Attachment 03 PPQ Template.pdf

PAST PERFORMANCE QUESTIONNAIRE

REFERENCE WORKSHEET SUBMITTAL

Respondent Information

Name of A-E Firm being rated: _________________________________________________

Performance Information: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PROVIDE A

NARRATIVE EXPLANATION FOR ANY

RATINGS OF 1 OR 2.

Assigned Ratings 5 Exceptional 4 Very Good 3 Satisfactory 2 Marginal 1 Unsatisfactory

Past Performance Adjectival Rating Description

Exceptional During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered.

Contractor took immediate and effective corrective action.

Very Good During the contract period, contractor is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some. Some minor problems encountered. Contractor took timely corrective action.

Satisfactory During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, contractor took effective corrective action.

Marginal During the contract period, contractor performance is not meeting (or did not meet) some contract requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

Unsatisfactory During the contract period, contractor performance is failing (or failed) to meet most contract requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

Not Applicable Unable to provide a rating. Contract did not include performance for this aspect. Do not know.

Evaluation Areas: Please circle a number or indicate “not applicable” (N/A).

1. CUSTOMER SATISFACTION:

A Customer would have no reservations in awarding another contract to the Contractor.

1 2 3 4 5 N/A

2. QUALITY:

A Contractor provided effective quality control and/or inspection procedures to meet contract requirements

1 2 3 4 5 N/A

B Contractor provided well researched and clearly identified submittal that matched contract requirements

1 2 3 4 5 N/A

C Contractor completed all work with good workmanship and in conformance with the specifications

1 2 3 4 5 N/A

D Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan

1 2 3 4 5 N/A

3. TIMELINESS:

A Contractor met established project schedules to complete the project on time 1 2 3 4 5 N/A

B Contractor provided timely cost proposals 1 2 3 4 5 N/A C Contractor submitted the progress schedule and progress reports as required 1 2 3 4 5 N/A

D Contractor provided on time submittals as required

1 2 3 4 5 N/A

E Contractor provided timely resolution of all punch list items

1 2 3 4 5 N/A

4. RESPONSIVENESS

A Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and safety regulations

1 2 3 4 5 N/A

B Contractor was reasonable and cooperated to resolve problems, attended meeting as needed, and maintained communication with the government to keep the project on schedule or minimize the delay

1 2 3 4 5 N/A

C Contractor identified problems as they occurred;

suggested approaches to the problems; displayed initiative to solve problems and performed as a Team Member

1 2 3 4 5 N/A

D Contractor responded to warranty issues within the time frames specified in the contract

1 2 3 4 5 N/A

5. SUBCONTRACTS AND MANAGEMENT:

A Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements

1 2 3 4 5 N/A

B Contractor hired quality subcontractors and effectively managed and coordinated their work

1 2 3 4 5 N/A

C Contractor hire, maintained and replaced as necessary, qualified personnel and subcontractors/suppliers

1 2 3 4 5 N/A

D Contractor ensured the project manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule

1 2 3 4 5 N/A

E Contractor ensured site superintendent and quality control representative were consistently present on site when work was performed

1 2 3 4 5 N/A

F Contractor paid employees/subcontractors/suppliers as required

1 2 3 4 5 N/A

6. CHANGE/COST CONTROL

A Contractor responsive to contract changes and provided accurate, reasonable and supportable cost proposals

1 2 3 4 5 N/A

B Contractor demonstrated the ability to control costs and/or modifications within the magnitude specified

1 2 3 4 5 N/A

C Contractor validated subcontractor cost proposals prior to submission to the Government

1 2 3 4 5 N/A

Narrative Summary

1. What were the contractor’s greatest strengths in the performance of the contract?

2. What were the contractor’s greatest weaknesses in the performance of the contract?

3. Please provide any additional comments concerning the contractor’s performance that you feel would help us in our evaluation.

4. Government Contracts Only. Has/was this contract partially or completely terminated for default or convenience or are there any pending terminations?

______ Yes ________No If yes, please provide explanation___________________________________________________

5. Government Contracts Only: Was the contractor ever issued a cure or show cause notice under the referenced contract?

______ Yes ________No

If yes, please provide explanation___________________________________________________

Evaluated By: _________________________________ ______________________________ (Signature) (Date)

(Typed or Printed Name) (Address)

(Title) (Address Continued)

(Phone Number) (No. of years evaluator worked on contract)

(Project Title, Contract #, and Description)

Thank you for your prompt response and assistance.

Please return this completed questionnaire (pages 1 – 4) to:

AFTC/PZI (Arnold) Attn: James B. Laney, Contracting Officer and Noah Bean, Contract Specialist 100 Kindel Drive, Suite A332 Arnold AFB, TN 37389-2327 james.laney.3@us.af.mil and noah.bean.1@us.af.mil

Please submit via email no later than posted response date.

mailto:james.laney.3@us.af.mil mailto:noah.bean.1@us.af.mil