Attachment 2. PPQ.pdf

ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE

**When completed, this document is Source Selection Information IAW FAR 3.104**

SECTION 1: CONTRACT IDENTIFICATION (TO BE COMPLETED BY OFFEROR)

A. Contractor

B. Contractor Cage Code

C. Role (check): Prime Subcontractor Teaming Partner Joint Venture Partner Other (specify)

If subcontractor, partner or other, who is the Prime?

D. Contract/Blanket Purchase Agreement (BPA) Number

Task/Call/Delivery/Purchase Order Number

Note: Each PPQ shall cover actual work performed and not overarching contracts, such as Indefinite-Delivery Indefinite Quantity (IDIQ) basic contracts, Blanket Purchase Agreements (BPA), etc. (i.e., each PPQ shall only address one performance effort such as a TO for an IDIQ contract, a call order off of a BPA, or delivery order).

E. Contract Type (FFP, CPFF, ID/IQ (include types), LH, etc.)__________________________________________

F. Program Title______________________________________________________________________________

G. Period of Performance

H. Place(s) of Performance:

Multiple locations? Yes No If yes, specify locations:

CONUS OCONUS Both

Provide details:

State Federal DoW Other Provide details:

I. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)

J. Has a CPAR (or more than one CPAR) been completed for this contract? Yes No If Yes, provide dates covered by CPARs:

*****FOLLOWING SECTIONS COMPLETED BY CONTRACTING AGENCY*****

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description

C. Description of Service(s) provided (Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or commercial work)

SECTION 3: EVALUATOR IDENTIFICATION

A. Name _________________________________________ B. Title

C. Phone/Fax D. E-mail

E. Years worked on Subject Contract

SECTION 4: EVALUATION

Please indicate your satisfaction with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - The Contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VG

VERY GOOD- The Contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

S SATISFACTORY – The Contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Contractor appear or was satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the Contractor has not yet identified corrective actions or the Contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE - Unable to provide a score or item is not applicable to the referenced contract.

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Q1. Quality of Product or Service E VG S M U N/A

Ability of Contractor to: meet all technical and manufacturing specifications of the contract; deliver a product free from defects; and adhere to their proposed quality control plan.

Explanation:

Q2. Schedule Performance E VG S M U N/A

Ability of Contractor to: meet original and revised delivery schedules;

provide accurate production status updates; and coordinate effectively for final delivery and acceptance.

Q3. Business Relations E VG S M U N/A

Ability of Contractor to: maintain effective relationship between key Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate approved engineering or production changes.

Q4. Post-Delivery Support & Warranty E VG S M U N/A

Ability of Contractor to: respond to post-delivery issues; honor warranty claims for defects in materials or workmanship; and provide effective technical or field support after acceptance.

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or are there any pending terminations? (Place an “X” by all that apply.)

Yes No Default Convenience Pending Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

B. Would you have any reservations about having this Contractor perform again on one of your critical and demanding programs?

Evaluator’s Signature Date

UPON COMPLETION, PLEASE RETURN THIS QUESTIONNAIRE DIRECTLY TO THE OFFEROR.

The Offeror (the company requesting this reference) is solely responsible for collecting this completed form and submitting it to the Government as part of their official quotation package.

Questionnaires must be received by the Offeror in time for them to meet the Government's solicitation closing date.