Attachment 3 -- Past Performance Questionnaire.doc

DEPARTMENT OF THE AIR FORCE

AIR FORCE DISTRICT WASHINGTON

MEMORANDUM FOR PAST PERFORMANCE INFORMATION REFERENCE

28 March 2008

FROM: AFDW/A7KI

Air Force District of Washington

Acquisition Division

2822 Doherty Drive, SW

Bldg 94, Suite 310 (3rd Floor)

Naval Station Anacostia

Washington DC 20373

SUBJECT: Request for Past Performance Evaluation – FA7014-08-R-0023 1.

You have been identified as a point of contact for a contract that is considered relevant to the requirements of an Air Force solicitation for Professional Defense Research, Science, & Engineering Technical Advisory & Assistance Support (A&AS). Past performance evaluation of the firm listed on the attached questionnaire is hereby requested. This firm is currently being considered for a contract with Air Force District of Washington Acquisition Division, Bolling AFB DC.

2.

We request that you complete the attached Performance Questionnaire. The information that you provide regarding the contractor’s performance is considered sensitive and cannot be disclosed to others.

3.

Please submit past performance information regarding subject contractor by completing the attached questionnaire and returning it either via E-mail to marion.faulhaber@afncr.af.mil and michael.nannery@afncr.af.mil or facsimile to (202) 767-8107 by 17 April 2008.

4. If you have any questions concerning this request, you may contact Marion Faulhaber (202-404-7824).

//signed//

NATALIE A. SITKOWSKI

Contracting Officer

Atch:

Past & Present Performance Questionnaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

INCLUDE THE CONTRACTOR’S NAME: & CONTRACT NUMBER ON EVERY PAGE!

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. FAX COMPLETED SURVEY FORM TO: 202-767-7817

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 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 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 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.

Performance does 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 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.

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

Place an “X” in the appropriate column using the definitions matrix above.

Remarks:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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WORLD CLASS PEOPLE … WORLD CLASS SUPPORT

FA7014-08-F-0023

Attachment 3

_1026708295.doc