AMDT_0006__-_w-AMENDED_ATCH_5.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to correct Attachment 5, Past Performance Questionnaire, Section 2 to reflect a due date of 1 July 2016 as show n on the follow ing pages.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 24-Jun-2016

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HTC711-16-R-R015

X 9B. DATED (SEE ITEM 11)

17-May-2016

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

24-Jun-2016

CODE

USTRANSCOM-AQ - HTC711

508 SCOTT DR

SCOTT AFB IL 62225-5357

HTC711 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HTC711-16-R-R015

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

AMENDMENT 0006 TO ATTACHMENT 5

SOLICITATION HTC711-16-R-R015

PAST PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 2.101& 3.104

SECTION 1: CONTRACT IDENTIFICATION

INSTRUCTIONS: The Offeror submitting a response to USTRANSCOM Solicitation number HTC711-16-R- R015 completes this section prior to sending to the Respondent.

A. Contractor Name: ___________________________________________________________________________

B. Contract Title/Number: ______________________________________________________________________

C. Brief Description of Work Performed (include workload estimates):

D. Location(s) where service was performed under this contract: _______________________________________

E. Contractor being evaluated performed as the: _____Prime or _____Subcontractor (Mark one)

F. Contract Type: _____Fixed Price _____Cost _____IDIQ _____Single Award _____Multiple Award

Other:____________________________________________________________________________________

G. Period of performance (month/year – month/year): ________________________________________________

H. Dollar Value (include per year cost and life cycle cost): ____________________________________________

SECTION 2: RESPONDENT INFORMATION

INSTRUCTIONS: The remaining sections are to be completed by Respondent.

The results of this survey will aid the Government in determining whether there is a reasonable expectation that the contractor will successfully perform the Naval Air Warfare Center Weapons Division (NAWCWD) Logistics Aircraft and Drone Recovery Services effort. Therefore, it is important the responses be candid, factual, and as complete as possible.

If you do not have knowledge of, or experience with, the contract referenced above, please forward this Questionnaire to the person who can provide the information. Also, if offeror holds or has held other relevant contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Questionnaires must be returned no later than 1 July 2016, to USTRANSCOM Acquisition Office via E-mail:

deborah.l.long26.civ@mail.mil and mary.p.chapie.civ@mail.mil. Please indicate “Performance Survey” in the subject. Note, this information is to be received directly from the respondent and will not be considered if received from the Offeror.

A. Respondent's name: __________________________________________________________________________

B. Respondent's title: ___________________________________________________________________________

C. Customer or agency name: ____________________________________________________________________

D. Respondent's phone number: ___________________________________________________________________

E. Respondent’s Email: _________________________________________________________________________

F. Description of Work Performed (include workload estimates). Note: If any of the information in Section 1 is incorrect, please provide the correct information here.

G. Was contract performance assessed in Contractor Performance Assessment Reporting System (CPARS)?

________ Yes ________ No

NOTE: The Past Performance Information Retrieval System (PPIRS) may be reviewed for the referenced contract as well as responses to this questionnaire. Although you may have filed a CPARS for the contract listed, we appreciate your response to this questionnaire because some of the questions relate to areas not covered by CPARS.

mailto:deborah.l.long26.civ@mail.mil mailto:mary.p.chapie.civ@mail.mil

SECTION 3: PERFORMANCE INFORMATION

INSTRUCTIONS: Place a mark in the block that most accurately describes the contractor’s performance or situation.

In responding to the survey, please justify and explain Marginal or Unsatisfactory ratings. As the Respondent, you may be contacted to clarify comments or ratings. In order for the government to review and assess the contractor’s past performance rating, please use the following ratings to describe the offeror’s performance on your contract or project:

Exceptional (E) - Performance met all contract requirements and exceeded many to your company’s (or agency’s) benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Very Good (VG) - Performance met all contract requirements and exceeded some to your company’s (agency’s) benefit. There were a few minor problems that the contractor resolved in a timely, effective manner.

Satisfactory (S) - Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Marginal (M) - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective or was not fully implemented.

Unsatisfactory (US) - Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Unknown (U) - No record of past performance or the record is inconclusive.

Not Applicable (NA) – The requested information was not related to the referenced contract effort.

Work Area E VG S M US U NA

A Provided qualified/experienced personnel and management with the technical and administrative abilities needed to meet contract requirements.

B Provided scheduled maintenance on aircraft to ensure limited interruption of service.

C Provided security processes to safeguard aircraft and personnel D Responsive to aircraft mission changes E Provided service with minimum oversight.

F Complied with contract terms and conditions.

G Complied with contract transit time and on-time percentages.

H Demonstrated effective flight planning.

I Demonstrated accurate and timely billing processes.

J Demonstrated ability to hire, maintain, and replace, if necessary qualified personnel during the contract period, ensuring attrition did not result in a degradation of services.

K Reacted to and overcame stressful situations caused by unforeseen events.

L Provided timely resolution of contract discrepancies.

M Provide accurate and timely reports.

N Worked with established sequence of events to facilitate on-time aircraft departures and tracked delays to determine the root cause.

O Demonstrated an acceptable record of safety of flight and ground operations.

P Overall Rating/Customer Satisfaction Q Has any part of this contract been terminated for default or convenience? If so, explain below.

R Would you award another contract to this contractor? If not, explain below.

Rating Comments. Please discuss each response for which you indicated Marginal or Unsatisfactory performance in response to the questions above (use additional sheets, if necessary).

Survey Respondent’s Signature Date

Thank you for your prompt response and assistance!