Attachment3

RFP FA8533-08-R-10864

ATTACHMENT 3

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Basic Expeditionary Airfield Resources (BEAR) Power Units (BPUs)

(This questionnaire, when filled in, shall be treated as Source Selection Sensitive in accordance with FAR 3.104-3 and shall not be disclosed to anyone outside of the Government Source Selection Team.)

PLEASE PROVIDE THE FOLLOWING INFORMATION:

Name/Signature of Respondent and Role Relative to Contract (e.g. Buyer, Program Manager):________________________________________________________

Agency or Business: ______________________________________________________________________________________________________ ________________________________________________________________________________________________________________________

Address: _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________

Telephone No. _______________________________

FAX No. ____________________________________

RETURN YOUR COMPLETED QUESTIONNAIRE VIA FAX TO (478) 222-1852 OR ELECTRONICALLY MAIL TO JENNIFER COOK AT JENNIFER.COOK@ROBINS.AF.MIL. PLEASE CALL (478) 222-1610 BEFORE TRANSMITTAL TO ENSURE CONFIDENTIALITY.

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED SENSITIVE AND WILL NOT BE RELEASED TO THE OFFEROR.

Part I. SPECIFIC PROGRAM INFORMATION:

Contractor/Business: _____________________________________________

CAGE Code: __________

Program Title and Brief Description: _____________________________________________________________________________________

Contractor’s Role in the Program:

_____Prime _____Subcontractor _____Vendor/Supplier

Contract Number: ________________________________ Number of Years: Basic:________ Option: _________

Contract Type(s): i.e. Firm-Fixed-Price, Time & Materials, Cost, etc.:

Competitive Contract? Yes _____ No _____

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

PART II. GENERAL PROGRAM INFORMATION.

Period of Performance of Contract or Effort: Beginning Date _______________ through _______________ Have there been any changes to the original Schedule? _______________________________________________________________________

Contract Dollar Value:

1. Original Contract $ Value (assuming all options exercised):________________________________________________________

2. Current $ Value (assuming all options exercised): ________________________________________________________________

3. Primary Causes of Changes: ______________________________________________________________________________________

NOTE: In Part III., should your response be other than “satisfactory,” please provide supporting documentation in “Additional Remarks” on page 3 of 4.

PART III. PERFORMANCE ASSESSMENTS.

Please check the appropriate rating for each of the following questions:

N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory V=Very Good E=Exceptional

1. Extent to which the Company exhibited the knowledge and skills necessary to understand and perform all technical functions as required:

2. Extent to which the Company met all requirements to deliver adequate technical manuals or commercial maintenance and operations manuals:

3. Your satisfaction with the Company’s “after the sale” service, e.g. response to technical questions, warranty actions, reported deficiencies, product recalls, and other such actions:

4. Extent to which the Company had an adequate number of dedicated resources for your program:

5. Your satisfaction with the Company’s responsiveness to the customer needs involving unscheduled requirements or contract changes:

6. Extent to which the Company managed the program to ensure subcontractor work conformed to the technical requirements:

7. Extent to which the Company met the required production rate:

8. The quality of the completed product delivered by the Company:

9. Extent to which the Company met the requirements to deliver adequate reports (for example, testing results), training material, etc:

10. The company performed independently its work on the contract or effort without significant customer direction/oversight:

11. Completed work on time:

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

PART IV. MISCELLANEOUS

12. Has this company ever defaulted on any contact or portion thereof with your company? If yes, please explain the circumstances and the resolution.

(Provide additional sheets as required.) ________________________________________________________________________________________

13. Have there been any disputes or claims relative to the contract? If yes, please explain the circumstances and resolution. (Provide additional sheets as required.) _____________________________________________________________________________________________________________

14. What were the Company’s greatest strengths/weaknesses in the performance of the contract? __________________________________________ ________________________________________________________________________________________________________________________

15. Given the opportunity to choose other suppliers or contractors, would you choose this Company again? If not, please explain. _________________

16. Please provide a statement describing your overall experience with the company being reviewed. (Feel free to add additional pages of attachments). Include any information you feel may be helpful in accurately evaluating this Company’s past and/or present performance. ___________________________________

17. Additional Remarks (Use additional pages if necessary):

Evaluator Signature Date

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY

RFP FA8533-08-R-10864

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

ASSESSMENT RATING SYSTEM

E EXCEPTIONAL (Blue): Performance meets contractual requirements and exceeds many requirements. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD (Purple): Performance meets contractual requirements and exceeds some requirements. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY (Green): Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL (Yellow): Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY (Red): Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE (White): Did not apply to this acquisition; or, questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

NOTICE TO QUESTIONNAIRE RESPONDENTS: Please do not transmit this page when faxing your input to the name/address listed on page 1.

SOURCE SELECTION INFORMATION – SEE FAR 3.104

FOR OFFICIAL USE ONLY