Fuels PPQ.docx

FOR OFFICIAL USE ONLY

Source Selection Information - See FAR 2.101 and 3.104

ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 2.101 AND 3.104

Please return this completed questionnaire directly to:

Mailing Address: AFNWC/PKOC Attn: Mr. Peter G. Weber, Jr.

2000 Wyoming Blvd SE Building 20604, Room D-17a Kirtland AFB NM 87117

Or email to: peter.weber@kirtland.af.mil

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ______________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract Number: _______________________________________

D. Contract Type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of Performance: _________________________________________________________

G. Initial Contract Cost: $____________________________

H. Current/Final Contract Cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs: __________________

J. Description of service provided:______________________________________________________

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. EVALUATOR IDENTIFICATION

A. Evaluator's Name: _________________________________________________________________________________ B. Evaluator's Title: _________________________________________________________________________________ C. Evaluator's Phone/Fax Number: ___________________________________________________________________

D. Number of years evaluator worked on subject contract: _____________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD - The contractor’s performance meets contractual requirements and exceeds some (requirements) to the government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appeared or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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 contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score.

E

V

S

M

U

N

Organization Resource Management O1 Ability to provide (and retain) qualified trained personnel that are knowledgeable and able to meet program milestones and requirements, provide problem resolution, communicate with customers, and report program status.

O2 Ability to document, maintain inventory controls, and accountability of material, furnishings, and Government-Furnished Property (GFP).

Program Management P1 Ability to implement and manage a successful maintenance plan that ensures maintenance, operations, and capital improvement planning maintains the industry standard for life cycle costs of facility ownership.

P2 Ability to implement and manage a successful Recurring Work Program that ensures all equipment and systems are maintained to sustain an operational capability for anticipated asset life while maintaining life cycle costs within industry standards.

P3 Ability to manage the number of personnel necessary to handle unforeseen program requirements (i.e., workload surges, variables in workload requirements, accelerated delivery schedules, etc.).

P4 Ability to work with hazardous chemicals and flammable commodities during all hours and/or climatic conditions

P5 Ability to manage adequate/effective environmental safety program

P6 Ability to manage the day-to-day operations of a fuels laboratory while conducting sample testing coupled with an effective and compliant environmentally effective method of sample disposal of fossil fuels or hazardous commodities.

Quality Control Q1 Ability to investigate and resolve customer complaints in order to improve overall contract performance.

Transition Plan T1 Ability to deliver seamless, uninterrupted services and resources during contract phase in.

T2 Ability to transition the acceptance of on-going workload, end-of-year close-out processes.

T3 Ability to anticipate and mitigate the inherent risks associated with the transition process as a whole to ensure minimal disruption, cost growth, and transition schedule deadline extensions during the transition period.

Price Performance C1 Ability to provide above satisfactory services or deliverables within the constraints of a Firm Fixed Price contract.

C2 Ability to complete tasks and/or projects within proposed prices.

C3 Ability to submit timely proposals for additional or unscheduled requirements and perform within proposed prices.

C4 Ability to alert the government of unforeseen costs before they occur.

2. Please discuss each and every response for which you indicated E (Exceptional), V (Very Good), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

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

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspects in the performance of the contract? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? If so, why?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Source Selection Information - See FAR 2.101 and 3.104 Solicitation No.FA9401-12-R-0011, Kirtland AFB, Base Fuels Management Services Page 5