Att 12 - PPQ.pdf

ATTACHMENT 12

Solicitation no. 1291S820R0008

CASPO Surveys

When Filled In This Document Is Source Selection Sensitive

IAW FAR 2.101 and FAR 3.104

PAST PERFORMANCE QUESTIONNAIRE

January 28, 2020

Request for Proposal no. 1291S820R0008 California Spotted Owl Surveys San Bernardino National Forest

Offerors responding to the RFP shall provide this Past Performance Questionnaire [PPQ] to their references/clients for their references/clients to complete and submit to the Forest Service. Completed PPQs may also be provided to the Forest Service by the offeror.

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

“Contractor Name = the contractor responding to the solicitation”

Contractor’s Name: ____________________ Telephone Number: ____________________

Address: ____________________________ Fax Number: _________________________

____________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _________________________________________

Contract Period or Dates of Performance Provided by Offeror: ______________________________

Contract Number Reference: ________________________ Dollar Amount: $__________________

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

NOTE: If offeror holds or has held other contracts for the same or similar requirement with your agency/organization in the last three (3) years, a separate evaluation forms for those contracts is requested.

B. RESPONDENT INFORMATION:

“Respondent = Name of the Reference filling out the Questionnaire”

Name of Respondent: _____________________ Title:____________________________

Address: _____________________ Telephone Number: ___________________ ____________________________ Email Address: ______________________

C. E-MAIL COMPLETED SURVEY FORM TO:

Daniel.lara@usda.gov

Daniel Lara Contracting Office, Forest Service Region 5 707-562-9165

Daniel.lara@usda.gov

COMPLETED SURVEYS MUST BE RECEIVED BY THE GOVERNMENT BY THE SOLICITATION CLOSING DATE

AND TIME. LATE SURVEYS WILL NOT BE CONSIDERED.

CONTRACTOR’S NAME: _______________ CONTRACT NUMBER: _______________

Note: Include this information on each page of the questionnaire form to ensure there is mix of information among contracts surveyed for respective prime or subcontractor.

D. PERFORMANCE INFORMATION: Choose the appropriate number on the scale (1, 2, 3, 4, and 5) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 4 or 5.

1 2 3 4 5

Substantial Confidence

Satisfactory Confidence

Limited Confidence

No Confidence Unknown Confidence

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective

Performance meets contractual requirements.

The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory

Performance does not meet some contractual requirements.

The contractual performance of the element or sub-element 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

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective

Performance was not observed or not applicable to the current effort being reported against

Place an “X” in the appropriate column using the definitions matrix above.

THE CONTRACTOR 1 2 3 4 5

1 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2 Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3 Delegated authority to project managers and supervisors commensurate with contract requirements.

4 Home office participated in solving significant local problems.

5 Followed approved quality control plan.

6 Provided effective quality control and/or inspection procedures to meet contract requirements.

7 Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8 Provided timely resolution of contract discrepancies

9 Identified problems as they occurred.

10 Suggested alternative approaches to problems.

11 Displayed initiative to solve problems.

12 Developed realistic progress schedules.

13 Met established project schedules.

14 Provided timely resolution of warranty defects.

15 Was responsive to contract changes.

16 Provided adequate project supervision.

17 Obtained consent of surety for increases in bonding as work-in-progress increased.

18 Paid subcontractors/suppliers in a timely manner.

19 Provided accurate and complete line item cost proposals including all aspects of work required for each task.

20 Cooperated with Government personnel after award.

21 How would you rate the contractor's overall performance?

THE CONTRACTOR 1 2 3 4 5

22 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

23 Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

24 Is the contractor rated in CPARS? YES/NO

Additional Remarks