Past Performance Questionnaire FA930126R0005.pdf

Source Selection Information -- See FAR 2.101 and 3.104 - CUI.

Source Selection Information – See FAR 2.101 and 3.104 – Controlled Unclassified Information (CUI)

Attachment 2 Past Performance Questionnaire

SOLICITATION NUMBER: FA930126R0005

The Air Force Test Center Contracting Directorate (AFTC/PZIOA), Edwards AFB, CA is conducting a source selection for a Materiel Management Operations contract. Please complete and return this questionnaire within 5 workdays. Handwritten responses are sufficient. Do not send a copy of the completed questionnaire to the contractor being assessed. You may be contacted by our office to review the results of the questionnaire. The questionnaire information will be used in the evaluation of the Past Performance Factor contained in the Instructions to Offerors of the solicitation. Completed questionnaires will become part of the official source selection records and protected in accordance with FAR 3.104 and

2.101. Please email the completed questionnaire to:

Norman Mackie, Contracting Officer: norman.mackie.1@us.af.mil Amanda Tate, Contract Specialist: amanda.tate@us.af.mil

Evaluator, please complete, date and sign the following:

SECTION 1: CUSTOMER OR AGENCY IDENTIFICATION

Date Evaluation Completed: _______________________________________________ Location of Contract Performance: __________________________________________ Evaluator Name: _________________________________________________________ Position Title and Grade: __________________________________________________ How long have you worked directly with the Contractor: _________________________ Address: ________________________________________________________________ Phone Number (DSN and Commercial): _______________________________________ Email Address: __________________________________________________________ Are you aware of another POC that might be appropriate for completion of this questionnaire? If so, please provide any information you can. ______________________

Evaluator’s Signature Date

SECTION 2: CONTRACT IDENTIFICATION

A. Contractor: ________________________ CAGE Code:________________________

C. Subcontractor(s): ___________________ CAGE Code:________________________

E. Contract number: _______________________________________________________

F. Contract type (FFP, Cost, T&M): __________________________________________

G. Contract Performed as the: Prime Contractor__________ Subcontractor__________

H. Total original contract cost/value: ___________ Total current cost/value: ___________ reason for difference _______________________________________________________________

I. Period of Performance -- From: ___________________ To: _____________________

J. Title and brief description of services provided—If this is a BOS contract, please try to extrapolate the effort performed by this Contractor and it applies to Materiel Management Operations.

K. Does this contract provide for the accomplishments of all requirements in a Standard Base Supply Materiel Management Operations Services account? (If not, what does the contract provide?)

SECTION 3: EVALUATION

The following is an explanation of the evaluation codes:

PERFORMANCE LEVEL CODES

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.

VG - VERY GOOD – Performance met all contract requirements and exceeded some to the customer’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner.

S - SATISFACTORY - Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor 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.

EVALUATION AREAS

For each of the following questions, place an “X” in the appropriate block using the scale defined above for each statement which best reflects your assessment of the contractor’s performance. In the event a question is not applicable to your contract, mark “N/A” in the explanation sections. Please provide a narrative explanation for performance deemed “Exceptional”, “Marginal”, or “Unsatisfactory”. If more comment space is needed, please attach additional pages.

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

1. Quality of Service - Please rate the overall quality of services performed.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Please provide an explanation for the rating you provided.

2. Schedule - Please rate overall schedule and ability to meet timelines with contract performance work statement or statement of work.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Please provide an explanation for the rating you provided.

3. Management - Please rate the overall effectiveness of management.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Please provide an explanation for the rating you provided.

4. Regulatory Compliance - Please rate the overall compliance with written guidance and performance work statement or statement of work.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Please provide an explanation for the rating you provided.

Note: If offeror holds or has held other contracts with this vendor in the last three (3) years, please complete separate evaluation forms for each.

NARRATIVE SUMMARY

5. What were the contractor’s most positive aspects during the performance of the contract?

6. What were the contractor’s most negative aspects during the performance of the contract?

COMMENTS

7. Please provide any additional comments concerning this contractor’s performance. Use additional paper if needed.

The past performance rating method will be based on the offeror’s performance record for which the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown. Therefore, an honest assessment with regard to this Contractor’s performance is critical.

Evaluator's Name and Title:

Signature: Date:

Thank you for providing a detailed and accurate history of past performance for this offeror.