Attachment 5 - Past Performance Information.pdf

PDF 260 KB Posted Oct 1, 2025

Attached to: Integrated Solid Waste Management
Solicitation number: FA4528-26-Q-DH01
Issued by: Department of the Air Force Global Strike Command

About this file

Written by GovTribe AI · Oct 1, 2025

This document is a Past and Present Performance Information Form (PPIF), a standardized survey used to evaluate a contractor's performance on a previous contract. The form allows an evaluator to rate a contractor's performance across 21 different performance criteria using a six-point scale from Exceptional (E) to Neutral (N). Key areas of evaluation include personnel management, quality control, problem-solving, scheduling, responsiveness to changes, and overall contract performance.

The form is designed to be completed by a government representative and includes sections for general contractor information, respondent details, and performance ratings. The completed survey will be sent to SrA Dominique Henry via email at dominique.henry.1@us.af.mil, with final questions about the contractor including whether a cure notice was issued, if they would award another contract to the same contractor, and whether the contractor is rated in CCASS (Contractor Consolidated Assessment Reporting System).

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SOURCE SELECTION SENSITIVE IAW FAR 3.104 WHEN FILLED IN

FA4528-25-Q-DH01

PAST AND PRESENT PERFORMANCE INFORMATION FORM (PPIF)

A. GENERAL INFORMATION:

Contractor’s Name: Telephone :

Address: Fax Number:

Point of Contact:

Submitting Survey as Prime or Sub-Contractor (please circle one) If submitting as Sub-Contractor, Prime Contractors Name:

Address: Fax Number:

Point of Contact:

Project Title and Detailed 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.

B. RESPONDENT INFORMATION:

Name and Title of Evaluator:

Company Name:

Address: Telephone Number:

Fax Number:

Email Address:

C. SEND COMPLETED SURVEY FORM TO:

SrA Dominique Henry EMAIL: dominique.henry.1@us.af.mil

DUTY PHONE: (701) 723-1228

D. 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 M or U.

E G S M U N

Exceptional Very Good Satisfactory Marginal Unsatisfactory Neutral

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

Performance meets contractual requirements with some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was 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 were satisfactory.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance was not observed or not applicable to the current effort being reported against.

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.

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

The contractor: E G S M U N

1. 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.

The contractor: E G S M U N mailto:theodore.arneson@us.af.mil

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

4. Home office participated in solving significant local problems.

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 CCASS? YES/NO

CONTRACTOR’S NAME: CONTRACT NUMBER

Remarks:

PAST AND PRESENT PERFORMANCE INFORMATION FORM (PPIF)

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

Contractors Name:

Telephone:

Address 1:

Address 2:

Fax Number:

Point of Contact:

If submitting as SubContractor Prime Contractors Name:

Address 1_2:

Address 2_2:

Fax Number_2:

Point of Contact_2:

1_2:

2_2:

Project Title and Detailed Description of Work 1:

Project Title and Detailed Description of Work 2:

1_3:

2_3:

10:

11:

Contract Number Provided by Offeror:

Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

Contractor performed as the: Off

Prime Contractor: Off

SubContractor: Off

Name and Title of Evaluator:

Company Name:

Address 1_3:

Address 2_3:

Address 3:

Telephone Number:

Fax Number_3:

Email Address:

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 were satisfactory:

Performance was not observed or not applicable to the current effort being reported against:

CONTRACTORS NAME:

CONTRACT NUMBER:

The contractor:

1_4:

EProvided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements:

2_4:

Demonstrated ability to hire maintain and replace if necessary:

The contractor_2:

3_2:

undefined:

Followed approved quality control plan:

undefined_2:

6_2:

Provided effective quality control andor inspection procedures to:

7_2:

Corrected deficiencies in timely manner and pursuant to their:

undefined_3:

Identified problems as they occurred:

undefined_4:

Suggested alternative approaches to problems:

undefined_5:

Displayed initiative to solve problems:

undefined_6:

Developed realistic progress schedules:

undefined_7:

Met established project schedules:

undefined_8:

undefined_9:

Was responsive to contract changes:

undefined_10:

Provided adequate project supervision:

undefined_11:

17:

Obtained consent of surety for increases in bonding as workin:

undefined_12:

19:

Provided accurate and complete line item cost proposals including:

undefined_13:

Was the contractor ever issued a cure or show cause notice under the referenced:

22:

23:

Would you award another contract to this contractor If not explain in remarks:

Is the contractor rated in CCASS:

CONTRACTORS NAME_2:

CONTRACT NUMBER_2:

Remarks 1:

Remarks 2:

Remarks 3:

Remarks 4:

Remarks 5:

Remarks 6:

Remarks 7:

Remarks 8:

Remarks 9:

File details come from the government source that posted it. Updated Oct 6, 2025.