ATTACHMENT_3_-_PPQ_13f_FINAL.pdf

ATTACHMENT 3 RFQ NUMBER: 50310219Q0068

PAST PERFORMANCE

QUESTIONNAIRE

4-23-2019

The United States Securities and Exchange Commission (SEC), Office of Acquisition, intends to obtain a qualified vendor under RFQ No. 50310219Q0068 to conduct and coordinate on behalf of the SEC. In order to accurately evaluate the Offeror’s past performance, your assistance is requested in obtaining and verifying the past performance history of this Offeror.

Upon completion of this form, please submit it as an e-mailed attachment. Past Performance Questionnaires shall be submitted to GinnC@sec.gov NO LATER THAN 10:00AM EST May 9, 2019. Please make the subject line of the e-mail read “50310219Q0068 - Past Performance Questionnaire – Insert Evaluated Company’s Name.”

TO BE COMPLETED BY OFFEROR

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor Name and Address:

B. Contract No:

C. Contract Initiation Date:

D. Completion Date: ____________________________________________

E. Contract Value:

F. Type of Contract:

G. Description of Contract Requirements:

mailto:GinnC@sec.gov

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

Please enter the requested information in SECTIONS 2 and 3, then transmit the completed questionnaire to ginnc@sec.gov. Thank you for your assistance in this matter.

PLEASE DO NOT PROVIDE COMPLETED QUESTIONNAIRES TO THE OFFEROR

SECTION 2: EVALUATOR IDENTIFICATION

A. Evaluator’s name: ___________________________

B. Evaluator’s Position: ____________________________

C. Evaluator’s Organization: ____________________________

D. Evaluator’s phone number:____________________________

E. Months Performance Monitored By Evaluator: ____________

SECTION 3: EVALUATION

Please indicate your response for each topic that best reflects your experience with this contractor by placing an “X” in the appropriate block using the scale as defined below:

RATING DEFINITION

EXCEPTIONAL (E) Exceeds specified minimum performance or capability requirements in a way beneficial to the organization ACCEPTABLE (A) Meets specified minimum performance or capability requirements necessary for acceptable contract performance.

MARGINAL (M) Does not clearly meet some specified minimum performance or capability requirements necessary for acceptable contract performance, but any proposal inadequacies are correctable.

UNACCEPTABLE (U) Fails to meet specified minimum performance or capability requirements. Proposals with an unacceptable rating are not awardable.

NONE AVAILABLE

(NA)

No record of past performance or the record is inconclusive.

NOTE: If you have rated this contractor on this particular contract or project in CPARS or some other evaluation system accessible to the Government, you may indicate that past performance information on this contract/project is available in the appropriate system and you may include a copy of that rating in lieu of the following questionnaire.

Please discuss every instance for which you indicated U (Unacceptable) in response to the questions below (use additional sheets, if necessary).

QUALITY OF PRODUCTS AND SERVICES – Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health)

E A M U NA

Remarks:

PERFORMANCE – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

SCHEDULE– Assess the timeliness of contractor against schedule of activities.

TECHNICAL REQUIREMENTS – Assess the contractor’s ability to fulfill the technical requirements of the contract.

COST CONTROL – Assess the contractor’s ability to manage the contract budget and control costs.

CUSTOMER SATISFACTION– Assess the contractor’s responsiveness to customer concerns.

OVERALL ASSESSMENT

ADDITIONAL COMMENTS: