Attch 4 Kuwait PP Survey.doc

PAST PERFORMANCE SURVEY

When Filled In This Document is Source Selection Sensitive

Information IAW FAR 3.104 & 2.101

REQUEST INFORMATION BE TYPED TO ENSURE READABILITY

A. CONTRACT INFORMATION FOR PRESENT OR PAST PERFORMANCE EFFORT BEING

SUBMITTED FOR CONSIDERATION: (To be completed by Offeror) Offeror’s Company Name: ________________________________________________________________ Address:__________________________________ Telephone Number:____________________________

Offeror Point of Contact/Email Address:_____________________________________________________

Project Title:___________________________________________________________________________

Contract Number:_______________________________________________________________________

Annual Dollar Amount: $________________________________________________________________

Total Dollar Amount of Overall Effort (to include all options) $__________________________________

Place of Performance:___________________________________________________________________

Contract Start Date:_____________Contract End Date (to include all options) ______________________

Did the offeror perform services as the ____ Prime Contractor or as a ____ Sub-Contractor on the above referenced effort?

If performed as a Sub-Contractor, please provide a description of the tasks performed:

Annual Dollar Amount of Sub-Contracted tasks performed: $____________________________________ B. RESPONDENT INFORMATION (To be completed by Respondent) Note: If any of the information in Section A is incorrect, please make necessary changes.

Detailed Description of Services provided: (Must be completed by Respondent – not the Offeror)

Also, please provide a copy of the Performance Work Statement (PWS) or portion of the PWS you believe to be relevant to this acquisition:

Name of Respondent:______________________________________ Title:_______________________________________ Address:____________________________________________________________________________________________

DSN Telephone Number:_______________________________________________________________________________

Comm. Telephone Number:_____________________________________________________________________________

Fax Number:__________________________ Email Address:__________________________________________________

C. E-MAIL COMPLETED SURVEY FORM TO:

Meggan DeBrobander – (618) 220-7974 or E-mail meggan.a.debrobander.civ@mail.mil

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104 Has CPARS been completed for this contract?

YES

NO

N/A NOTE: Although you may have filed a Contractor Performance Assessment Report (CPARS) for the contract listed, we would appreciate your response to this survey because some of the questions relate to areas not covered by CPARS.

D. PERFORMANCE INFORMATION: (Please circle response. Do not “highlight”)

The contractor:

1. Worked with established sequence of events checklist to facilitate on-time aircraft departures ensuring maximum aircraft utilization and tracked delays to determine the root cause.

N/A

2. Provided processing and handling for:

a. Passengers

N/A (If yes, provide average # of passengers per month and year________________)

b. Baggage

N/A

c. Cargo and Mail

(If yes, provide average # of tons per month and year _____________)

d. Hazardous cargo shipments

3. Load/unload cargo and passenger aircraft.

N/A (If yes, provide average # of aircraft per month and year _______)

4. Communicated with aircraft via UHF/VHF radio, maintained airflow to allow effective utilization of resources, and developed a functional aircraft parking plan.

N/A

5. Maintained “customer furnished” materials, vehicles, equipment, and facilities.

YES

NO

6. Operated, maintained, and repaired Material Handling Equipment

N/A

(MHE) and Aerospace Ground Equipment (AGE).

7. Maintained an adequate and effective safety and security program.

8. Completed transportation manifests for cargo/mail and passengers.

9. Completed reports and maintained records, both in terms of timeliness and accuracy.

NO

N/A

10. Followed written directives, instructions, and manuals in performance of the contract.

YES

NO

N/A

11. Provided quality control and/or inspection procedures to ensure performance requirements were consistently met.

N/A

12. Provided equipment, resources and personnel to meet contract start-up and performance requirements.

N/A

13. Hired, maintained, and replaced, if necessary qualified personnel during the contract period, ensuring attrition did not result in a degradation of services.

14. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

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

16. Provided timely resolution of contract discrepancies.

N/A

17. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain outcome below.

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

USING THE ABOVE DEFINITIONS, PLEASE RATE THE FOLLOWING:

1. Contractor’s quality of service: _______________________________________________________

2. Contractor’s aircraft on-time departure reliability: ____________________________________________________

3. Contractor’s business relations: _______________________________________________________

4. Contractor’s customer service:______________________________________________

REMARKS:

PLEASE PROVIDE A NARRATIVE EXPLANATION SUPPORTING YOUR ABOVE RATINGS AND AN EXPLANATION OF ANY RATING OF MARGINAL OR UNSATISFACTORY. ADDITIONALY, PROVIDE YOUR RATIONALE FOR WHY YOU WOULD OR WOULD NOT AWARD A FUTURE CONTRACT TO THEM.

Evaluator’s Signature/Date

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!

ATTACHMENT 4

SOLICITATION HTC711-20-R-C002