Attachment_7_-_Roofing_Past_Performance_Questionnaire_(Reference).pdf

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 1 of 5

AFICA Roof Replacement & Repair RFP FA8056-13-R-0002 Offeror Past Performance Questionnaire – Customer

Offeror Company Name:

Date of Evaluation:

Name of AFICA Evaluator:

Instructions: Once customer contact information has been obtained, this form is to be completed by a member of the source selection team in a phone interview format. This form is specific to the customer of the proposing offerors. AFICA will not share the comments made by the customer with the Offeror, or any comments made by other customers with this customer. Avoid asking questions that can be verified via data system inquiry. If the customer being interviewed cannot respond via phone and prefers to respond via email, cut and paste the questions with instructions into an email message (sent from the AFICA.roofing@us.af.mil mailbox), removing any AFICA-specific/internal items (ex. AFICA instructions and scripts) from this document.

I. Questionnaire Introduction (to be read to customer that will provide the information – confirmed to be correct person with the necessary information):

“My name is with the AF Installation Contracting AGENCY at Wright-Patterson Air Force

Base. We’re calling to solicit input regarding the performance of a Contractor that may currently be providing roofing-related work or has provided roofing-related work for you in the past. This information is being gathered as part of a source selection for regional roof replacement and repair.

We’d like to ask you several questions about the company and their performance, and it should take about 15-20 minutes.”

II. Customer Contact Information (pre-fill as much as possible to speed process):

Name: Org.: Address:________________

Telephone No. (incl. Area Code):

(Note to Interviewer: skip if in global)

Contract Number(s):

E-mail Address:

(Note to Interviewer: skip if obtained from Data Team)

Name(s) of QAP/COR/POC (or equivalent):

Telephone No. (incl. Area Code):

(Note to Interviewer: skip if in global)

III. Offeror Contract Information

E-mail Address:

mailto:esg.roofing@wpafb.af.mil

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 2 of 6

AFICA Roof Replacement & Repair RFP FA8056-14-R-0002

“I’m going to ask a few questions about the contract in general.”

1) Contract type (circle one): FFP Cost Reimbursable Time & Materials Other

a) Was this a competitive contract(circle one)? Yes No

2) Period of performance (Month/Year of Notice to Proceed - Month/Year Completed):

3) Was contractor a (circle one): General Contractor Specialty Roofing Contractor

Other (Please indicate):

4) Approximate % of work self-performed by prime contractor:

5) Awarded contract amount: $ % of Contract Associated w/ Roofing:

6) Current/final contract amount: $

7) Explanation of difference:

8) Number of change orders on average:

9) Please indicate characteristics of the roofing construction services received (square feet of roofing replaced/repaired, type roof, warranty, etc.):

Number of Buildings Serviced: Avg. Square Feet Serviced:

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 3 of 5

AFICA Roof Replacement & Repair RFP FA8056-13-R-0002

Roof Type(s) Serviced:

Service type (Circle All that Apply Below):

Replacement Repair Demolition Warranty Work

Other (Please describe):

10) Was the contract partially or completely terminated for default or convenience, or are there any pending terminations prior to the agreed upon period of performance? ( ) Yes ( ) No

If yes, please explain:

IV. Offeror Contract Performance

“I’m going to ask a few questions about the contractor’s performance. These are Yes or No questions but you may add comments if necessary.”

11) Schedule: Was the contract performance of the roofing contractor acceptable in terms of completing the work in accordance with the contract schedule? ( ) Yes ( ) No

Comments on Schedule Performance:

12) Cost: Was the contract performance of the roofing contractor acceptable in terms of completing the work in accordance with the expected contract cost? ( ) Yes ( ) No

Comments on Cost Performance:

13) Quality: Was the contract performance of the roofing contractor acceptable in terms of completing the work in accordance with the quality in the contract? ( ) Yes ( ) No

Comments on Quality of the roofing work:

14) Customer Service: Was the contract performance of the roofing contractor acceptable in terms of customer service? ( ) Yes ( ) No

Comments on Customer Service of the roofing contractor:

15) Warranty Performance: Was the warranty performance of the roofing contractor acceptable in terms of resolving warranty calls? ( ) Yes ( ) No

Comments on warranty calls related to the roofing work:

16) Responsiveness: Was the performance of the roofing contractor acceptable in terms of

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 4 of 6 their responsiveness (emergencies, after hours, etc.)? ( ) Yes ( ) No

Comments on responsiveness related to the roofing work:

Please rate contractor’s overall performance as “Acceptable” “Neutral” or “Unacceptable” (circle one):

ACCEPTABLE NEUTRAL UNACCEPTABLE

Please provide any additional comments concerning this contractor’s performance, as desired.

For responses to be emailed:

Remember that customers are to return all responses directly to the 771 ESS/EGA via e-mail to AFICA.Roofing@us.af.mil with the subject line “RFP FA8056-13-R-0002 USAF Roofing Past Performance Feedback.” In order to be evaluated, responses must arrive no later than two weeks after the proposal submission deadline of <DATE>at 4:00 P.M.

Closing Script (to be read by AFICA team member):

“Thank you for your time and help today. If you think of any additional information you’d like to share, please email us at AFICA.roofing@us.af.mil and use the subject line ‘USAF Roofing Past Performance Feedback’. Have a great day.”

mailto:ESG.Roofing@wpafb.af.mil

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 5 of 5

Offeror Past Performance Questionnaire – Supplier

OFFEROR COMPANY NAME:

DATE OF EVALUATION:

NAME OF AFICA EVALUATOR:

INSTRUCTIONS: Once supplier contact information has been obtained, this form is to be completed by a member of the source selection team in a phone interview format. This form is specific to the supplier (certifying agent for application of their product to the roofing applicator). The government will not share the comments made by the supplier with the Offeror, or comments made by other suppliers with this customer. If the supplier being interviewed cannot respond via phone and prefers to respond via email, cut and paste the questions with instructions into an email message (sent from the AFICA.roofing@us.af.mil mailbox), removing any Gov’t specific/internal items from this document.

Questionnaire Introduction (to be read to commercial supplier POC that will provide the information – confirmed to be correct person with the necessary information):

“My name is with the U.S. Air Force Installation Contracting Agency located at Wright-Patterson Air Force Base, Ohio. I’m calling to find out if you’d be willing to provide feedback on the performance of a Contractor that currently has or has had an applicator agreement with your company. This information is being collected as part of the Government’s evaluation of the Contractor’s proposal to provide roofing services to the Air Force. We’d like to ask you several questions about the company and their performance, and it should take no more than 10 minutes. Your feedback is very important to this program and we would sincerely appreciate your willingness to participate.”

V. Supplier Contact Information

Name: Company:

Address:___________________________________________________________________

Telephone No. (incl. Area Code): E-mail Address:

mailto:esg.roofing@us.af.mil

Source Selection Sensitive when completed IAW FAR 3.104-3 Page 6 of 6

Offeror Past Performance Questionnaire – Supplier

VI. Contractor Relationship with Supplier & Contractor Performance

“I’m going to ask a few questions about the contractor’s relationship with your company and the contractor’s performance.”

1) How many years has the contractor held an applicator agreement with your company?

2) How many warranty calls has your company responded to for this contractor over the past year?

Any comments (is this number typical, high, or low):

3) Have you found the application quality of the roofing contractor to be consistent? ( ) Yes ( ) No

Comments on Quality of the roofing work:

Please provide any additional comments concerning this contractor’s performance, as desired.

For responses to be emailed:

Remember that customers are to return all responses directly to the 771 ESS/EGA via e-mail to AFICA.Roofing@us.af.mil with the subject line “RFP FA8056-13-R-0002 USAF Roofing Past Performance Feedback.” In order to be evaluated, responses must arrive no later than two weeks after the proposal submission deadline of <DATE>at 4:00 P.M.

Closing Script (to be read by AFICA team member):

“Thank you for your time and help today. If you think of any additional information you’d like to share, please email us at AFICA.roofing@us.af.mil and use the subject line ‘USAF Roofing Past Performance Feedback’. Have a great day.”

mailto:ESG.Roofing@wpafb.af.mil