ATCH 5 - Past Performance Questionaire

Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS FOR PAST PERFORMANCE SURVEYS

ELECTRONIC WARFARE TEST AND EVALUATION UNIVERSITY (EW T&E U) SPECIALIZED TECHNICAL TRAINING SERVICE

The Air Force Flight Test Center (AFFTC) Directorate of Contracting is in the process of selecting a contractor for the Electronic Warfare Test and Evaluation University (EW T&E U) Specialized Technical Training Service program at Edwards Air Force Base, California.

One of the considerations in proposal evaluation is the verification of the offerors’ past and present performance on contracts which demonstrates ability to perform the proposed effort.

The areas of interest in the solicitation are summarized in the enclosed questionnaire. We request the questionnaire be returned directly to the AFFTC Contracting Office

If you experience any problems with receipt, please contact either of the following individuals for assistance: Alex Scranton, at (661) 277-7586 or DSN 527-7586 or Dwight Franke at (661) 277-9567 or DSN 527-9567.

Your completed questionnaire will become a part of the official source selection records and your prompt response will be one of the keys to the successful and timely completion of this process.

In advance, we’d like to thank you for your time and assistance in completing this request.

Below-named contractor is being considered for award of a contract for Solicitation No. FA9302-12-R-1056, Electronic Warfare Test and Evaluation University (EW T&E U) Specialized Technical Training Service program at Edwards AFB, CA.

A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Return the completed questionnaire by one of the following methods:

Fax: Attn: Alex Scranton 661-277-0470 or

Mail: Attn: Alex Scranton Solicitation: FA9302-12-R-1056 Bldg. 2800 5 South Wolfe Ave Edwards AFB CA 93524 or

Email: William.Scranton@edwards.af.mil and Dwight.Franke@edwards.af.mil

A. CONTRACTOR: _________________________________________________________

B. CONTRACT NUMBER: ___________________________________________________

C. CONTRACT TYPE(S) (FIXED PRICE, COST REIMBURSABLE OR OTHER):

D. TOTAL CONTRACT VALUE INCLUDING OPTIONS: $_________________________

E. PERIOD OF PERFORMANCE: _______________________________________________

F. DESCRIPTION OF THE WORK PERFORMED:

G. DID CONTRACTOR PERFORM AS PRIME CONTRACTOR, SUB, OR KEY PERSONNEL ON THE LISTED CONTRACT?

PERFORMANCE INFORMATION: Choose the letter corresponding to the scale that most accurately describes the contractor’s performance or situation.

Code Performance Assessment Definition E EXCEPTIONAL. Performance meets contractual requirements and exceeds many [requirements] to the Government’s benefit. The contractual performance of the element 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 of the element 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 of the element 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 of the element 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 of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear, or were, ineffective.

NA NOT APPLICABLE. Performance in this area not applicable to services performed.

For any marginal or unsatisfactory rating, please provide explanatory narratives in the remarks block. These narratives need not be lengthy, just detailed. If a question is not applicable, mark NA. If more space is needed, use the back of the questionnaire or attach additional pages. Be sure to identify your continued narration with the respective line number.

EVALUATION AREAS

The contractor:

REMARKS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RESPONDENT INFORMATION

Please provide:

A. Name of Evaluator:

B. Office Symbol/Phone Number (DSN/Commercial):

C. Fax Number (DSN/Commercial):

D. Position/Title:

E. Length of Involvement in Contract:

F. Date Questionnaire Completed:

Quality Assurance Personnel

Name: _______________________________________________________________________

Office: _______________________________________________________________________

Address: _____________________________________________________________________

Telephone: ___________________________________________________________________

Email: _______________________________________________________________________

FAX Number: _________________________________________________________________

Contracting Officer:

Name: _______________________________________________________________________

Office: _______________________________________________________________________

Address: _____________________________________________________________________

Telephone: ___________________________________________________________________

Email: _______________________________________________________________________

FAX Number: _________________________________________________________________

1 FA9302-12-R-1056

Attachment 5