ITO_Attachment_5_Past_Performance_Questionnaire_(PPQ).docx

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

ITO ATTACHMENT 5: Past Performance Questionnaire (PPQ) The 10th Contracting Squadron at the United States Air Force Academy (USAFA) is in the process of competitively selecting a source for the USAFA Civil Engineering (CE) Base Maintenance Support requirement, solicited under FA7000-17-R-0012.

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. In order to meet the acquisition milestones, we request your written response no later than 20 March 2018. 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 karen.jackson.13@us.af.mil and james.uram@us.af.mil or by hand and faxed to (719) 333-9347, Attention: Ms. Karen Jackson. Please call Ms. Karen Jackson at (719) 333-4060 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.

JAMES URAM

Contracting Officer

Attachment

1. Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

H. Contract Dollar Value

1. Original contract dollar value (assuming all options exercised): $

2. Current/final contract dollar value: $

3. Reasons for difference between original and current contract dollar value (if applicable):

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Note: If offeror holds or has held other contracts with your agency/organization in the last five (5) years, please complete separate Past Performance Questionnaire forms for those contracts as well.

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone/fax number/e-mail address:

D. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

E. Other suggested points of contact:

Section 4: Performance Information

In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

1. Quality Control / Quality Management:

Provided an effective quality management system (or quality control plan) to ensure the quality of services required by contract.

SUPPORTING INFORMATION:

Self-identified problems as they occurred and provided Corrective Action Plans to the Government.

Demonstrated initiative to solve problems.

2. Organization and Utilization of Personnel Resources:

Managed personnel resources to successfully execute contract.

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

Ensured hiring practices matched key personnel performing on the contract to key positions.

Managed quality/effectiveness of subcontracted efforts.

3. Civil Engineering Facility Operations

Ensured materials and parts were made available to shop personnel/technicians to meet contract requirements.

Met material ordering timelines and delivery dates for contract requirements.

Demonstrated the ability to prioritize and manage recurring work.

Demonstrated the ability to prioritize and manage preventive maintenance.

Managed Government Furnished Property (GFP) in accordance with the contract.

Ensured integrity of Government data systems in accordance with the terms of the contract (i.e. BUILDER, IWIMS, TRIRIGA, ACES-RP, etc.)

4. Professional Engineering Services:

Accomplished effective multi-year project programming.

Accomplished effective multi-disciplinary reviews for both A-E and in-house project designs.

Ensured effective project/construction management and adequate on-site project supervision.

Established an effective construction contract modification coordination process.

5. Business Relations:

Maintained consistent communication and coordination with customer for the duration of contract.

Met all required contract timelines, schedules, deadlines, and suspenses as required by the contract.

Awarded subcontracts to all categories of small business concerns to the fullest extent consistent with efficient contract performance.

Provided timely resolution of contract discrepancies.

Cooperated with Government personnel after award and maintained a positive business relationship.

6. Other Contract Areas:

Contractor adequately and effectively performed (check and rate all that were within the scope of the contract)

☐ Real Property Management

☐ Community Planning

☐ Cultural Resources

☐ State Historic Preservation Office Documentation and Coordination

☐ Information Technology

☐ Environmental Programs

☐ Pest Management (Entomology)

☐ Unaccompanied Housing Services

☐ General Officer Quarters Maintenance

☐ Operations Engineering

☐ Electrical Systems (Interior, Secondary Main Power, and Solar Power)

☐ Power Production (Generator Management)

☐ Heating, Ventilation, Air Conditioning (HVAC), Controls, and Alarms

☐ Pool Maintenance and Cleaning

☐ Vertical Transport Equipment Inspection (Elevators)

☐ Cathodic Protection/Corrosion Control

☐ Centralized Heat Plant Maintenance and Operations

☐ Centralized Waste Water Treatment Plant Maintenance and Operations

☐ Snow/Ice Removal

☐ Emergency Management Planning and Execution

☐ Military Readiness

☐ Safety

☐ Asbestos Remediation and Abatement

☐ Transition?

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

Were there any deficiencies or actions of non-compliance with contract terms or laws/regulations/polices?

EXPLANATION:

☐ Yes ☐ No

Was the contractor ever issued a cure notice or show cause notice under the referenced contract? If yes, explain.

☐ Yes

Would you award another contract to this contractor? If not, explain.

☐ Yes

Additional remarks:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

10 CONS/PKA

Attn: Karen Jackson 8110 Industrial Dr., Suite 200 USAF Academy, CO 80840

FAX to: 719-333-9347

E-Mail to: karen.jackson.13@us.af.mil AND james.uram@us.af.mil Solicitation FA7000-17-R-0012 For Official Use Only Page 9 of 9