J-4_ PAST PERFORMANCE ASSESSMENT QUESTIONAIRE.docx

The 87th Contracting Squadron is in the process of competitively selecting a source for the Mechanical IDIQ. In accordance with the Statement of Work (SOW), the work consists of but is not limited to the following tasks: inspect, test, troubleshoot, construct, deconstruct, install, wire, and repair Heating, Ventilation, Air Conditioning and Refrigeration (HVACR) equipment, systems, sub-systems, including but not limited to: oil/gas fired forced air systems, hydraulic systems, piping systems, boilers, heat pumps, electric heat furnaces, direct expansion air conditioners and condensers, chilled water chillers, water fountains, evaporative cooling towers, oil tanks, air handlers, exhaust hoods, exhaust fans, fan coil units, pumps, motors, valves and dampers, condensate equipment, ductwork, flues, oil lines/gas lines/chilled water pipes, high and low pressure steam piping, hot water piping, refrigerant piping, fire suppression/sprinkler piping, hydraulic system piping, pipe insulation, fuel systems, and miscellaneous plumbing and fixtures. for Joint Base McGuire-Dix-Lakehurst (JBMDL), as specified by individual task orders. The delivery date for the individual task orders will vary dependent upon the work required, hence, a specific delivery date cannot be provided for this section. All work performed under this contract shall conform to the best practices of the trade or class or work involved and shall be executed in a careful and orderly manner by workman skilled in their respective trades. All work shall be performed in strict accordance with the specifications or to current industry standards when not specified.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than 30 calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to nicole.levesque@us.af.mil. Please email Nicole Levesque if you have any questions. Your completed questionnaire will become a part of the official Source Selection records.

Your assistance is greatly appreciated, and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

Attachment J-4: PAST PERFORMANCE ASSESSMENT QUESTIONAIRE

87th Contracting Squadron ATTN: Nicole Levesque nicole.levesque@us.af.mil

A. OFFEROR’S INFORMATION:

Company/Organization Name:

Address:

Point of Contact (POC):

Title of POC:

Telephone Number:

Fax Number:

Email:

B. RESPONDENT INFORMATION:

Company/Organization Name:

Address:

Point of Contact (POC):

Title of POC:

Telephone Number:

Fax Number:

Email:

C. CONTRACT INFORMATION:

Contract Title:

Contract Number:

Contracting Officer:

Fax/Phone Number:

Status (i.e. on-going, complete):

Contract Amount (total amount of base plus any options):

Type of Contract:

Performance Period (include base plus any options):

Place of Performance:

SOURCE SELECTION INFORMATION – See FAR 2.101 and 3.104

SOURCE SELECTION INFORMATION – See FAR 2.101 and 3.104

D. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS (relevant contract deliverables):

E. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the Offeror’s performance or situation. If you are unable to rate an item because it was not a requirement, never an issue, or you have no knowledge of the item in question, then you should mark “Unknown”.

(Unsatisfactory) Unknown Confidence (Neutral)

The element being assessed reflects a serious problem for which the Contractor has not yet implemented satisfactory corrective actions. (Risk Level: High) Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

Contractor’s corrective actions to date are ineffective. (Risk Level: Very High) The Offeror has little/no relevant past performance upon which to base a meaningful performance risk prediction. (Risk Level: Unknown)

a. PERFORMANCE and SUPPORTABILITY:

(1) The Contractor provided quality service that adhered to contract requirements, specifications, and standards of professional conduct.

(3) The Contractor successfully met deliverables established by the contract

(5) The Contractor had the ability to respond effectively to contract performance issues.

b. MANAGEMENT:

(1) The Contractor demonstrated an overall effective and quality management effort.

(5) The Contractor maintained an effective ongoing Quality Control Plan to provide for monitoring, analyzing and improving quality contract performance.

NA

c. TIMELINESS/SCHEDULE:

(3) The Contractor demonstrated the ability to plan for and provide replacement candidates during the life of the contract to include pre- planned absences, unplanned illnesses, or an extended leave of absence.

F. OTHER:

1. Would you award this firm another contract?

( ) Yes, ( ) No. If you answered “No” provide an explanation.

2. Was the contract terminated for default?

( ) Yes, ( ) No. If you answered “Yes”, provide an explanation.

3. Has the Contractor ever been given a cure notice, show cause notice, suspension of progress payments, etc.?

( ) Yes, ( ) No. If you answered “Yes”, provide an explanation.

4. Based upon the information you provided and using the definitions provided in the evaluation criteria above, the overall performance rating you would give this Contractor is:

Exceptional Satisfactory Marginal Unsatisfactory Unknown

COMMENTS: (ALL Unsatisfactory, Marginal, or Exceptional ratings require comments to support the same. Failure to provide comments will render questionnaire void and will not be accepted by the Government):

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: nicole.levesque@us.af.mil