21R0202 - Attachment B_Past Performance Questionnaire.pdf

Solicitation SPE608-21-R-0202 Fuel Card and Bunker Programs- AIR Card®

ATTACHMENT B - PAST PERFORMANCE QUESTIONNAIRE (PPQ)

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 3.104

The Offeror shall provide this form to their clients and request that their clients complete it.

Questionnaires for each client must be directly transmitted to the Government as described on the last page via email Energyfuelcards@dla.mil. Completed questionnaires received from offerors shall not acceptable.

Name of Company being reviewed: __________________________________________________

SECTION 1: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name: __________________________________________________________

B. Geographical description of services under this contract, i.e. local, nationwide, worldwide:

SECTION 2: CONTRACT IDENTIFICATION

A. Contract Number: ______________________________________________________________

B. Contract Type: ________________________________________________________________

C. Period of Performance: _________________________________________________________

D. Card Type/Services Provided (please fill in):

E. Initial contract cost: $__________________________________

F. Current/Final contract cost: $_____________________________

G. Reasons for difference between initial contract cost and final contract costs:

H. Description of services provided:

mailto:Energyfuelcards@dla.mil

SECTION 3: REFERENCE IDENTIFICATION

A. Name: ____________________________________________________________________________

B. Title: _____________________________________________________________________________

C. Phone/Fax: ________________________________________________________________________

D. E-mail: ___________________________________________________________________________

E. Years worked on Subject Contract: _____________________________________________________

SECTION 4: EVALUATION

The purpose of this evaluation is to understand your satisfaction with the Contractor in respect to delivery of charge card and related payment services.

Please indicate your satisfaction with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

RATING PERFORMANCE LEVEL

Exceptional (E) Performance meets contractual requirements and exceeds many to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG) Performance meets contractual requirements and exceeds some to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory (S) 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 appear or were satisfactory.

Marginal (M) Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory (U) 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

Not Applicable (N) No information or did not apply to your contract

PERFORMANCE E VG S M U N

Please circle the adjective rating which best reflect your evaluation of the contractor’s performance.

QUALITY OF PRODUCT OR SERVICE:

Quality of technical data/report preparation efforts and accurate deliverables

E VG S M U N

Meet service specifications of the contract E VG S M U N

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E VG S M U N

Technical adequacy/effectiveness of quality control programs and adherence to contract quality assurance requirements

E VG S M U N

Contractor implemented responsive/flexible processes to improve quality and timeliness of support

E VG S M U N

Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

E VG S M U N

Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

SCHEDULE:

Ability of Contractor to provide deliverables/reports required by the contract on time

E VG S M U N

Ability to manage transition from prior contract/service provider E VG S M U N

Rate the contractor’s use of available resources to accomplish tasks identified in the contract

E VG S M U N

COST/PRICE CONTROL:

Ability to meet the terms and conditions within the contractually agreed price(s)?

E VG S M U N

Track and control costs E VG S M U N

Meet and perform within negotiated costs E VG S M U N

Provide current, accurate and complete invoices, billing E VG S M U N

Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

BUSINESS RELATIONS:

Maintain effective relationship between key contractor personnel and key

Government personnel

E VG S M U N

Manage, resolve problems and respond to and/or integrate changes in mission-related requirements

E VG S M U N

Understanding the customer objectives and technical requirements E VG S M U N

MANAGEMENT OF PERSONNEL:

Attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements

E VG S M U N

Ability to hire/apply a qualified workforce to this effort E VG S M U N

Manage subcontractors to include identification and resolution of subcontractor problems

E VG S M U N

Ensure continuation of services during absences or vacancies E VG S M U N

Replace/fill vacancies within timeframe specified E VG S M U N

UTILIZATION OF SMALL BUSINESS:

Comply with Small Business Subcontracting Plan (Large Businesses only)

E VG S M U N

Meet Small Business subcontracting goal as stated in the contract (Large

Businesses only)

E VG S M U N

Ability to meet or exceed small business goals set forth in the approved subcontracting plan

E VG S M U N

GENERAL

Ability to successfully respond to emergency and/or surge situations

(including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

Would you hire or work with this firm again? (If no, please explain below)

YES NO

In summary, provide an overall rating for the work performed by this contractor.

E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks.

Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk:

NARRATIVE SUMMARY:

Reference’s Signature Date

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE! Please return this completed questionnaire no later than Thursday, August 31, 2021, 3:00 PM Eastern Time, FT. Belvoir, VA Local

Time, with your proposal to: Energyfuelcards@dla.mil Attn: MAJ Jovany Munoz and Ms. Daisy

Williams.

mailto:Energyfuelcards@dla.mil