JFSD201151 Past Performance Questionnaire Rev 06242024.docx

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Section L Attachment: Past Performance Questionnaire The 319th Contracting Squadron at Grand Forks AFB, North Dakota, is in the process of competitively selecting a source for Project JFSD201151 Repair (R&M) Bunch Hall Dorm 221.

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 the proposal due date. 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 carly.larson@us.af.mil and jhala.neupane@us.af.mil. 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.

Carly J. Larson, Contracting Officer, USAF

1 Atch Past Performance Questionnaire

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code and or SAM UEI Number:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Program Phase (e.g., Engineering & Manufacturing Development (EMD)):

H. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

I. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

J. Description of work performed:

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Section 4: Performance Information

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

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

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

S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

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

N/A NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

T1. How well did the contractor meet the technical requirements of the specification?

SUPPORTING INFORMATION:

T2. How was the quality of technical system operations & maintenance testing and certification efforts?

T3. How adequate/effective were the contractor’s environmental safety procedures?

T4. How well did the contractor provided effective quality control and/or inspection procedures to meet contract requirements?

T5. Did the contractor correct deficiencies in timely manner and pursuant to their quality control procedures?

T6. Did the contractor provide accurate as-built drawings, reports, and O&Ms in a timely manner?

T7. Did the contractor provide timely resolution of warranty defects?

P1. How effective was overall contract management (including ability to effectively lead, manage, control and deliver on-time)?

P2. What was the quality the contractor provided for experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements?

P3. How effective was the contractor’s on-site supervision?

P4. How effective was the contractor’s home office in participating and resolving problems?

P5. Did the contractor develop realistic progress schedules and meet established project schedules?

P6. How well did the contractor manage quality/effectiveness of subcontracted efforts?

P7. How effective was the contractor’s material management (including Government Furnished Property or Material)?

P8. How effective was the contractor’s communication with the government?

P9. How well did the contractor maintain on-site documentation such as red-line drawings?

E1. How effectively was the contractor able to hire, maintain, and replace, if necessary, a qualified workforce to this effort?

S1. If the contract included FAR 52.219-9, to what degree was the contractor able to meet or exceed small business and small disadvantaged business goals set forth in the approved subcontracting plan?

(Please state if FAR 52.219-9 was not included in the contract)

S2. If the contract included FAR 52.219-8, how effectively did the contractor manage small business participation to meet technical performance?

(Please state if FAR 52.219-8 was not included in the contract)

C1. How successfully did the contractor alert the Government of unforeseen costs before they occurred?

C2. How sufficient and timely was the contractor’s cost reporting?

C3. How effective was the contractor in providing timely notification of problems or unforeseen conditions as they are found and identifying potential problems before they were serious or urgent?

C4. How effective was the contractor in solving problems and suggesting effective solutions?

C5. How reasonable were the contractor’s cost and time proposals for contract changes?

C6. How well did the contractor respond to contract changes?

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

☐ Yes ☐ Default ☐ Convenience ☐ Pending Terminations ☐ No

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I [ click and select an item ] award to him today given that I had a choice.

REMARKS:

Please provide any additional comments concerning this contractor’s performance, as desired.

[click and pick the date]

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to: carly.larson@us.af.mil and jhala.neupane@us.af.mil.

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