Attachment_2_-_Past_Performance_Questionnair.docx

ATTACHMENT 1

DEPARTMENT OF THE ARMY

411th CONTRACTING SUPPORT BRIGADE, KOREA

UNIT 15289

APO AP 96205-5289

CCEC-KOY-SC 23 December 2015

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) Number W91QVN-16-R-0030 for Repair and Maintenance Services for Army Family Housing (AFH), USAG-Yongsan

Dear Sir/Ma’am;

The 411th CSB, Korea is currently conducting a competitive source selection to evaluate offerors on subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on same or similar federal, state or local government or commercial contracts as compared to North American Industry Classification System (NAICS) 561720. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the POC below no later than 22 January 2016, Korean Standard Time (KST). Your questionnaire may be submitted electronically:

411th CSB-Korea Services Division, Team Dragon Attn: Alexis, Levi B.

Unit #15289, APO AP 96205-5289 Reference: W91QVN-16-R-0030, Repair & Maintenance Services for USAG-Yongsan AFH E-mail: Email: levi.b.alexis.civ@mail.mil and yangi.no.ln@mailmil

Your cooperation is greatly appreciated. Questions may be directed to POC levi.b.alexis.civ@mail.mil or the undersigned at yangi.no.ln@mail.mil.

Sincerely, NO, YANG I.

Contracting Officer

PAST PERFORMANCE EVALUATION QUESTIONNAIRE FORM

Contractor:____________________ Contract No.:____________________________

Subcontract No. (if applicable):_________________________________

POC NAME & TITLE:_______________________________________________

Agency, Telephone No., E-mail Address & Fax Number: __________________________

The following questions pertain to the contractor’s record of past (within the past five years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following ratings shall be used in your response.

Satisfactory: Performance meets or exceeds contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Unsatisfactory: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

DATA QUESTIONS

Contract Type (i.e. FFP, Cost Plus, etc.):__________________

Period of Performance:_____________________

Total Contract Amount:_______________________

PERFORMANCE QUESTIONS (S: Satisfactory, U: Unsatisfactory)

Question 1. TIMELINESS OF PERFORMANCE:

What is your assessment of the Contractor’s ability to provide products in a timely manner?

S: ___________________ U: _________________

· Met interim milestone

· Reliable

· Responsive to technical and contractual direction

· Completed on time including performance on urgent, emergency or contingency requirement

· Contract administration

Question 2. QUALITY OF WORK What is your assessment of the Contractor’s quality of work in complying with contract requirements, quality achieved and overall technical expertise demonstrated?

S: ___________________ U: _________________

· Compliance with contract requirements and specifications

· Standards of good workmanship with on0site management and coordination of work requirements

· Accuracy of reports

· Appropriateness of personnel and technical excellence of contracted work

Question 3. OVERALL RATING OF CONTRACTOR’S PERFORMANCE What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

S: ___________________ U: _________________

OTHER REMARKS:

Use the space below to provide other information related to the contractor’s performance under this contract, that you wish to make any additional comments was not addressed above.

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