Attch 15-Past Performance Questionnaire.rtf

Sample Cover Letter

(The format to be used shall be substantially as follows:)

Company: Date Address:

1. We are contemplating offering a proposal for a solicitation from the 10th Contracting Division located at United States Air Force Academy, CO. The solicitation is for Cadet Gym Modernization Phase 3. This proposal requires that we provide past performance information. Please complete the attached past performance questionnaire and return it to:

10 CONS/LGCA

Attn: FA7000-10-R-0008 Aaron Vollbracht 8110 Industrial Drive, Suite 200

USAFA, CO 80840

719 333-4747 (fax) or by e-mail at aaron.vollbracht@usafa.af.mil or linda.wennerberg@usafa.af.mil

2. In order to ensure the questionnaire is received at the contracting office in time, please forward this survey to arrive no later than 2:00 PM (MST), 12 April 2010. Upon completion, please notify my office at 719-333-4761 that the survey has been accomplished.

Name & Title of Individual Name of Company

Past Performance Questionnaire Cadet Gym Modernization Phase 3

10 CONS/LGCA

United States Air Force Academy, CO

1. Respondent/Agency Information

Firm/Agency Installation:___________________________________________

Name of Respondent:_______________________________________________

Title:____________________________________________________________

Phone No.________________________________________________________

Email:__________________________________________________

Contract/Project/Task Order Information. Include in this section, scope of work, dollar amount, duration of the project and the type(s) of labor used. Also in this section, the respondent should include the start and finish time of the project and contract type.

Name of Firm/Contractor:___________________________________________

Contract/Task Order Number:________________________________________

Contract Type:____________________________________________________

Project Title/Scope of Work:_________________________________________

Value/Dollar Amount of Contract:_____________________________________

Performance Period:________________________________________________

Type of Labor Used:________________________________________________

Scheduled and Actual Completion Date(s)_______________________________

2. Past Performance Survey: For the purposes of this survey the offeror will receive an overall assessment of the government’s assurance that the contractor can perform in accordance with the solicitation, using the ratings below. In responding to the survey, please justify and explain substantial confidence, satisfactory confidence, limited confidence, no confidence and unknown ratings. Please include comments to explain all ratings given. Respondent may be contacted to clarify comments or ratings. In order for the government to provide an assessment, please use the following ratings in your assessment of the offeror’s performance on your contract or project:

SUBSTANTIAL CONFIDENCE

Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort.

SATISFACTORY CONFIDENCE

Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort.

LIMITED CONFIDENCE

Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort.

NO

CONFIDENCE

Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.

UNKNOWN CONFIDENCE

No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned

Quality

1. Provided effective Quality Control which resulted in a quality, finished product.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. The contractor’s quality control system established adequate procedures to find and correct performance discrepancies.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence NARRATIVE: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Material submittals were well researched and clearly identified the proposed item.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Concerning material submittals; when a material substitute was offered, the quality of the offered substitute met the contract/project requirements.

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. The contractor successfully managed a multiple phase project with building occupants on site.

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. The contractor provided and effectively managed quality subcontractors.

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. The contractor completed all required reports (which include but are not limited to payroll reports, labor reports, progress reports, material submittals shop drawings, and as built drawings) in accordance with the contract requirements.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Concerning environmental requirements; the contractor complied with required Federal, State, City, and local implementation policies and plans.

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. The contractor responded appropriately to any “Notices of Violations” received from the Environmental enforcement authorities and corrected the deficiency.

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. The contractor responded appropriately to any safety deficiencies received from the safety enforcement authorities (OHSA, Safety Office etc.) and corrected the deficiencies.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Technical Performance

11. The contractor’s crew members were knowledgeable with respect to the tasks assigned.

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

12. The contractor’s crew members possessed and used the appropriate Personal Protective Equipment (PPE)

Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

13. The contractor’s crew members had tradesmen-like appearance and demeanor.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

14. The contractor’s equipment was in safe and workmen-like condition with appropriate safety features.

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

15. The contractor’s crew kept the work site clear of trash and debris during the day and cleaned up the area at the end of each work day.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

16. The contractor’s construction activities were managed such that no ancillary damage was done to the building being worked on or adjacent buildings, property, rooms, or automobiles.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

17. The contractor was responsive to project manager’s directives regarding any noted concerns of material appropriateness or installation procedures.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

18. The contractor always rectified any noted deficiencies in the work.

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Schedule

19. The contractor developed a realistic progress schedule and maintained scheduled progress.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

20. The contractor was responsive to changes and provided complete, accurate and reasonable cost proposals that met the requirements of the stated change request.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

21. Were there any project scheduling issues due to the contractor’s project manager being located in a different proximity than the place of performance?

YES___________ NO___________ (If yes, please explain.)

NARRATIVE:

Business Relations

22. The contractor provided experienced construction managers and superintendents, with technical and administrative abilities to manage the project and meet contract requirements.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

23. The contractor was available to discuss the contract and project requirements during construction to meet the contract requirements.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

24. The contractor identified problems as they occurred, displayed initiative to solve the problems and offered alternative solutions to problems encountered during the project.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence

NARRATIVE: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

25. The construction, project manager or superintendent had the authority to carry out the day-to-day operations of the project.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown Confidence NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

26. The contractor paid their employees, subcontractors and/or suppliers, in a timely manner. Address any problems in the narrative.

Substantial Confidence

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

27. The contractor provided the appropriate Guarantees, Warrantees and other required Close Out documents as required by contract.

Satisfactory Confidence Limited Confidence No Confidence Unknown

NARRATIVE: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ADDITIONAL COMMENTS:

3. You are advised that the Air Force FAR Supplement (AFFARS) requires that the offeror be given an opportunity to respond to adverse past performance information. Adverse past performance is defined as past performance information that supports a less than satisfactory confidence on any evaluation element or any unfavorable comments received from sources without a formal rating system. The offeror will not receive any information concerning the respondent's identity.

4. Again, thank you for your time and effort in assisting us with our requirement.

//signed// LINDA A. WENNERBERG Contracting Officer