Attachment 10 - Past Performance Questionnaire (PPQ) Template.docx

SECTION 1: INSTRUCTIONS TO THE OFFEROR

1. Complete Section 2: Project Identification for no more than three (3) recent and relevant projects.

2. Provide this form to the client/respondent responsible for overseeing your performance on the identified project.

3. It is the sole responsibility of the Offeror to ensure the respondent completes Section 3 and submits the form directly to the Contracting Officer at 5CONS.PKAC.FlooringMACC@us.af.mil prior to the proposal deadline. Questionnaires received directly from the offeror will not be evaluated.

SECTION 2: PROJECT IDENTIFICATION (To be completed by the Offeror) A. Offeror (Contractor) Information:

· Company Name:

· CAGE Code:

B. Project Information:

· Project Title / Description:

· Contract Number:

· Total Contract Value: $

· Period of Performance (Start and End Dates):

SECTION 3: PERFORMANCE EVALUATION (To be completed by the Respondent/Client) INSTRUCTIONS TO RESPONDENT: The contractor identified in Section 2 is proposing on a U.S. Air Force contract for commercial and industrial flooring services. Your candid and timely assessment of their past performance is critical to our source selection process. Please evaluate the contractor's performance using the definitions below. Please provide a brief narrative explanation for any rating of Marginal or Unsatisfactory.

Please email this completed form directly to the U.S. Air Force Contracting Officer at: 5CONS.PKAC.FlooringMACC@us.af.mil.

A. Respondent Information:

· Name:

· Title/Role on Project (e.g., Project Manager, COR):

· Organization / Agency:

· Email & Phone Number:

B. Rating Definitions (Based on CPARS Standards):

· (E) Exceptional: Performance meets contractual requirements and exceeds many to the Government’s/Client's benefit. Corrective actions taken were highly effective.

· (V) Very Good: Performance meets contractual requirements and exceeds some to the Government’s/Client's benefit. Corrective actions taken were effective.

· (S) Satisfactory: Performance meets contractual requirements. Corrective actions taken were satisfactory.

· (M) Marginal: Performance does not meet some contractual requirements. Corrective actions appear only marginally effective.

· (U) Unsatisfactory: Performance does not meet most contractual requirements and recovery is not likely. Corrective actions were ineffective.

· (N) Not Applicable: Not applicable to this specific project.

C. Performance Assessment:

1. QUALITY OF WORK

a. Conformance to contract requirements and specifications.

b. Standard of workmanship and technical excellence (e.g., subfloor prep, moisture mitigation, finish work).

c. Effectiveness of the contractor's Quality Control program.

2. SCHEDULE

a. Timeliness of performance and adherence to established milestones.

b. Effectiveness in resolving or mitigating project delays.

c. Timeliness of submitting required administrative documents and reports.

3. MANAGEMENT & BUSINESS RELATIONS

a. Responsiveness and cooperation of the contractor's management team.

b. Effectiveness in managing subcontractors and supply chain issues.

c. Professionalism and coordination with facility occupants to minimize disruption.

d. Effectiveness in managing site safety and maintaining a clean work environment.

D. Narrative Comments:

(Required for any rating of Marginal or Unsatisfactory. Additional comments highlighting Exceptional performance are also welcome).

[ Respondent: Please type comments here ] E. Overall Assessment:

Based on the contractor's overall performance on this project, would you award them another contract?

[ ] YES, without hesitation.

[ ] YES, with reservations.

[ ] NO.

Respondent Signature: ___________________________ Date: _____________