Attachment 9 - Past Performance Questionnaire

SOURCE SELECTION SENSITIVE

FOR OFFICIAL USE ONLY

(When Completed)

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

Present/Past Performance Questionnaire for Request for Proposal (RFP) FA8773-08-R-0084 (This questionnaire may be used on more than one solicitation within the office).

1. The company (also referred to as the “offeror” or “contractor”) listed below is responding to a RFP for Operations and Maintenance (O&M) of Base Telecommunications Systems (BTS) and the Medical Center Telecommunications Systems (MCTS) (also known as the base and medical center telephone switch and associated infrastructure). The scope of this work entails providing all personnel, equipment, parts, material, tools, for operation and maintenance on the switch system(s). This also includes other equipment/cabling connected to the voice switching system. The contract encompasses changing technology and mission requirements such as hardware and software system upgrades, configurations and other services subject to the Service Contract Act and/or Davis Bacon Act.

2. Present/past performance is a major evaluation factor as awardees are determined (after technical acceptability) by the price/past-performance trade-off technique (so price is not the only applicable factor in determining award). We have requested all offerors provide us with a list of references that can provide information about their present/past performance on similar contracts. The offeror has identified you as the point of contact for the contract listed below. Your assessment will be very helpful to our evaluation team.

4. Thank you for your prompt response and assistance in completing this questionnaire. Please complete and return the attached questionnaire before 3:00PM CST, 14 July 2008 to:

38 EIG/PKL

ATTN: Cynthia Dates

4079 HILLTOP ROAD

TINKER AFB OK 73145

E-mail: cynthia.dates@tinker.af.mil

FAX:

(405) 734-9220 or DSN 884-9220

SECTION 1: CONTRACT IDENTIFICATION

· Contractor:

· Contractor’s Cage Code:

· Were they a Prime or Subcontractor: FORMDROPDOWN

· Contract Number:

· Contract type: (e.g. FFP, LH, T&M, etc.)

· Was this a competitive Contract? Yes FORMCHECKBOX No FORMCHECKBOX

· Is the information requested below on this contract available on the Past Performance Information Retrieval System (PPIRS), Contractor Performance Assessment Rating System (CPARS)? If so, which system? FORMDROPDOWN If information available in PPIRS or CPARS, it is not necessary to elaborate further on this questionnaire (except for information that is not contained on that report, or unless you feel a need to provide more detail on this questionnaire. Please return the questionnaire anyway, with the appropriate system indicated.

· Period of performance: (End date must be less than five years ago)

· Current/final contract cost:

· Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

· Customer or agency name:

SECTION 3: EVALUATOR IDENTIFICATION

· Evaluator’s name: ; title: ; and phone numbers:

· Voice (Commercial): ; DSN Prefix (if applicable)

· FAX Number (Commercial):

· Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

1. Please complete this questionnaire. Hand written responses are sufficient, if legible. You may attach additional pages if you have more information you’d like to provide. Responses will be treated as source selection sensitive information. You may submit your response by e-mail or fax provided they come directly from you to the buyer and are not routed through the offeror/contractor.

2. Indicate the contractor’s performance on the identified program. Assessments should reflect only contractor liable performance. The performance assessment rating is included on the back page for your reference.

3. For each item on the questionnaire, click the down arrow beside the words “Rating” and select the appropriate response. .

AWARD RECOMMENDATION

1. Would you recommend this contractor for future contract awards?

FORMDROPDOWN

2. Overall, please rate the contractor’s performance. Please assess the contractor’s ability to meet the customer’s needs relative to quality, business relations, schedule/timeliness; management of key personnel/subcontractors; and price/cost control. In deciding upon the rating, please use the following definitions, keeping in mind that Satisfactory is still a good rating.

Exceptional – performance exceeds many contractual requirements. There may be very few minor issues that were easily corrected by the contractor.

Very Good - Performance exceeds some (a few) contractual requirements, possible minor issues were timely corrected by the contractor.

Satisfactory - Performance meets contractual requirements, may have minor issues that were corrected.

Marginal - Performance does not meet some contractual requirements. There may be serious problem(s) the contractor did/has not taken corrective actions or remedies appear only marginally effective.

Unsatisfactory - Performance does not meet most contractual requirements. There may be serious problem(s) the contractor did/has not taken corrective actions on or remedies were only marginally effective.

Rating:

FORMDROPDOWN

3. Please give a short narrative that supports your rating. Please provide examples that are relative to the performance rating. Please be sure to include information about the contractor receiving discrepancy reports, cure/show-cause type notices, or any other adverse action and the final outcome/resolution. Should you need more space, you may attach continuation pages. Examples might be similar to: “Company consistently meets contract objectives. (rating = Satisfactory). They are a pleasure to work with, contract changes are easily negotiated, and on-site personnel are responsive to customer needs in a cordial and professional way.” Or “Company excels by …” (rating = Very Good) or “Company rarely completes actions on time and has yet to take corrective action despite issuance of discrepancy report.” (rating = marginal) The objective is to convey how you see contract performance and would you like to see them receive another contract to support you or your customers.

FOR OFFICIAL USE ONLY (when completed)