Att_L-3_PPQ.docx

PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT ADMINISTRATIVE DATA (To be completed by the Offeror)

Offeror / Contractor Name:

Contract Number/Task Order:

Contract Name:

Period of Performance:

Contract Type:

Offeror Role in Contract (Prime Contractor / Subcontractor / JV Team Member):

Annualized Dollar Amount of Contract (Not Including unexercised options):

Dollar Value of Offeror Role in Contract:

Administrative Place of Contract:

Cage Code:

DUNS:

Customer:

Contracting Agency:

II. POINT OF CONTACT (POC) Data for PPQ Respondent (To be completed by the Offeror)

Name:

Position or role:

Agency:

Address:

Phone:

Email:

Other:

III. INFORMATION TO THE PPQ POC

Your assistance is requested in support of a source selection. Please complete the assessment below and send all pages of this questionnaire to: danielle.n.walker4.civ@us.navy.mil within two (2) weeks of receipt.

Assessment: (To be completed by the PPQ POC) Instructions to complete the assessment: Please provide responses to 1 through 4 that are listed below the assessment rating system table. Place an “X” in the rating that best assesses the Offeror’s performance in the areas listed below. Then provide examples (two examples are requested) to substantiate your rating.

Rating System Table:

A common five level assessment rating system is used to evaluate a contractor's performance. Ratings range from Unsatisfactory to Exceptional. Here's a breakdown of each category:

1. Given what I know today about the contractor's ability to execute what he promised in his proposal, I WOULD or WOULD NOT award to him today given that I had a choice.

2. Quality: (How would you rate the Offeror’s past performance in the delivery of quality supplies and services, which includes meeting technical requirements?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Provide examples that substantiate rating:

3. Schedule: ( How would you rate the Offeror’s past performance in meeting schedule requirements, to include on-time or late deliveries, modifications of original schedules?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

4. Program Management and Subcontract Management: (How would you rate the Offeror’s past performance in managing the contracted effort, to include program management, subcontract management, and cooperation with the customer?)

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

N/A

Signature ______________________________ Date _____________ Please note that electronic signatures are acceptable. An e-mail from the originator of this document will suffice. Signatures (electronic or hand written) verify that the signatory completed this form and agrees with the information

N6134021R0048 Attachment L-3