ATCH 4 PPQ.pdf

Source Selection Information -- See FAR 2.101 and 3.104

FA5613-21-Q-0012

CONTRACTOR’S NAME: CONTRACT NUMBER:

For Official Use Only

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

INSTRUCTIONS FOR COMPLETING PPQ

1. This acquisition is for Emergency Spill Cleanup at Ramstein Air Base and all its geographically separated units (GSUs) identified in para 1.4.1of the Performance Work Statement (PWS). The contractor shall provide non-personal services to provide an emergency spill response service to include but not limited to the following services:

containment, assessment, clean up and excavation, disposal, and confirmatory sampling (Freimessung) of substance spilled as described in the PWS. The service performance is on call 24/7/365 days a year. All services work shall be performed in accordance with the current European Union (EU) and German state and government laws and regulations required to conduct emergency spill cleanup. The services required under this Performance Work Statement are not mission-essential.

2. As part of the source selection process, this questionnaire is provided to assist the 700th Contracting Squadron in the past performance evaluation of offerors pertaining to the competitive acquisition for Emergency Spill Cleanup that will result in the award of a federal contract. Therefore, it is important that your information be as factual, accurate and as complete as possible to preclude the need for follow-up queries by the evaluators. In an effort to expedite receipt of the requested information, the Contracting Officer respectfully requests that you DO NOT MAIL hard copies. Instead, please e-mail the completed questionnaire(s) to Ms. Karen Stansbury karen.stansbury@us.af.mil and Venice Pamparo venice.pamparo.1@us.af.mil by 19 June 2021.

3. Indicate, based on the adjectives below, the contractor’s performance on the identified program. Assessments should reflect only contractor liable performance.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF E, VG, M or U.

E VG S M U N

Exceptional Very Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets Performance meets Performance Performance does not Performance Performance contractual contractual meets meet some does not meet was not requirements with requirements with contractual contractual most contractual observed or many exceeded to some exceeded to requirements. requirements. The requirements and not applicable your organization’s your organization’s The contractual contractual recovery is not to the current benefit. The benefit. The performance of performance of the likely in a timely effort being contractual contractual the element or element or sub- manner. The reported performance of the performance of the sub-element element being contractual against.

element or sub- element or sub- contains some assessed reflects a performance of element being element being minor problems serious problem for the element or assessed was assessed was for which which the contractor sub-element accomplished with accomplished with corrective has not yet identified contains a no more than a few no more than some actions taken by corrective actions or serious minor problems for minor problems for the contractor the contractor’s problem(s) for which corrective which corrective were proposed actions which the actions taken by the actions taken by satisfactory. appear only contractor’s contractor were the contractor was marginally effective corrective highly effective. effective. or were not fully actions appear or implemented. were ineffective.

mailto:karen.stansbury@us.af.mil mailto:venice.pamparo.1@us.af.mil

CONTRACTOR’S NAME: CONTRACT NUMBER:

4. Include the contractor’s name and the contract number for which the past performance information applies on each page of the questionnaire form to ensure there is no mix-up in information among contracts surveyed for respective prime/sub-contractors, etc.

I. BUSINESS AND PROGRAM IDENTIFICATION

A. GENERAL INFORMATION:

Contractor’s Name: Address:

Telephone Number:

Email Address:

Point of Contact:

Project Title or Brief Description of Work*

Contract Number*: Contract Amount:

Contract Period or Dates of Performance*:

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel

To be completed by the rater and returned directly to the contracting office.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. RATER INFORMATION:

Primary Alternate

Name of Rater: Name of Rater:

Title: Title:

Address: Address:

Telephone Number: Telephone Number:

Email Address: Email Address:

Note: Once the PPQ is complete, it is considered to be Source Selection Information.

II. PROGRAM RELEVANCY

CONTRACTOR’S NAME: CONTRACT NUMBER:

To determine program relevancy, please indicate below the services the contractor has or is performing under this contract by marking the applicable box with X or √ or N/A.

Overall Emergency Spill Cleanup serviced: (please specify)

III. PAST PERFORMANCE EVALUATION

Please mark the appropriate column with “X” or “√” using the definitions matrix set forth in the instructions, and provide a narrative explanation for ratings of E, VG, M or U.

The contractor: E VG S M U N N/A

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Did contractor assign personnel with required skills to accomplish the work?

5. Provided effective quality control and/or inspection procedures to i

6. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

7. Provided timely resolution of contract discrepancies.

8. Identified problems as they occurred.

9. Suggested alternative approaches to problems.

10. Displayed initiative to solve problems.

11. Provided timely resolution of defects.

12. Was responsive to contract changes.

13. Provided adequate project supervision.

14. Complied with environmental requirements.

15. Did contractor consistently respond within the required time frames?

16. Followed Government accepted Quality Control Plan.

17. Submitted accurate and complete reports and schedules in a timely manner.

18. How would you rate the contractor’s overall performance?

19. For US Government contracts only: Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain outcome in “remarks.”

YES NO

20. For US Government contracts only: Is the contractor rated in CPARS? YES NO

21. Would you award another contract to this contractor?

If no, explain in “remarks.”

YES NO

CONTRACTOR’S NAME: CONTRACT NUMBER:

Remarks:

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO THE CONTRACTING OFFICER (see POCs at paragraph 2)

CONTRACTOR’S NAME: CONTRACT NUMBER:

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO THE CONTRACTING OFFICER (see POCs at paragraph 2)