Attachment 0027 - Past Performance Questionnaire.pdf

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Holston Army Ammunition Plant - Solicitation
Solicitation number
W52P1J-19-R-0142
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Attachment 0027 September 27, 2022

Commercial Past Performance Questionnaire

In order to evaluate each offeror, the Army Contracting Command – Rock Island (ACC-RI) is obtaining past performance information. The Offeror must complete Section II of this Past Performance Questionnaire (PPQ) for each commercial past performance reference and submit it with its proposal.

In addition, the offeror shall send a copy of the PPQ to each Point of Contact (POC) identified in II-A. The POC will be responsible for completing Section III of the PPQ, and shall submit the completed questionnaire directly to ACC-RI. POC’s may receive a follow-up phone call or email from the Government to confirm or clarify information provided.

POCs shall submit completed PPQs via emailing to the following:

Jacob Harrison Contracting Officer jacob.t.harrison15.civ@army.mil

Benjamin Gillen Branch Chief benjamin.j.gillen.civ@army.mil

The subject line in the submission email shall clearly indicate: ‘[Offeror Name] PPQ W52P1J-19- R-0142. Message shall originate from the PPQ POC’s corporate email address.

I. GENERAL GUIDANCE

Please use the following ratings in scoring the performance elements below:

RATING DESCRIPTION

Excellent The Offeror's past performance far exceeded the customer's expectations and provided significant, worthwhile features or benefits.

Good The Offeror’s past performance exceeded the customer's expectations and provided worthwhile features or benefits.

Satisfactory The Offeror's past performance met the customer's expectations and contract requirements.

Marginal The Offeror's past performance could have been improved. The Offeror required significant resources to ensure achievement of contract requirements.

Unsatisfactory The Offeror's past performance did not meet customer expectations and/or contract requirements.

August 11, 2022

II. GENERAL INFORMATION

II-A REFERENCE POC

1. Name & Title:

2. Company:

3. Address:

4. Phone No:

5. E-mail:

6. Date:

II-B CONTRACT IDENTIFICATION

1. Offeror:

2. Cage Code:

3. Type of Instrument – Prime Contract/Subcontract/Other:

4. If subcontract, identify Prime Contractor:

5. Contract Number:

6. Description (e.g., product, quantity):

7. Contract Type (e.g., Fixed Price, Cost Reimbursable):

8. Date of Award:

9. Period of Performance:

10. Contract Value:

11. Place of Performance:

III. CONTRACT PERFORMANCE

Please Rate This Contractor With Respect To:

A. Conforming to the contract requirements including specifications, standards of good workmanship, and technical direction:

Rating Excellent Good Satisfactory Marginal Unsatisfactory Check √

Comment: ___________________________________________________________________

B. Contractor’s ability to deliver according to the agreed to cost and schedule. What were the causes of any cost or schedule variances or terminations?

C. Contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner:

D. Contractor’s level of work effort performed:

E. Contractor’s reasonable and cooperative behavior in dealing with your staff and other contractors (including responsiveness and the ability to successfully resolve disagreements/disputes):

F. Contractor’s compliance with security, environmental, and safety requirements:

Excellent:
Good:
Satisfactory:
Marginal:
1:
Name Title:
2:
Company:
3:
Address:
4:
Phone No:
5:
Email:
6:
Date:
Offeror:
Cage Code:
Type of Instrument Prime ContractSubcontractOther:
If subcontract identify Prime Contractor:
Contract Number:
Description eg product quantity:
Contract Type eg Fixed Price Cost Reimbursable:
Date of Award:
9:
Period of Performance:
Contract Value:
11:
Place of Performance:
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