Atch 5_PPQ.pdf

Attachment 5, Past Performance Questionnaire

FA561321Q0007

Past Performance Questionnaire (PPQ)

This acquisition is for Heavy Machinery, Equipment Repair and Maintenance services at the 721st Aerial Port Squadron (APS), Germany.

A. 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 Sub-Contractor Key Personnel.

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 last 3 years, please complete separate evaluation forms for those contracts as well.

B. RATER INFORMATION:

Name of Rater:

Title:

Address:

Phone Number:

Email Address:

C. RETURN COMPLETED SURVEY FORM WITHIN 7 WORKING DAYS AFTER RECEIPT TO:

Juliane Benkel/Contract Specialist Erika Voss-Elsaesser/Contracting Officer 700 CONS/PKA and 700 CONS/PKA juliane.benkel.de@us.af.mil erika.voss_elsaesser.1.de@us.af.mil +49-631-536-6799 or DSN 489-6799 +49-6371-405-7916 or DSN 478-7916

CONTRACTOR’S NAME: CONTRACT NUMBER:

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

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements and exceeds many to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements and exceeds some to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements.

The contractual performance of the element or sub-element being assessed contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

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 being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

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

The contractor: E G S M U N

1. The contractor has accepted regular requests, delays and short notice requests for rescheduling.

2. The contractor submitted Maintenance Reports no later than 5 work days after the work is completed.

3. Interfaced and cooperated with government quality assurance personnel after being awarded the contract.

4. All maintenance was performed in accordance with manufacturer’s specification.

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

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

7. Provided timely and courteous service.

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

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

REMARKS/COMMENTS: