4 - PPQ _PAST_PERFORMANCE_QUESTIONNAIRE FA486125R0003.pdf

ATTACHMENT 4- PAST PERFORMANCE

QUESTIONNAIRE FA486125R0003

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

NELLIS FA4861125R0003 SABER

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The contractor, which is named below, requires this PPQ to be completed for a proposal for a

Solicitation. This solicitation is in support of Nellis AFB, Creech AFB and Nevada Test and Training

Range. The solicitation in question is FA4861125R0003 for a Simplified Acquisition of Base Engineer

Requirements (SABER) IDIQ.

Submission of this form is mandatory for the evaluation of Contractor past performance if CPARS are not available. No other form of past performance evaluation will be considered for evaluation.

A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Return the completed questionnaire to the referenced contractor:_________________ at_____________________________.

Please refer any questions to: Corrine Lemon at (702-652-6196) or (corrine.lemon@us.af.mil)

A. GENERAL INFORMATION OF CONTRACTOR (completed by Offeror)

Contractor Name:_______________________________________________________________

CAGE:_______________________ UEI:____________________________________________

Telephone Number:_______________ Point of Contact:_________________________________

B. RESPONDENT INFORMATION (completed by evaluating Contracting Officer)

Name:_______________________________________________________________________

Title:________________________________________________________________________

Organization:__________________________________________________________________

Address:_____________________________________________________________________

Telephone_______________________________ Email:_______________________________

C. CONTRACT INFORMATION

Contract Number:______________________________________________________________

Title: ______________________________________________________________________

Was this contract an Air Force SABER?___________________________________________

Was this contract a MACC or Design Build Contract?________________________________

Period of Performance:____________________ Dollar Amount of Contract:_______________

Description___________________________________________________________________

D. PERFORMANCE INFORMATION:

For the section below, please indicate your satisfaction with the contractor’s performance by highlighting in the appropriate block code using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE RATING

EX EXCEPTIONAL - Performance meets contractual requirements and exceeds many to the benefit of the customer. 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.

VG VERY GOOD - Performance meets contractual requirements and exceeds some to the customer’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.

SAT 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.

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.

UNS 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.

Please use the above ratings to describe the contractor’s performance in the following areas:

1. Quality

Assess the contractor’s performance in terms of quality. Consider how effectively they managed their quality control program and upheld construction standards. This includes their consistency in performing accessory testing, executing the three-phase inspection process, and maintaining thorough Contractor Quality Control (CQC) documentation.

EX VG SAT M UNS

3. Management

Assess the integration and coordination of all activities needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts.

I certify that I am a Contracting Officer or contract professional responsible for the subject contractor evaluation. All information provided is true and valid to the best of my knowledge.

Evaluator’s Signature Date

2. Schedule

Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance). This rating of the contractor’s adherence to the required delivery schedule should include the contractor’s efforts during the evaluation period that contribute to or affect the schedule variance. Also, consider the significance of scheduled events and assess the effectiveness of contractor corrective actions.