Attachment 24 PPPQ.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IA W FAR 2.101 and 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor's Name: --------- Telephone Number: ________ _ Address: Fax Number: ------------

Point of Contact: ----------

Project Title and Brief Description of Work: ________________ *

Contract Number Provided by Offeror: Dollar Amount: --------- ----*

Contract Period or Dates of Performance Provided by Offeror: __________ *

Contractor performed as the □ Prime Contractor □ Sub-Contractor □ Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 to 5 years, please complete separate evaluation forms for those contracts as well

B. RESPONDENT INFORMATION:

Name of Respondent: __________ Title: ____________ _

Address: ---------- Telephone Number: ________ _ Fax Number:

Email Address: ----------

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Attachment 24, PPPQ

C. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor's performance or situation. PLEASE

PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF Mor U in the remarks section at the bottom of page 3.

E G s M u N

Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Applicable

Performance Performance Performance Performance does Performance Unable to meets contractual meets contractual meets contractual not meet some does not meet provide a score.

requirements and requirements and requirements. contractual most Performance in exceeds many exceeds some The contractual requirements. contractual this area is not requirements to requirements to performance of The contractual requirements applicable to the Government's the the element being performance of and recovery is the effort benefit. The Government's assessed the element being not likely in a assessed.

contractual benefit. The contained some assessed reflects a timely manner.

performance of the contractual minor problems serious problem The contractual element being performance of for which for which the performance of assessed was the element being corrective actions contractor has not the element accomplished with assessed was taken by the yet identified being assessed few minor accomplished contractor appear corrective actions contains problems for with some minor or were or the contractor's serious which corrective problems for satisfactory. actions appear problem(s) for actions taken by which corrective only marginally which the the contractor actions taken by effective or were contractor's were highly the contractor not fully corrective effective. were effective. implemented. actions appear or were ineffective.

CONTRACTOR'S NAME: CONTRACT NUMBER: -------- --------

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

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Place an "X" in the appropriate column using the definitions matrix above.

The contractor: E G s M u N

I. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Reported all airfield violations promptly

5. Followed approved quality control plan.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

18. Paid subcontractors/suppliers in a timely manner.

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

20. Cooperated with Government personnel after award.

21. How would you rate the contractor's overall performance?

22. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in "remarks." YES/NO

23. Would you award another contract to this contractor? If not, explain in "remarks."

YES/NO

24. Is the contractor rated in CP ARS? YES/NO

CONTRACTOR'S NAME: CONTRACT NUMBER

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Remarks:

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