Attachment 5 - Past Performance Questionnaire.doc

Past Performance Questionnaire

FA7014-09-R-0032

Very Important Persons Special Airlift Mission (VIPSAM)

Directions: Section 1 shall be filled out by the Offeror, the remaining sections are to be filled out by the Evaluator. Section 7 provides the Evaluator directions for returning this questionnaire via e-mail to AFDW/A7K Contracting no later than 28 Jun 2010.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor Name: ___________________________________________________ B. Prime or Subcontractor? _____________________________________________

C. Cage Code of contractor contract was awarded to:___________________________ D. Contract number: _______________________________________

E. Contract type: (i.e., FFP, CPAF) ______________________________

F. Was this a competitively awarded contract? Yes _____ No _____

G. Period of performance, including Option Years:

H. Initial contract (total) price: $______________ I. Final/Current Contract (total) Price: $ _______________

J. If Aircraft Maintenance Contract, please list Aircraft Model(s) supported:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

Customer/agency name: _________________________________________________ Name of Respondent: _______________________ Title: ______________________

Address: _____________________ Phone Number: ___________________ Fax Number: _____________________ Email Address: ___________________

SECTION 3: DESCRIPTION OF SERVICES

Please mark those services that are a material requirement of your PWS:

· Fixed Wing Aircraft Maintenance

· Rotary Wing Aircraft Maintenance

· Contractor conducted Functional Check Flights (Rotary)

· Transient Alert Services

· Supply Operations

· Munitions Operations

· Fuels Operations

A. Brief description of service(s) provided:

B. If Section 1 (above) items H and I are different, please explain reason for difference between initial and Final/Current Price:

C. If Aircraft Maintenance Contract, and if required, please provide Departure Reliability Rates and Mission Capability Rates by aircraft model number, i.e., C-20: DRR 90%, MCR 90%, etc. (if defined as a contract requirement):

D. Were small business subcontracting goals established? If yes, what were the established goals:

SECTION 4: EVALUATION

Please review and use the following performance satisfaction ratings to evaluate the contractor as it applies to your requirement by placing an “X” in the appropriate block using the scale provided to the right of each question. Please skip any sections that do not apply or mark N/A for specific questions that do not apply to your requirements.

Please provide an explanation if the contractor exceeded requirements or for any performance less than satisfactory.

CODE

PERFORMANCE LEVEL

E EXCEPTIONAL - During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

VG

VERY GOOD - During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some. Some minor problems encountered. Contractor took timely corrective action.

S SATISFACTORY – During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

M MARGINAL – During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

U UNSATISFACTORY – During the contract period, contractor performance is failing (or failed) to meet most contract requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

N/A NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

a1. Contractor meets mission capability rates and departure reliability rates for Aircraft Maintenance.

a2. Contractor provides timely launch and recovery of aircraft.

a3. Contractor provides inspections and checks in accordance with Isochronal (regular intervals, i.e., Monthly, Annual, etc.) and phase (i.e., flying hours) requirements.

a4. Contractor effectively plans and schedules maintenance to meet contract requirements and performance standards.

a5. Overall Rating of Aircraft Maintenance (Should be reflective of ratings A1-A4 above)

b1. Contractor meets all contract performance metrics or standards for performing Functional Check Flights (FCF).

b2. Contractor performs maintenance test flights in accordance with requirements.

b3. Contractor provides required flight analysis to the Government in timely and effective manner.

b4. Contractor performs aircraft recovery and delivery in accordance with requirements.

b5. Contractor provides effective Air Crew Scheduling in accordance with requirements.

b6. Overall rating of FCF program (Should be reflective of ratings B1-B5 above)

c1. Effectively manages any of the following logistical support services to meet requirements:

(a) Base Supply Management

(b) Flight Line Fuels Management

(c) Munitions Warehouse Management c2. Effectively operates base supply system interfaces c3. Effectively manages accountability for fuel c4. Effectively manages the installation Hazmat Pharmacy c5. Meets munitions accountability and safeguarding requirements c6. Overall rating of logistic support operations (Should be reflective of ratings C1-C5 above).

d1. Contractor implements an effective management plan to meet contract requirements.

d2. Contractor provides a qualified Project Manager and Key Personnel to execute contract requirements.

d3. Contractor is able to sustain a qualified and capable workforce.

d4. Contractor is effective in managing a labor union workforce d5. Contractor has an effective Quality Assurance program that provides for corrective action and effectively controls and corrects performance deficiencies to meet the minimum quality standards of the contract.

d6. Overall Rating of Program Management (Should be reflective of ratings d1-d5 above).

e1. Contractor provided an effective plan to execute a phase-in transition e2. Contractor obtained employee certifications, qualifications, and security clearances within the transition period.

e3. Contractor accomplished effective milestones leading up to the full performance start date.

e4. Overall rating for transition and phase-in (Should be reflective of ratings e1-e4 above).

f1. Contractor effectively manages price/costs and requirements, to include cost reimbursable line items, to perform within awarded contract price.

f2. Contractor accurately estimates requirements and performs within agreed to pricing for performing requirements.

f3. Contractor invoiced accurately and timely.

f4. Overall price/cost rating (Should be reflective of ratings f1-f3 above)

g1. Contract met all subcontracting goals for the entire period of performance.

g2. Contractor developed an effective subcontracting plan.

g3. Contractor ensures Subcontractors are paid in a timely manner.

g4. Overall Small Business Subcontracting Plan (Should be reflective of ratings G1-G3 above)

4h. It is necessary to obtain clear explanations of ratings other than “Satisfactory” or “Not Applicable” to substantiate the performance rating assessment, please explain how the contractor Exceeded or Did Not Meet Requirements, use additional paper if necessary:

4i. Government Contracts Only: Has a show cause or cure notice ever been issued, the contract been partially or completely terminated for default or convenience, or are there any pending terminations or was an option not exercised due to performance?

Yes___ No ___

If yes, please explain why: ________________________________________________________________

4j. Please provide any additional comments concerning this contractor’s performance, as desired, use additional paper if needed.

Evaluator’s Signature

Date

SECTION 5: Instructions on Forwarding this Questionnaire When you have completed this questionnaire please scan in signed questionnaire and forward it via e-mail to AFDW/A7K Contracting, attention Ms. De-Leashawn Johnson, deleashawn.johnson@afncr.af.mil, and Capt Ty Christian, ty.christian@afncr.af.mil, by 28 Jun 2010 for this solicitation. AFDW/A7K should receive this completed questionnaire directly from the evaluator.

Thank you for your prompt response and assistance!

Source Selection Sensitive INFORMATION, See FAR 2.101 and 3.104