Attachment 03 PPQ - Services.docx

12456820Q0001 SRS Hot Springs, AR Lawn Maintenance

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and 3.104

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: _____________________ Telephone Number: ______________________

Address: ________________________________________

Project Title or Brief Description of Work: _____________________________________________

Contract Number Provided by Offeror: __________________Dollar Amount: $ _____________________ Contract Period or Dates of Performance Provided by Offeror: ___________________________

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

B. RESPONDENT INFORMATION:

Name of Respondent: ___________________Title: _________________________________________ Telephone Number: _______________________________ Email Address: _______________________________

C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance met contractual requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

No record of past performance or the record is inconclusive.i

CONTRACTOR’S NAME: _ _CONTRACT NUMBER

Remarks: ________________________________________________________________________________ Attachment 03