Attachment 4 - Past Performance Questionnaire (PPQ).docx

Source Selection Information -- See FAR 2.101 and 3.104

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

***Please DO NOT send the completed PPQ back to the contractor. Please e-mail directly to the following individuals no later than the proposal due date stated in SF 1442 Section A, Block 13 of this RFP:

Bryan E. Amsel

31 CONS/PKC

Ms. Jessica Cuccagna

31 CONS/PKC

Local Phone: +39-0434-30-5806

DSN: 314-632-5806

Local Phone: +39-0434-30-7138

DSN: 314-632-7138

1. This Acquisition is for the Single Award Paving IDIQ Contract consisting of a broad range of paving construction projects affecting real property at, but not limited to, Aviano AB, Italy. Projects can include: asphalt paving, concrete paving, joint sealing, sidewalks concrete paving and curb, storm drainage and utilities protection. A full list of all the projects are listed in the CCEB pricing sheet. The contractor shall furnish all necessary tools, equipment, labor, materials, tests, etc. to perform base wide paving maintenance at Aviano AB, Italy, in accordance with the technical specifications cited in section J.

2. As part of the source selection process, this questionnaire is provided to assist the 31st Contracting Squadron (31 CONS) in the performance evaluation of offerors pertaining to the competitive acquisition for the Paving IDIQ contract that will result in the award of a federal contract. Therefore, it is important that your information be as factual, accurate, and as complete as possible to preclude the need for follow-up queries by the evaluators. Please complete the attached questionnaire using the following guidance:

Performance meets contractual requirements and exceeds many to your organization’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements and exceeds some to your organization’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.

SECTION 1: CONTRACT AND PROGRAM IDENTIFICATION

a. Contractor: _____________________________________

b. Contractor’s CAGE Code: ________________________________

c. Contract / Task Order (TO) Number: _______________________________

d. Contract Type (e.g. FFP, Cost, T&M): ___________________________

e. Was this a competitive contract? Yes_____ No______

f. Period of Performance: _____________________________

g. Performed as: Prime Contractor _____ Sub-Contractor ______

h. Initial (at the time of award) Contract Value (if it was a Task Order, indicate the TO value: $_______________

i. Current or Final Contract/TO Value (include all modifications): $_____________________

j. Project Title and Brief Description of Work: _______________________________________________________

k. Are there Contractor Performance Assessment Reports (CPARS) or other Past Performance Reports available for this contract or task order? Yes ____ No _____

SECTION 2: RATER INFORMATION:

Primary Alternate

Name of Rater: _____________________ Name of Rater: _____________________

Title: _____________________ Title: _____________________

Agency: _____________________ Agency: _____________________

Office Symbol: _____________________ Office Symbol: _____________________

Telephone Number: _____________________ Telephone Number: _____________________

Email Address: _____________________ Email Address: _____________________

Note: Once the PPQ is complete, it is considered to be Source Selection Information.

SECTION 3: PROGRAM RELEVANCY

A. To help determine program relevancy, please indicate below the work the contractor has or is performing under this contract by marking the applicable box with X or √ or N/A.

Asphalt paving

Asphalt overlay

Asphalt testing

Crack repairs

Concrete paving

Joint sealing

Sidewalks, concrete paver and/or curb

Storm drainage and utilities protection

Airfield paving

B. Was this an Indefinite-Delivery Indefinite-Quantity (IDIQ) type contract with multiple task orders?

Yes No

C. Was it a design-build contract/task order? Yes No

D. Geographic description of work under this contract, i.e. local, nationwide, worldwide, or other commands:

SECTION 4: PAST PERFORMANCE EVALUATION

Please mark the appropriate column with “X” or “√” using the definitions matrix set forth in the instructions, and provide a narrative explanation for ratings of E, VG, M or U.

If yes, explain outcome in “remarks.”

If not, explain in “remarks.”

Remarks: ____________________________________________________________________________________

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO

THE CONTRACTING OFFICER (see POCs at paragraph 2)

**DO NOT RETURN TO THE CONTRACTOR**

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!

CONTRACTOR’S NAME: CONTRACT NUMBER:

For Official Use Only Source Selection Information -- See FAR 2.101 and 3.104