Atch_07,_Past_Perf_Quest.docx

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Past Performance Questionnaire The 704th Test Group, Arnold Engineering Development Complex, Holloman AFB, NM is in the process of procuring concrete targets for impact testing. The selected offeror will be responsible for manufacturing various sizes of concrete targets according to provided engineering drawings and concrete formula.

One of the considerations in evaluation of offers 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 the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than November 16, 2018. This schedule will allow us sufficient time to analyze the data prior to beginning the competitive selection process.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to me at william.hunter.9@us.af.mil. Your completed questionnaire will become a part of the official contract file and will not released outside of official US Government channels.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this acquisition.

____//SIGNED//____

WILLIAM K. HUNTER

Contracting Officer AFTC/PZI (Holloman)

Attachment :

1. Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor CAGE Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Program Phase (e.g., Design, Production, etc.):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date ____________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date ____________ through ____________

3. Reason for difference (if applicable):

I. Description of work performed:

J. Was this a competitively awarded contract? ☐ Yes ☐ No

K. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Section 4: Performance Information

In the questions below, indicate your rating for the contractor’s performance by checking the appropriate box under each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. 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 – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – 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 – 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 – 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 – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

A. TECHNICAL FACTOR – Rate the Offeror’s performance for the following items:

1. Performance

SUPPORTING INFORMATION:

2. Management / Schedule

b. How successful was the contractor with timely award and effective management of subcontracts, subcontractors, materials, and labor force?

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

c. How reasonable and cooperative was the contractor in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, business-like and communication)?

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

d. How effective was the contractor’s ability to simultaneously manage multiple projects?

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

3. Concrete/Form Fabrication Efforts

c. How effective was the contractor in managing large quantities and deliveries of concrete?

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

e. How effective was the contractor’s capability to provide compression strength and testing results from a certified laboratory?

B. COST / PRICE FACTOR

How accurate was the contractor in staying within budgetary/contract cost/price?

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

Please provide the following information regarding cost/price, if available:

REMARKS:

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

Did this contract include FAR 52.219-9, Small Business Subcontracting Plan?

☐ Yes ☐ No

If yes, did the contractor comply with the clause? Please explain.

Did this contract include FAR 52.219-8, Utilization of Small Business Concerns?

☐ Yes ☐ No

If yes, did the contractor comply with the clause? Please explain.

C. GENERAL COMMENT (Choose one of the following and explain your choice in the remarks)

Given what I know today about the contractor’s ability to execute what they promised in their proposal, I [ click and select an item ] award to them today given that I had a choice.

REMARKS:

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire directly to:

William K. Hunter, Contracting Officer

FAX to: 575-572-1396

E-Mail to: william.hunter.9@us.af.mil For Official Use Only Page 7 of 7