Solicitation Attachment XU - Past Performance Customer Questionnaire.pdf

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

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We are in the process of competitively selecting a source for a MACC program.

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 7 calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data for our source selection.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to the offeror or Robert Melton at robert.melton.6@us.af.mil.

Joint Base Charleston - 628th Contracting Squadron RE: Source Selection Information in Response to FA4418-23-R-XXXX Attention: Robert Melton 101 E. Hill Blvd, Bldg 503 JB Charleston, SC 29404

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.

ROBERT R. MELTON

Contracting Officer

(1) Attch Past Performance Questionnaire http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836 mailto:zandra.hearn@us.af.mil mailto:andrew.sorensen.1@us.af.mil 1186548880C Highlight

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Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (Dsgn-Build, Dsgn-Bid-Build, etc):

E. Project Title:

F. Brief Project Description:

G. 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):

H. Description of work performed:

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

J. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel ☐ Teaming Partner

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 / e-mail address:

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

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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 questions below, indicate your rating for the contractor’s performance by checking the appropriate box under 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.

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A. Rate the Offeror’s performance for the following:

1. Quality

How well did the contractor meet the performance requirements? (Quality reflects the contractor’s management of the quality control program, as well as the quality of the work itself. Has a quality product/service been provided? Specifically rate the contractor’s quality control system in context of the contractor’s ability to:

maintain quality control, perform inspection/testing methods, CQC (Contractor Quality Control) documentation and implementation, identify and correct deficient work, review materials and shop drawings, and note whether there was incorporation of unspecified materials

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

2. Schedule

a. How well did the contractor perform against the delivery schedules of the contract? Specifically rate the contractor’s ability to: Furnish baseline and updated critical path project schedules on a timely basis; Complete the design/engineering services and/or construction services a timely manner; Adequately schedule the work; Meet administrative milestone dates; Meet physical milestone dates specified by contract or agreed to in the project schedule; and Furnish most required deliverables on or ahead of schedule.

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

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b. Please indicate if the contractor met, exceeded, or failed to meet contractual delivery dates; and, if schedule slips occurred, state the number of slips and cumulative schedule variance. Please elaborate in the supporting information the significance of scheduled events (e.g., design reviews), discuss causes, and assess the effectiveness of contractor corrective actions. This element applies to contract/order closeout activities as well as contract/order performance.

☐ E – Exceeded Scheduled Completion ☐ S - Met Scheduled Completion ☐ U – Failed to Meet Scheduled Please State Schedule Deviation (if Exceeded/Failed):

SUPPORTING INFORMATION:

c. Instances of adverse actions evaluating scheduled completion such as liquidated damages or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract/order schedule. Please select all applicable and briefly elaborate on what actions were applicable.

☐ Cure Notices ☐ Show Cause Notices ☐ Delinquency Notices ☐ Liquidated Damages Applied

SUPPORTING INFORMATION:

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3. Management

a. Please rate the contractor’s ability to integrate and coordinate all activity needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts (Please consider whether the contractor: Is customer oriented; Satisfactorily interacts with government personnel; Demonstrated adequacy of accounting and billing under the contract/order; Addressed satisfactorily the management of subcontractors, including subcontract costs; Proactively identified/resolved subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime contractor performance; Retained appropriate/qualified personnel on-site with the capacity to adequately plan, schedule, resource, organize and otherwise manage the work)

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

4. Cost Control.

a. FOR OTHER THAN FIXED PRICE TYPE CONTRACTS/ORDERS ONLY. Please rate the contractor’s effectiveness in forecasting, managing, and controlling contract/order cost. If the contractor is experiencing cost growth or underrun, discuss the causes and contractor-proposed solutions for the cost overruns or underruns. For contracts/orders where task or contract sizing is based upon contractor-provided person hour estimates, the relationship of these estimates to ultimate task cost should be assessed. In addition, the extent to which the contractor demonstrates a sense of cost responsibility, through the efficient use of resources, in each work effort should be assessed.

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

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b. FOR FIXED PRICE TYPE CONTRACTS/ORDERS ONLY. Please rate the contractor’s effectiveness in managing costs for unforeseen situations encountered, changes to specifications, and controlling contract/order modification cost; providing responsive cost proposals (to include other than certified cost/price data) and subcontracting cost control methods.

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

5. Regulatory Compliance

a. Please rate the contractor’s compliance with all terms and conditions in the contract/order relating to applicable regulations and codes. Consider aspects of performance such as compliance with financial, environmental (example: Clean Air Act, Clean Water Act); Safety regulations as well as any other reporting requirements in the contract terms and conditions; Compliance with the quality assurance surveillance plan; Administrative matters such as: labor regulation compliance (payrolls submitted timely), subcontracting reporting (SF1413), Material Submittals and Closeout documentation, etc.

☐ E ☐ V ☐ S ☐ M ☐ U ☐ N/A

SUPPORTING INFORMATION:

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6. Other (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).

GENERAL COMMENT (Choose one of the following and explain your choice in the remarks)

Given what I know today about the contractor’s ability to execute what he promised in his proposal, “I (select one)… ☐ Definitely Would ☐ Probably Would ☐ Might or Might Not

☐ Probably Would NOT ☐ Definitely Would NOT

…award to him today given that I had a choice.”

REMARKS:

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

E-Mail to:

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

Attn: Robert Melton 101 E. Hill Blvd, Bldg 503 JB Charleston, SC 29404 Text42: robert.melton.6@us.af.mil