ATTACHMENT 7.doc

ATTACHMENT 7

PAST PERFORMANCE QUESTIONNAIRE

Alaska 7-Passenger Air Transportation Service

Introduction The Department of Defense (DOD) is conducting a competitive procurement for commercial non-scheduled air charter service. For this effort, contractor shall provide services necessary to provide all fixed-wing aircraft, personnel, equipment, tools, material, maintenance, and supervision necessary to perform passenger air transportation services between Elmendorf AFB, Alaska and various destinations in Alaska.

Questionnaire Subject

To assist in evaluating proposals under this procurement, you have been requested to provide descriptive information for the following contract:

Contractor Name:

ADDRESSBLOCK \* MERGEFORMAT

Address:___________________________________________________________________

Program Manager:

Contact Phone/Fax Number(s):_________________________________________________

Procurement Contracting Officer:_______________________________________________

Address:___________________________________________________________________

Contracting Officer (CO) Phone/Fax Number(s):___________________________________

Current Administrative Contracting Officer (ACO):_________________________________

Address:___________________________________________________________________

ACO Phone/Fax Number(s):____________________________________________________

Contract Type:

Period of Performance:

Original Contract Value:____________________Final Contract Value:

Description of Services provided in the Contract:________________________________________

Questionnaire Instructions Please provide your assessment of the level of performance associated with the contract for which you are a reference. Mark the appropriate block, indicating the contractor’s past performance with the ratings provided below.

Rating Definitions

High Confidence (HC). Based on the offeror's performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Significant Confidence (SC). Based on the offeror's performance record, little doubt exists that the offeror will successfully perform the required effort.

Satisfactory Confidence (SatC). Based on the offeror's performance record, some doubt exists that the offeror will successfully perform the required effort.

Little Confidence (LC). Based on the offeror's performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror's existing processes may be necessary in order to achieve contract requirements.

No Confidence (NC). Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Neutral/Unknown Confidence (N). No performance record identifiable.

Narrative comments would be particularly useful and greatly appreciated. Space is provided for comments, and additional pages may be used if desired.

Please return your questionnaire directly to:

USTRANSCOM TCAQ-R

Attn: Cliff Beasley

508 Scott Drive

Scott AFB, IL 62225-5357

Phone: 618-256-6642 email: john.beasley@ustranscom.mil

Please mark envelopes as follows: “TO BE OPENED BY ADDRESSEE ONLY”

Thank you for your time and information.

1. Your Organization Name and Address:

Name:

Title:

Phone:

FAX:

E-Mail _______________________________________

2. Contractor performed as the FORMCHECKBOX Prime Contractor FORMCHECKBOX Subcontractor FORMCHECKBOX Key Personnel

Comments: ___________________________________________________________________________________

3. Past Performance: Please characterize the level of the contractor’s overall performance by placing an “X” in the appropriate block.

Any additional comments: ______________________________________________________________________________________

4. Has any part of this contract been terminated for default or convenience?

_______YES

________ NO

If YES, please explain the reasons for termination (i.e. inability to meet cost or delivery schedules, performance, etc.)

5. How would you rate the contractor’s overall performance?

Comments:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Would you award to this contractor again? Yes_________ No_________ Explain: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Any additional comments: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________