Attachment 4 Past Performance Questionnaire.docx

Past Performance Questionnaire (PPQ)

1. The USCG Form PPQ shall be utilized for all evaluations that require a Past Performance Questionnaire.

2. USCGC KIMBALL FQ4, FY26 Dockside Solicitation No.: 70Z08526QLREP0013

“Solicitation Submittal Requirements: IF A COMPLETED CPARS EVALUATION IS AVAILABLE, IT SHOULD BE SUBMITTED WITH THE PROPOSAL. IF THERE IS NOT A COMPLETED CPARS EVALUATION, the PPQ included in the solicitation is provided for the Offeror or its team members to submit to the client for each project the Offeror includes in its proposal for Factor II, Past Performance. OFFERORS SHALL NOT SUBMIT A PPQ WHEN A COMPLETED CPARS EVALUATION IS AVAILABLE.

IF A CPARS EVALUATION IS NOT AVAILABLE, ensure correct phone numbers and email addresses are provided for the client point of contacts.

Fill out the first 2 blocks and submit to customers to complete, utilizing the attached Rating Guidelines. Have your customer send their questionnaire response directly via email to Wayne Gutman at Wayne.M.Gutman@uscg.mil with a cc to Andrew Jacobs at Andrew.G.Jacobs@uscg.mil referencing the solicitation number and your company name in the subject line.

Offerors are responsible for ensuring that questionnaires reach the intended destination by the close date and time of the solicitation through confirmation with customers. Questionnaires received after the close date and time of the solicitation will not be reviewed and/or considered. Offerors shall not seek confirmation of receipt from the Government.

PAST PERFORMANCE CUSTOMER QUESTIONNAIRE

70Z08526QLREP0013

(2 pages)

1. OFFEROR FIRM/ORGANIZATION: (enter your shipyard’s name)

2. PERIOD OF PERFORMANCE: (from) (to)

CONTRACTING OFFICE:

CONTRACT NUMBER: TASK NO:

CUSTOMER ORGANIZATION:

CUSTOMER POC:

CUSTOMER PHONE NO.

ADDRESS:

CITY: STATE: ZIP CODE:

CONTRACT AWARD DATE:

CONTRACT VALUE (final value): $

TYPE OF CONTRACT:

DESCRIPTION OF REQUIREMENT (Title):

QUALITY OF PRODUCT OR SERVICE: (Rating ___) Additional Comments on Rating:

TIMELINESS OF PERFORMANCE: (Rating ___) Additional Comments on Rating:

BUSINESS RELATIONS: (Rating ___) Additional Comments on Rating:

Signature (Customer)

RATING GUIDELINES FOR CUSTOMERS

Summarize contractor performance in each of the rating areas. Assign each area a rating of

0 (Unsatisfactory) 1 (Poor) 2 (Fair) 3 (Good) 4 (Excellent) 5 (Outstanding) Use the following instructions as guidance in making these evaluations.

* Compliance with contract requirements

* Accuracy of reports

* Effectiveness of personnel

* Technical excellence

* Met interim milestones

* Reliability

* Responsive to technical direction

* Completed on time including wrap-up and contract administration

* Met delivery schedules

* No liquidated damages assessed

* Effective management, including subcontracts

* Reasonable/cooperative behavior

* Responsive to contract requirements

* Notification of problems

* Flexibility

* Pro-active vs reactive

5 - Outstanding - The contractor has demonstrated an outstanding performance level in any of the above three categories that justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances when contractor performance clearly exceeds the performance levels described as "Excellent."

70Z08526QLREP0013

Attachment 4