12_Attachment_7_Past_Performance_Questionnaire.docx

FA8219-18-R-0010

Attachment 7

PAST PERFORMANCE INFORMATION QUESTIONNAIRE

The Air Force Nuclear Weapon Center (AFNWC), Intercontinental Ballistic Missile (ICBM) Directorate, Hill AFB, UT is in the process of competitively selecting a contractor for a temporary facility at Hill AFB. The temporary facility project will be a pre-fabricated, 24,530 square foot temporary office facility for 204 personnel, including all site preparation to assemble and install the portable facilities, and procure and install all system furniture.

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 this questionnaire. In order to meet the acquisition milestones, we request your written response no later than five (5) calendar days after your receipt of this letter. 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 Brogan Fullmer, brogan.fullmer@us.af.mil and Jeremy Bodin, jeremy.bodin@us.af.mil. Please call Mr. Fullmer at 801-586-6521 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.

Respondent and Contract Information:

Name of Customer/Contract:

Address:

Name and Title of Evaluator:

Signature of Evaluator and Date:

Telephone No:

Dates/Years of Performance:

Contract Type/Total Value:

Contract Number: _____________________________________________________________________

Contractor Name & Address:

Contractor performed as the Prime Contractor Sub-Contractor

Services Performed/Detailed Description of Work:

How would you rate the contractor’s past performance?

How was the quality of the work performed? Did the contractor comply with all security and safety standards prescribed in the contract?

How would you rate the contractor’s management of its subcontractors?

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

Was the contractor ever issued a cure or show cause notice, or was the contract terminated? If yes, please explain:

Is the contract rated in CPARS? Yes No

Remarks: