Attachment 3 - PPQ (21Q-2003).docx

HE1254-21-Q-2003 Attachment 3

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE (PPQ)

This Questionnaire Pertains to: Bus Safety Aides & Attendants for Okinawa, Japan

The Offeror must complete the “To be completed by Offeror” section prior to sending the PPQ to the Offeror’s Reference/Customer. The Offeror’s Reference/Customer must complete the PPQ’s evaluation section and return the complete PPQ via e-mail to the attention of:

Department of Defense Education Activity Attn: Contract Specialist: Mileska M. Rodriguez Contracting Officer: Collen C. Pritchard 4800 Mark Center Drive, 5th Floor, Suite #05H02-10 Alexandria, VA 22350

E-Mail: mileska.rodriguez@dodea.edu E-Mail: colleen.pritchard@dodea.edu

This information section is to be completed by the Offeror.

Address: DUNs Number:

Phone Number: E-mail Address:

Point of Contact: Point of Contact Number:

Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

Reference Information:

Business Name of Reference: Address:

Phone Number: E-mail Address:

Point of Contact: Point of Contact Number:

Contract Number: Final Contract Value:

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Period of Performance:

Brief Description of Effort to include relevancy to the solicitation requirements of the RFQ.

Explain any problems and resolutions

This evaluation section is to be completed by the Offeror’s customer.

Evaluation KEY: Please use the following abbreviations to assign an applicable rating for questions 1 thru 6 below:

Does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas; deficiencies in one or more areas which adversely affect overall performance.

Meets or slightly exceeds minimum acceptable standards; adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.

Effective performance; fully responsive to contract requirements; reportable deficiencies, but with little identifiable effect on overall performance.

Very effective performance; fully responsive to contract requirements; contract requirements accomplished in a timely, efficient, and economical manner for the most part; only minor deficiencies with minimal effect on overall performance.

Of exceptional merit; exemplary performance in a timely, efficient, and economical manner; very minor (if any) deficiencies with no adverse effect on overall performance.

No record of relevant past performance or past performance information is not available.

1. How would you rate the contractor’s compliance with the delivery schedule / performance milestones? Comments:

P/U |_| S |_| G |_| VG |_| E |_| N |_|

2. How would you rate the contractor’s business practices (e.g. maintaining a positive working relationship, business ethics, timely and effectively resolution of any problems etc.)? Comments:

3. How would you rate the contractor’s record of conforming to contract requirements and to standards of good workmanship/quality of the product or service/timeliness of performance/report submission? Comments:

4. How would you rate the contractor’s overall compliance with the terms and conditions of your purchase order /contract? Comments:

5. How would you rate the contractor’s history of reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer? Comments:

6. How would you rate the contractor’s overall performance? Comments:

7. Would you purchase services from this contractor again? Comments:

|_| YES |_| NO

Please provide any additional comments applicable to the contractor’s past performance:

Present and Past Performance Questionnaire

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY