951700-20-R-0008 Attachment 3 Past Performance Questionnaire (PPQ).docx

Attachment No. 3 SHORTWAVE BROADCAST TRANSMISSION SERVICES Solicitation No. 951700-R-20-00008

ATTACHMENT NO. 3

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

NOTE: WHEN THIS DOCUMENT IF FILLED, IT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

GENERAL INSTRUCTIONS:

1. This form should be completed by the Government Contracting Officer, COR or Project Manager.

2. Provide an adjectival rating for the questions (the ratings are defined on page 2).

3. Please provide comments to substantiate the assigned rating for Quality, Schedule, etc.

4. Email the PPQ to the following email address: sbelinfo@usagm.gov

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ________________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs: ____________________________

J. Description of service provided: ________________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: ______________________________________________________________________________

B. Customer or agency description (if applicable): _______________________________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name: ______________________________________________________________________________________ B. Evaluator's title: ______________________________________________________________________________________ C. Evaluator's phone/email/fax number: ___________________________________________________________________

Number of years evaluator worked on subject contract: _____________________

SECTION 4: EVALUATION

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:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets minimal contractual requirements. The contractual performance contained 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 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.

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

N NOT APPLICABLE - Unable to provide a score.

a) Quality of technical data/report preparation.

b) Ability to meet quality standards specified for technical performance.

c) Timelines/effectiveness of contract problem resolution without extensive customer guidance.

d) Adequacy/effectiveness of quality assurance requirements (without adverse effect on performance).

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

a) Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

b) Rare the Contractor’s use of available resources to accomplish tasks identified in the contract.

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

a) To what extent were the end users satisfied with the project?

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication).

c) Overall customer satisfaction.

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

a) Effectiveness of on-site management, including management of subcontractors, supplies, materials, and/or labor force?

b) Ability to hire, apply, and retain a qualified workforce to this effort.

c) Government Property Control.

d) Knowledge/expertise demonstrated by contractor personnel.

e) Utilization of Small Business concerns.

f) Ability to simultaneously manage multiple projects with multiple disciplines.

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes.

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program).

i) Effectively transition personnel and operations when taking over from the incumbent.

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

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

b) Contractor’s proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

c) If this/was a Government cost type contract, please rate the Contractor’s timelines and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain Remarks section.

e) If this is/was a Government contract, ha/was this contract been partially or completely terminated for default or convenience or are there are pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

b) Contractor complied with all security requirements for the project and personnel security requirements.

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

a) 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).

b) Compliance with contractual terms/provisions (explain if specific issues).

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

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

You may provide comments to substantiate the assigned ratings of Exceptional-E; Very Good (VG); Marginal (M); Unsatisfactory (U) or Not Applicable (N).

SECTION 5: NARRATIVE SUMMARY (Provide additional remarks, if applicable. Furthermore, you may 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).

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? (Yes or No and elaborate as desired).

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to: Seneca Belinfontie, Contract Specialist at the United States Agency for Global Media (USAGM)

E-mail Address: sbelinfo@usagm.gov