Atch 5 Past Performance Questionnaire.pdf

FA5613-22-Q-0009

Attachment 5, Past Performance Questionnaire

Past Performance Questionnaire (PPQ)

A. RETURN COMPLETED SURVEY FORM BY 2 MAY 2022, 1500 hrs (0300 p.m.) CEST TO:

Beatrice Meier/Contracting Specialist Claudia Ledig/Contracting Officer 700 CONS/PKA and 700 CONS/PKA beatrice.meier.1.de@us.af.mil claudia.ledig.de@us.af.mil +49-6371-405-4109 +49-631-536-0014

This acquisition is for the temporary installation of an electrical distribution system to provide electrical power to Ramstein Air Base’s “Freedom Fest” celebrations.

B. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

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 Key Sub-Contractor Key Personnel Teaming Partner Joint Venture Partner

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

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

C. RATER INFORMATION:

Name of Rater: __________________________________________

Title: __________________________________________

Address: __________________________________________

Phone Number: __________________________________________

Email Address: __________________________________________

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (A or U) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF Unacceptable (U).

A U

Acceptable Unacceptable

Performance meets contractual requirements. The contractual performance of the element or sub-element may have contained some minor problems for which corrective actions taken by the contractor were satisfactory.

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.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: Acceptable Unacceptable

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements and adequate project supervision at the place of performance.

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

3. Provided adequately trained personnel.

4. Interfaced and cooperated with government quality assurance personnel (or corporate/agency equivalent) after being awarded the contract and/or commencement of project performance.

5. Maintained sanitary conditions within the work environment.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

7. Provided timely resolution of contract discrepancies pursuant to their quality control procedures and established procedures to prevent recurrence of discrepancy.

8. Identified problems as they occurred and/or suggested alternative approaches to problem resolutions.

9. Displayed initiative to solve problems and follow-up to ensure desired results were achieved.

10. Provided timely and courteous service to guests.

11. Was responsive to contract changes (if applicable).

12. Provided adequate supervision and manpower to meet established schedules.

13. Contractor adequately coped with any sudden surge in requirements (if applicable).

14. Contractor adequately coped with short notice requirements.

15. How would you rate the vendor's overall performance?

REMARKS/COMMENTS:

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO THE CONTRACTING OFFICER

(See POCs in paragraph A)

CONTRACTOR’S NAME: CONTRACT NUMBER: