contractual against.

element or sub- element or sub- contains some assessed reflects a performance of element being element being minor problems serious problem for the element or assessed was assessed was for which which the contractor sub-element accomplished with accomplished with corrective has not yet identified contains a no more than a few no more than some actions taken by corrective actions or serious minor problems for minor problems for the contractor the contractor’s problem(s) for which corrective which corrective were proposed actions which the actions taken by the actions taken by satisfactory. appear only contractor’s contractor were the contractor were marginally effective corrective highly effective. effective. or were not fully actions appear or implemented. were ineffective.

Place an “X” in the appropriate column using the definitions matrix above.

CONTRACTOR’S NAME: CONTRACT NUMBER:

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

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

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Home office participated in solving significant local problems.

5. Followed the accepted Quality Control Plan.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8. Provided timely resolution of contract discrepancies.

The contractor: E G S M U N

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic contract cleaning schedules.

13. Met established contract cleaning schedules.

14. Provided timely resolution of defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Complied with environmental requirements.

18. Managed subcontractors, if any, in an effective manner.

19. Did contractor consistently respond within the required time frames?

20. Did contractor assign personnel with required skills to accomplish the work?

21. Did contractor consistently accomplish cleaning services within the required time frames and required minimal re-performance of services?

22. Did the contractor comply with provided schedules?

23. How would you rate the contractor's overall performance?

24. For US Government contracts only: Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES / NO

25. For US Government contracts only: Is the contractor rated in CPARS? YES / NO

26. Would you award another contract to this contractor?

If not, explain in “remarks.”

YES / NO

Remarks:

FROM:

TO: INGE JENKINS

Contracting Officer

700 CONS/LGCE

Bldg. 2767, Room 221 Kapaun Air Station 67661 Kaiserslautern

SUBJECT: Consent to discuss performance information with prime contractor

We are currently participating as a (subcontractor/teaming partner) with (prime contractor or name of entity providing proposal) in responding to the 700th Contracting Squadron’s request for proposal FA5613-18-R-0003 for the Custodial Services within the Kaiserslautern Military Community (KMC), Spangdahlem Air Base (SAB), and Geilenkirchen NATO Air Base (GK) Areas.

We understand that the Government is placing increased emphasis on past performance in order to obtain best value. In order to facilitate the performance process we are signing this consent form to allow you to discuss our past and present performance information with the prime contractor during the selection process.

(Signature and Title of individual who has the authority to sign for and legally bind the company)