Attachment_3_SUAS_PPQ.doc

FA7000-15-T-0117

Attachment 3

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104 SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a Small Unmanned Aircraft Systems Support Contract at the United States Air Force Academy.

The intent of the United States Air Force Academy small unmanned aircraft systems support contract is to provide USAFA with the needed concurrent support for administrative, logistical, RQ-11B DDL maintenance, flying operations supervision and aircrew records management support (ARMS) together with ground and flight instruction for SUAS. The primary SUAS is the RQ-11 Raven. This contract supports cadet airmanship training and multiple UAS research projects.

Your prompt attention to this questionnaire will be greatly appreciated. If you prefer to discuss responses to this questionnaire by telephone, please feel free to contact me. If you have any questions concerning this request, I can be contacted at (719) 333-4143 or by email at alex.kephart@us.af.mil.

//SIGNED//

ALEX KEPHART

Contracting Officer

1 Atch

Past and Present Performance Questionnaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

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. EMAIL OR MAIL COMPLETED SURVEY FORM TO:

Alex Kephart alex.kephart@us.af.mil

8110 Industrial Dr. Suite 200

USAF Academy, CO 80840

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.

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 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. A remarks section is provided at the bottom of this questionnaire for any additional comments.

Remarks:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________