Appendix_L_11 Past Performance Questionnaire_DBnC MATOC_20261104.docx
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PRE-DECISIONAL
Appendix L-11 Past Performance Questionnaire 36C10F27R0003 Design-Build and Construction MATOC
PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
| Address: | DUNs Number: |
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
4. Project Description:
Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)
CLIENT INFORMATION (Client to complete Blocks 5-8)
5. Client Information Name:
Title:
Phone Number:
Email Address:
6. Describe the client’s role in the project:
7. Date Questionnaire was completed (mm/dd/yy):
8. Client’s Signature:
NOTE: THE GOVERNMENT REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO THE GOVERNMENT WITH THEIR PROPOSAL. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
RATING DEFINITION NOTE
| (E) Exceptional |
| 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 |
| An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified. |
| (VG) Very Good |
| 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 |
| A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified. |
| (S) Satisfactory |
| 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 |
| A Satisfactory rating is appropriate when there were only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that contractors will not be evaluated with a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order. |
| (M) Marginal |
| 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 |
| A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner. |
| (U) Unsatisfactory |
| 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 |
| An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. |
| (N) Not Applicable |
| No information or did not apply to your contract |
| Rating will be neither positive nor negative. |
TO BE COMPLETED BY CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY:
| a) Effectiveness of the contractor’s quality control system, including implementation of required inspection processes and thoroughness of quality documentation. |
| E VG S M U N |
| b) Ability to identify, prevent, and correct deficient work, including responsiveness to issues and success of corrective actions. |
| E VG S M U N |
| c) Accuracy, completeness, and compliance of materials, shop drawings, and workmanship with contract specifications, including prevention of unauthorized or unspecified materials. |
| E VG S M U N |
| d) Reliability and consistency of testing, inspections, and other quality‑assurance activities used to ensure delivery of a quality product without excessive customer oversight. |
| E VG S M U N |
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
| a) Timely completion of design, engineering, administrative, and construction activities, including adherence to scheduled milestones and the on-time delivery of all required submittals and deliverables. (If liquidated damages were assessed or the schedule was not met, please address below) |
| E VG S M U N |
| b) Adequacy and reliability of the contractor’s scheduling practices, including development of realistic schedules, updates provided when required, and effective use of resources to maintain planned progress. |
| E VG S M U N |
| c) Contractor’s performance in meeting administrative and physical milestone dates, including responsiveness to schedule risks, causes of slippage, and the timeliness and effectiveness of contractor‑initiated corrective actions. |
| E VG S M U N |
| d) Compliance with the overall contract schedule, including management of significant events (e.g., design reviews), the contractor’s role in any schedule variance, and any schedule‑related adverse actions such as liquidated damages or Cure/Show Cause/Delinquency Notices. |
| E VG S M U N |
3. COST CONTROL: (Not required for Fixed Price type contract/orders)
| a) Effectiveness in forecasting, managing, and controlling contract costs, including alignment of negotiated, budgeted, and actual costs. |
| E VG S M U N |
| b) Accuracy and timeliness of cost documentation and billing, including adequacy of internal cost controls. |
| E VG S M U N |
| c) Contractor’s management of cost growth or underruns, including causes, corrective actions, and notifications when costs exceed available funds. |
| E VG S M U N |
| d) Performance during undefinitized contract actions (UCAs), including accuracy of person‑hour estimates and timeliness of definitization. |
| E VG S M U N |
4. MANAGEMENT/ PERSONNEL/LABOR
| a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? |
| E VG S M U N |
| b) Ability to hire, apply, and retain a qualified workforce to this effort |
| E VG S M U N |
| c) Government Property Control |
| E VG S M U N |
| d) Knowledge/expertise demonstrated by contractor personnel |
| E VG S M U N |
| e) Utilization of Small Business concerns |
| E VG S M U N |
| f) Ability to simultaneously manage multiple projects with multiple disciplines |
| E VG S M U N |
g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes
E VG S M U N
| h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) |
| E VG S M U N |
5. SMALL BUSINESS SUBCONTRACTING
| a) Compliance with small business subcontracting requirements, including FAR 52.219‑8 and 52.219‑9, and achievement of subcontracting goals or documented good‑faith efforts. |
| E VG S M U N |
| b) Effectiveness in providing maximum practicable opportunity for all small business categories to participate in contract performance, consistent with efficient contract execution. |
| E VG S M U N |
| c) Adequacy of subcontracting plan execution, including timely reporting, coordination with Small Business specialists or DCMA (when applicable), and responsiveness to requirements for task‑order‑level goals. |
| E VG S M U N |
6. REGULATORY COMPLIANCE
| a) Contractor’s compliance with all contract clauses, regulatory requirements, and applicable codes (financial, safety, labor, environmental, etc.). |
| E VG S M U N |
| b) Contractor’s compliance with all required reporting and documentation obligations under the contract. |
| E VG S M U N |
| c) Contractor’s adherence to specifications, quality‑assurance surveillance requirements, and contract‑mandated regulatory reporting (e.g., integrity, CAS, environmental, safety). |
| E VG S M U N |
| d) Contractor’s record of regulatory compliance, including any issues such as late subcontractor payment, defective pricing data, trafficking violations, tax delinquency, terminations, suspensions, or debarments. |
| E VG S M U N |
7. GENERAL
| a) Would you hire or work with this firm again? (If no, please explain below) |
| Yes No |
| b) 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 (please attach additional pages if necessary):
PRE-DECISIONAL
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