A1 A2_-_JB-MDL_AirAdvisorAcademics_PPIQuestionaire_20150910.doc

QUESTIONNAIRE COVER LETTER

MEMORANDUM FOR

DATE

FROM:

SUBJECT: Past Performance Questionnaire for Solicitation Number FA4484-16-R-0004

FOR OFFICIAL USE ONLY

Joint Base McGuire-Dix-Lakehurst Contracting Squadron (JB-MDL CONS) is in the process of selecting a contractor for the Air Advisor Academic education and training requirement. The Air Advisor Academic training requirement consists of advisor mission and cross-cultural skills. In addition, this requirement contains courseware development and maintenance.

One of the considerations in proposal evaluation is the verification of the offerors' past and present performance on contracts, which reflect the offeror's ability to perform on the proposed effort. We have referenced your contract number XXXX with our company as a candidate for providing past/present performance information. JB-MDL CONS is depending on information received from agencies and companies such as yours, which have had first-hand experience with our company, for the evaluation of our performance on the identified contract.

The areas of interest regarding our performance are summarized in the enclosed questionnaire. We sincerely request that you please complete the questionnaire and send it directly to the Contracting Office for the Air Advisor Academic solicitation by the date set for receipt of proposals, 20 November 2015. This schedule will allow JB-MDL CONS sufficient time to analyze the data prior to the start of discussions, if held.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out either electronically or by hand, and either e-mailed or faxed to the attention of Manuel Revilla. Please call (609)754-5922 prior to a fax transmission, if you have any questions, or if receipt of your questionnaire is not acknowledged. Your completed questionnaire will become a part of the official Source Selection records.

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

XXXXX

Atch:

Past Performance Questionnaire, 2 pgs A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name:

Address:

Telephone Number:

Fax Number:

Point of Contact:

Project Title or Brief Description of Work: Air Advisor Academic Education and Training. Provides pre-deployment education and training in the areas of Advisor Core Skills and Region/Culture to support those USAF members deploying to a variety of COCOM AORs to advise their host nation counterparts.

Contract Number Provided by Offeror:

Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

*Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the: ( Prime Contractor ( Sub-Contractor ( Key Personnel.

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Address:

Telephone Number:

Fax Number:

Email Address:

C. FAX/SCAN COMPLETED SURVEY FORM TO: manuel.revilla@us.af.mil D. PERFORMANCE INFORMATION: Choose the number on the scale of 0 to 5 that most accurately describes the contractor’s performance or situation.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS.

PERFORMANCE

RATING

DEFINITION

(5) Exceptional

Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

(4) Very Good

Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(3) Satisfactory

Performance meets contractual requirements. The contractual performance of the element being assessed contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(2) Marginal

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s actions appear only marginally effective or were not fully implemented.

(1) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

CONTRACTOR’S NAME:

CONTRACT NUMBER:

The contractor:

CONTRACTOR’S NAME:

CONTRACT NUMBER

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