Attachment_1_-_Past_Performance_Information_Sheet_(15_August_2014).docx

Attachment 1-a: PAST PERFORMANCE INFORMATION

Contract Identification: to be completed by the Offeror.

Specific instructions for completing Attachment 1-a are as follows:

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in Instructions to Offerors, Attachment 7.

A. Offeror Name (Company/Division):________________________________________ CAGE Code:________________________________________ DUNS Number:________________________________________ (NOTE: If the company or division performing this effort is different than the Offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. ProgramTitle:_________________________________________________________

C. Contract Specifics:

Description:

D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

Description:

E. Completion Date:

1. Original Date:

2. Current Schedule:

3. Estimate at Completion:

4. How Many Times Changed:

5. Primary Causes of Change:

F. Primary Customer Points of Contact: (For Government contracts provide current information on all three individuals). For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program Manager:

Name

Office

Address

Telephone

1. Contracting Officer:

Name

Office

Address

Telephone

Office

Address

Telephone

G. Address any technical (or other) area about this contract/program considered unique.

H. For each of the applicable sub-factors as identified under the Technical Acceptability Factor in Section M, Paragraph 4.3, illustrate how your experience on this program applies to that sub-factor.

I. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).

J. Other contracts: In addition to the above contract references, the offeror shall identify every recent and relevant contract it was awarded that:

experienced any schedule/delivery/performance delays;

experienced any quality problems;

and every recent contract that was terminated, or cancelled for any reason, in whole or in part.

For any contract falling under the descriptions above, provide all of the information listed in the preceding paragraphs, plus:

List each time the schedule was revised

Provide an explanation of why the revision was necessary

Provide a copy of any cure notices or show cause letters received

Identify reason for any termination

State any corrective actions taken to avoid recurrence

Describe the extent to which the corrective action has been successful, identifying points of contact who can confirm the success of the corrective measures

Attachment 1-b: PAST PERFORMANCE QUESTIONNAIRE

Evaluation to be completed by the Customer POCs.

RFP NUMBER FA8730-14-R-0017

1. AFLCMC/HBAK is in the process of requesting past performance historical information for the FMQ-22 System. One of the considerations in proposal evaluation is the verification of a company’s past and/or current performance on contracts, which may demonstrate that company’s ability to perform on average operational availability statistics for the proposed effort.

2. AFLCMC/HBAK will use the information in this survey to evaluate offerors competing for contract award. Your completed questionnaire will become a part of the official source selection records. We may release the information from the questionnaire to the contractor during negotiations or debriefings. If we release information from the questionnaire, the rater’s name will remain confidential.

3. Please complete this questionnaire and respond using e-mail. Responses will be treated as source selection sensitive information. E-mail the completed questionnaire to U.S. Air Force AFLCMC/HBAK, Contracting. Please send to both e-mail addresses:

4. Explanation of Codes:

CODE PERFORMANCE LEVEL

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

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

N (White) NOT AVAILABLE – Quality and/or performance information is not available.

5. Please complete the following identifying information and past performance assessment:

A. Contractor:

B. Contract Number:

C. Period of Performance:

D. Negotiated price at award:

E. Current estimated contract dollar amount:

F. Describe product acquired:

6. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

ASSESSMENT ELEMENTS

(1) Did the contractor deliver according to the agreed-to schedule? What were the causes of any schedule variances? Please circle.

S U N

Remarks

(2) How well did the contractor handle difficult schedule constraints? Please circle.

S U N

Remarks

(3) How well did the contractor provide Interim Contractor Support and/or Contractor Logistics Support including timely depot repair of failed units; identification of adequate intial spares, and replenishment spares? Please circle.

S U N

Remarks

(4) How well did the contractor handle apparent conflicts between schedule constraints, system performance requirements, and user expectations? Please circle.

S U N

Remarks

(5) Did the product or service meet the technical requirement? Please circle.

S U N

Remarks

(6) Did the product or service meet the required level of quality? Please circle.

S U N

Remarks

(7) Did the product meet its reliability/maintainability requirements? Please Circle.

S U N

Remarks

(8) Did the product meet its environmental requirements? Please circle

S U N

Remarks

(9) How well did the contractor’s training program meet contract requirements? Please circle

S U N

Remarks

(10) How well did the contractors Technical Manuals meet contract requirements? Please circle

S U N

Remarks

S U N

Remarks

(12) How well did the contractor support government requirements for interoperability and information assurance accreditation in accordance with DIACAP requirements? Please circle

S U N

Remarks

(13) How would you rate the contractors overall logistics support services (interim contract support or contract logistic support)? Please circle

S U N

Remarks

(14) How well did the contractor demonstrate initiative to identify and solve problems without Government direction? Please circle

S U N

Remarks

(15) How well did the contractor manage the contract budget and control costs? Please circle.

S U N

Remarks

(16) How timely and accurate were the contractor’s cost reports? Please Circle

S U N

Remarks

(17) What is your overall rating of the contractor's performance? Please circle

S U N

Remarks

(18) Identify the contractor's overall:

(a) Strengths:

(b) Weaknesses:

(19) Given the choice, would you award to this contractor again on a challenging program?

Response:

(20) Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

Response:

7. Is there anyone else we should send this questionnaire to? Please identify.

Name

Organization

E-mail Address

Telephone

8. Please provide the name, title, organization, e-mail address, physical address, and phone number of the person completing this questionnaire.

Name

Title

Organization

E-mail Address

Physical Address

Telephone

Fax Number

Thank you for your assistance in this source selection. If you have any questions, please call the Contracting Officer, Capt. Kenneth A. Haile, by email at Kenneth.Haile.1@us.af.mil (781-225-5075). Also, send a copy to the Contract Specialist, Matthew Smith at Matthew.Smith.96@us.af.mil (781-225-5420).