Attachment_4_-_FES_PPE_Services_Past_Performance_Questionnaire.docx

CUSTOMER PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE WHEN FILLED IN IAW FAR 3.104-3

The 771st Enterprise Sourcing Squadron (ESS) located at Wright-Patterson Air Force Base (WPAFB), Ohio solicits your input regarding an Offeror, listed in SECTION I – A(i) below) that has previously or is currently providing Fire Emergency Services Personal Protective Equipment (FES PPE) Care and Maintenance Services to your organization. The following questionnaire is an attachment to the Offeror’s proposal for a contract with the United States Air Force (USAF) to provide FES PPE inspection, cleaning, repair, alteration, and disposition services. Your feedback is very important to this program and we appreciate your willingness to participate by providing the requested information (in SECTION II below).

The questions pertain to the Offeror’s record of past (within five years) and current performance. The information you provide will be used in the awarding of a Department of Defense (DoD) contract; therefore, it is important that your information be as factual and accurate as possible. The past performance evaluation considers each Offeror’s demonstrated recent and relevant record of performance in supplying FES PPE care and maintenance services that meet the solicitation requirements. Please provide examples and/or explanations, which can include Federal, State, local government and private, for efforts similar to this Government requirement (use additional pages if necessary). In the case of an Offeror without a record of relevant past performance or for whom information on past performance is not available, the Offeror may not be evaluated favorably or unfavorably on past performance.

The following adjectival ratings shall be used in your response:

Acceptable – Performance met contractual requirements. Work was accomplished with some minor problems for which corrective action taken by the contractor was satisfactory.

Unacceptable – Performance did not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

Unknown – Information on past performance is not available or is so sparse that no meaningful past performance rating can be reasonably assigned.

SECTION I. General Information (To be completed by Offeror)

A. OFFEROR INFORMATION

i. Offeror Company Name

ii. Offeror Company Address

iii. Offeror Point of Contact (POC) Name

iv. Offeror POC Position/Title

v. Offeror POC Email

vi. Offeror POC Telephone Number

B. IDENTIFICATION OF CUSTOMER’S POINT OF CONTACT (To be completed by Offeror)

i. Customer Company Name

ii. Customer Address

iii. Customer POC Name

iv. Customer Position/Title

v. Customer Email

vi. Customer POC Telephone Number

vii. Contract Number/Title

viii. Prime/Subcontractor (See above)

ix. Brief Description of Care and Maintenance Services Provided

x. Period of Performance

xi. Contract Dollar Value

SECTION II. General Information (To be completed by Customer POC)

CUSTOMER IDENTIFICATION

i. Customer Company Name

ii. Customer Address

iii. Customer POC Name

iv. Customer POC Position/Title

v. Customer POC Email

vi. Customer POC Telephone Number

vii. Contract Number/Title

viii. Brief Description of Care and Maintenance Services Provided

ix. Period of Performance

x. Contract Dollar Value

INSTRUCTIONS: For the items A through M below, select Yes, No, or Unknown/Not Applicable.

A. Compliance with Technical Specifications. Were the care and maintenance services provided by the Offeror in compliance with the requested technical specifications?

Yes – The majority of care and maintenance services provided by the Offeror were in compliance with the requested technical specifications.

No – Several care and maintenance services provided by the Offeror were not in compliance with the requested technical specifications.

Unknown/Not Applicable B. Compliance with Terms & Conditions. Were the care and maintenance services provided by the Offeror in compliance with all terms and conditions of the contract or agreement?

Yes – The majority of care and maintenance services provided by the Offeror was in compliance with the stated terms and conditions of the contract or agreement.

No – Several care and maintenance services provided by the Offeror were not in compliance with the stated terms and conditions of the contract or agreement.

Unknown/Not Applicable C. Overall Service Quality. Were there any deficiencies or failures related to the care and maintenance services provided by the Offeror?

Yes – Several care and maintenance services provided by the Offeror were deficient or failed.

No – The majority of care and maintenance services provided by the Offeror was free of deficiencies or failures.

Unknown/Not Applicable

D. Service Quality & Incidents of Injury. Were there any deficiencies or failures that resulted in injury to the user related to care and maintenance services provided by the Offeror?

Yes – One or more care and maintenance services provided by the Offeror were deficient or failed resulting in the injury of the user.

No – All care and maintenance services provided by the Offeror were free of any deficiencies or failures that resulted in user injuries.

Unknown/Not Applicable

E. Workmanship Guarantee. If the Offeror provided a workmanship guarantee (service warranty), did the Offeror provide care and maintenance services in accordance with the terms of their guarantee?

Yes – The majority of the time, the Offeror provided care and maintenance services in accordance with their workmanship guarantee.

No – On several occasions, the Offeror failed to provide care and maintenance services in accordance with their workmanship guarantee.

Unknown/Not Applicable F. Service Quality & Workmanship Guarantee. Were there any care and maintenance services provided by the Offeror that required the exercise of a workmanship guarantee (service warranty) within the first six (6) months of use?

Yes – Several care and maintenance services provided by the Offeror required warranty work within the first six (6) months of use.

No – The majority of care and maintenance services provided by the Offeror did not require warranty work within the first six (6) months of use.

Unknown/Not Applicable

G. Utilization of Workmanship Guarantee. If care and maintenance services provided by the Offeror required the exercise of a workmanship guarantee (service warranty), were the issues resolved in a timely manner and to your satisfaction?

Yes – The majority of care and maintenance service issues were resolved in a timely manner and to my satisfaction.

No – Several care and maintenance service issues were not resolved in a timely manner or to my satisfaction. (Note: Please provide further detail in the “General Comments” section below).

Unknown/Not Applicable

H. Discovery of Defects. Upon discovery of a defect, did the Offeror perform research to determine if the defect was covered under the applicable product manufacturer’s warranty?

Yes – A majority of the time, the Offeror performed research to determine if the defect was covered under an existing product manufacturer’s warranty.

No – On several occasions, the Offeror failed to perform research to determine if the defect was covered under an existing product manufacturer’s warranty or guarantee.

Unknown/Not Applicable I. FES PPE Storage. Did the Offeror provide safe and secure storage while in possession of your FES PPE?

Yes – A majority of the time, the Offeror provided safe and secure storage while in possession of our FES PPE.

No – On several occasions, the Offeror did not provide safe and secure storage while in possession of our FES PPE.

Unknown/Not Applicable

J. Delivery & Timeliness. Were the Offeror’s care and maintenance services provided in a timely manner (i.e., on or before the agreed upon delivery date)?

Yes – The majority of FES PPE products serviced by the Offeror were provided in a timely manner.

No – Several FES PPE products serviced by the Offeror were not provided in a timely manner.

Unknown/Not Applicable

K. Shipping & Handling. Were the products serviced by the Offeror free of any damage as a result of shipping and handling?

Yes – The majority of products serviced by the Offeror were free of damage as a result of shipping and handling.

No – Several products serviced by the Offeror were delivered with damage as a result of shipping and handling.

Unknown/Not Applicable

L. Customer Service & Communication. Were interactions with the Offeror positive in terms of customer service and communication?

Yes – The majority of interactions with the Offeror were positive in terms of customer service and communication.

No – Several interactions with the Offeror were not positive in terms of customer service and communication.

Unknown/Not Applicable

M. Reporting Requirements. If applicable, did the Offeror provide timely reports on a recurring basis in accordance with the terms and conditions of the contract or agreement?

Yes – A majority of the time, the Offeror provided timely reports on a recurring basis.

No – On several occasions, the Offeror failed to provide timely reports in accordance with the terms and conditions of the contract or agreement.

Unknown/Not Applicable

N. Overall Performance. How would you rate the Offeror’s overall care and maintenance performance?

Acceptable – Performance met contractual requirements. Work was accomplished with only some minor problems for which corrective action taken by the contractor was satisfactory.

Unacceptable – Performance did not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

Unknown – Information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned.

General Comments. If applicable, please provide additional information relative to the Offeror’s care and maintenance service performance.

TITLE OF CUSTOMER POC

FA8056-17-R-0006

Attachment 4 FES PPE Services Past Performance Questionnaire

FOR OFFICIAL USE ONLY