Attach_2_-_Past_Perf_Questionnaire.pdf

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AFICA Facilities Manager A&AS
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FA6800-15-Q-S026
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Attachment 2 - Past Performance Questionnaire

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ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE (PPQ) COVER LETTER

7 July 2015

FOR OFFICIAL USE ONLY

The Air Force Installation Contracting Agency located at Headquarters Air Force Global Strike

Command is in the process of competitively selecting a source for an On-Site Facility Manager Advisory and Assistance Support service. Support will consist of planning, designing, implementing, and executing facility related work involved with the HQ AFGSC facilities and personnel.

One of the considerations in proposal 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. Our schedule is extremely tight and we desire your written response no later than 7 calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to thddeus.wright@us.af.mil and john.sidor@us.af.mil or by hand and "faxed" to (318) 456-7861 (Attention: Capt Thaddeus Wright). Please call Capt. Thaddeus Wright at

(318) 456-2487 prior to fax transmission or if you have any questions. 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.

///SIGNED///

THADDEUS WRIGHT, Capt, USAF

Contract Specialist, AFICA/KGQ

1 Atch:

Past Performance Questionnaire mailto:thddeus.wright@us.af.mil mailto:john.sidor@us.af.mil

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: ____________________ Telephone Number: ____________________

Address: __________________________ Fax Number: _________________________

__________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: _________*

Contract Period or Dates of Performance Provided by Offeror: _______________________*

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

* 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. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________

_____________________________ Fax Number: _____________________

_____________________________ Email Address: _____________________

C. RETURN COMPLETED SURVEY FORM TO:

AFICA/KGQ

ATTN:Capt John Sidor and Capt Thaddeus Wright

841 Fairchild Ave. Building 5541

Barksdale AFB, LA 71110

John.sidor@us.af.mil, and thaddeus.wright@us.af.mil

Fax (318) 456-7861

Phone (318) 496-9893 or (318) 456-2487 file:///D:/far/Far02.doc%23T2101 file:///D:/far/FAR03.DOC%23b3104 mailto:John.sidor@us.af.mil mailto:thaddeus.wright@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE

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

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met contractual requirements with many exceeded to the

Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets/met contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets/met contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

does not meet/did not meet some contractual requirements.

The contractual performance of the element or sub-element 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.

Performance does not meet/did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

was not observed or not applicable to the current effort being reported against.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

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 approved 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.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

18. Paid subcontractors/suppliers in a timely manner.

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

20. Cooperated with Government personnel after award.

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

The contractor: E G S M U N

22. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

23. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

CONTRACTOR’S NAME: _________________ CONTRACT NUMBER: _______________

Remarks:______________________________________________________________________

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