Attachment_4_-_Past_Performance_Questionnaire.pdf

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Attached to
Laundry Service Federal contract opportunity
Solicitation number
FA5702-16-R-0005
Issued by
Department of the Air Force Central Command

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Updated Past Performance Questionnaire to replace Lease Vehicle with Laundry Service in paragraph 2. Everything else remains unchanged and in full effect.

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When filled out, the following conditions apply:

For Official Use Only

*** Source Selection Information - See FAR 2.101 and FAR 3.104 ***

TO: _____________________

FROM: 379th Expeditionary Contracting Squadron Al Udeid Air Base, Qatar

SUBJECT: Request for Past Performance Information (RFQ# FA5702-16-R-0005)

Sir/Ma’am, We are in the process of procuring a laundry service contract for Al Udeid Air Base, Qatar. As part of our source selection process, we are evaluating current or past performance information for all offerors to determine their ability to provide the required services of this acquisition.

You have been identified by _______________________________ (insert company name) as a primary point of contact for the laundry service they have rendered to you or your organization.

We kindly request your assistance on this acquisition by completing the attached questionnaire and providing meaningful feedback that may help us in our source selection evaluations.

We greatly appreciate your time and assistance on this matter. If you have any questions or clarifications on the questionnaire, please feel free to contact TSgt Ryan Haselhuhn at ryan.haselhuhn@auab.afcent.af.mil, DSN: 437-3096, or mobile: 7017-3581.

JESSICA R. KRELLER, 1st Lt, USAF Contracting Officer

*** Source Selection Information - See FAR 2.101 and FAR 3.104 ***

Past Performance Questionnaire for

Contractor Company Name

A. GENERAL INFORMATION

Contract number: ______________________________

Dollar Amount: ______________________________

Volume of Laundry Service: ______________________________

Dates of Performance: ______________________________

B. RESPONDENT/POINT OF CONTACT INFORMATION

Name: ______________________________

Title: ______________________________

Company/Organization: ______________________________

Address: ______________________________

Telephone number: ______________________________

Email: ______________________________

C. Please send completed questionnaire(s) via email to the following, by 15 June 2016, 1630 (AST)/4:30PM local.

ryan.haselhuhn@auab.afcent.af.mil jessica.kreller@auab.afcent.af.mil

*** Source Selection Information - See FAR 2.101 and FAR 3.104 ***

D. PERFORMANCE INFORMATION

1. Did the contractor deliver all laundry on time with the correct count of items? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

2. Did the contractor provide laundry free of visible dirt, debris, dampness, odor, mildew, cleaning chemical residue and uniform in appearance? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

3. Did the contractor provide the laundry in the proper packaging?

Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

4. Did the contractor maintain clean and closed vehicles for transportation, ensuring that there was no contamination between clean and dirty laundry? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

5. Did the contractor provide an acceptable and effective item tracking system? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

6. Were missing or damaged articles repaired or replaced? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

7. Was contractor’s management and staffing plan effective and efficient? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

8. Was the contractor responsive to customer needs, and did they act with a sense of urgency to resolve customer concerns? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

9. Did the contractor meet or exceed the minimum requirements of the laundry service contract/agreement? Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

10. Were you satisfied with the contractor’s performance and would you most likely do business with them again for future requirements?

Please mark N/A if not required by agreement/contract.

YES / NO /

N/A

Please provide any additional feedback below that may be meaningful to our source selection evaluations. Moreover, please provide explanations to any negative responses provided above.

You may use additional sheets, if required.

*** Source Selection Information - See FAR 2.101 and FAR 3.104 *** Explanations/Remarks:

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