Attachment 0005- Past Performance Questionnaire.pdf

Kwajalein Security and Access Control Solicitation W52P1J-20-R-0093

Past Performance Questionnaire (PPQ) Form

The Offeror must complete Sections IA and IB for each Past Performance reference and send copies to the PPQ respondent(s) identified in IB in a timely manner. The

Offeror shall include these documents with its proposal; however, the PPQ respondent will send the complete questionnaire directly to the POC identified in the PPQ Section III below.

In order to assess potential offerors Army Contracting Command- Rock Island is obtaining past performance information with respect to each offeror. The PPQ respondent will complete all sections of the PPQ except for Sections IA and IB. In addition to this questionnaire, you may receive a follow-up phone call or email to confirm or clarify information. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that your information be as factual, accurate, and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does and notify the

Contracting Specialist listed below in Part III. This is a critical acquisition being conducted by ACC-RI and your support is sincerely appreciated.

Thank you for your time, effort, and cooperation in responding to this questionnaire. The complete questionnaire shall be submitted directly via email to Ashlee Asplund, Contract Specialist, Ashlee.g.asplund.civ@mail.mil.

The subject line in the submission email shall clearly indicate: “Offeror Name W52P1J-

20-R-0093’ and the message shall originate from the PPQ respondent’s Government or corporate email address.

Rating Definitions:

Please use the following rating in scoring the performance elements below

(assessments should reflect only contractor-liable performance):

mailto:Ashlee.g.asplund.civ@mail.mil

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

1. Prime Contractor Name:

2. Contractor CAGE Code:

3. Contract Number:

4. Order Number (if applicable):

5. Contract Type:

6. Contract Award Date:

7 Forecasted or Actual Contract Completion Date:

8. Nature of the Contractual Effort or Items Purchased:

9. Total Contract Value:

B. RESPONDENT IDENTIFICATION/POINT OF CONTACT (POC)

1. Name & Title:

2. Organization:

3. Address:

4. Phone Number:

5. E-mail Address:

6. Date:

PART II-A. GENERAL INFORMATION (To be completed by Point of Contact –

Respondent)

1. Respondent’s Role (e.g. COTR, Contracting Officer) and length of time in role:

2. Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g. default, convenience).

3. What were the requriements for this contract and did the contractor meet those requirements?

4. Were there any performance issues on this contract? If so please explain how they were resolved.

B. EVALUATION (To be completed by Point of Contact – Respondent)

*Note: rationale is required for each response.

A. What is your OVERALL assessment of the quality of the contractor’s performance (meeting contract requirements, standards of good workmanship, and technical direction)?

Acceptable Unacceptable

Rationale:

B. What is your OVERALL assessment of the contractor’s Program

Management (to include use and control of subcontractors)?

C. What is your OVERALL assessment of the contractor’s ability to meet the schedule? What were the causes of and schedule variances?

D. What is your OVERALL assessment of the contractor’s ability to forecast, manage, and control costs?

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

F. What is your OVERALL assessment on the contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner?

G. Satisfaction of level of work effort performed?

H. General Comments. Provide any other relevant performance information.

Comments:

PART III. RETURN INFORMATION

When completed, please send electronically via email to: Ashlee Asplund, Contract

Specialist, Ashlee.g.asplund.civ@mail.mil.

Thank you for your assistance.

mailto:Ashlee.g.asplund.civ@mail.mil