Attachment 5 - Past Performance Questionnaire.pdf

PDF 666 KB Posted

Attached to
Utility Task Vehicle Maintenance and Repair Basic Ordering Agreement
Solicitation number
FA930126Q0008
Issued by

About this file

This is a Past and Present Performance Questionnaire (PPQ) template used by the U.S. Air Force to evaluate contractor performance on past or present contracts relevant to Utility Task Vehicle (UTV) maintenance, specifically John Deere Gator and Honda Pioneer maintenance services.

The questionnaire collects general information about the contractor, including name, address, point of contact details, project title, and description of work. It requires award information such as award number, dollar amount, and period of performance, with indication of whether the contractor performed as a prime contractor or subcontractor. Respondents provide their own information and must submit the completed questionnaire to either Alejandra Negrete (Contract Specialist) or Suzanna Kussman (Contracting Officer) at specified Air Force email addresses. The evaluation uses a six-point performance rating scale ranging from Exceptional (E) to Unsatisfactory (U), with each rating defined by specific criteria regarding contractor compliance with award requirements, quality of corrective actions, and relevance to the scope and complexity of UTV maintenance work. Respondents must place an "X" in the appropriate rating block and provide supporting comments; additional pages may be attached as needed.

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Text version

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

GENERAL INFORMATION: (Please correct any inaccurate information) Contractor’s Name:

Address:

Point of Contact:

Phone Number:

Email:

Project Title:

Description of Work:

AWARD INFORMATION:

Award Number:

Dollar Amount:

Period of Performance:

Contractor performed as: �Prime Contractor �Sub-Contractor

RESPONDENT INFORMATION:

Name:

Title:

Address:

Email:

EMAIL COMPLETED QUESTIONAIRE TO:

Alejandra Negrete Contract Specialist alejandra.negrete@us.af.mil

Suzanna Kussman Contracting Officer suzanna.kussman@us.af.mil

Relevancy to Utility Task Vehicle (John Deere Gator, Honda Pioneer) Maintenance

PERFORMANCE INFORMATION:

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Please provide additional comments as necessary to support your rating. Attach additional pages if more space is needed.

The performance rating scale is defined as follows:

E EXCEPTIONAL During the award period, contractor performance is meeting (or met) all award requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires for Utility Task Vehicle Maintenance

V VERY GOOD During the award period, contractor is meeting (or met) all award requirements and consistently exceeding (or exceeded) some. Some minor problems encountered.

Contractor took timely corrective action. Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires for Utility Task Vehicle Maintenance

S SATISFACTORY During the award period, contractor performance is meeting (or met) all award requirements.

For any problems encountered, contractor took effective corrective action. Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires for Utility Task Vehicle Maintenance

M MARGINAL During the award period, contractor performance is not meeting (or did not meet) some award requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented.

Customer involvement was required. Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires for Utility Task Vehicle Maintenance

U UNSATISFACTORY During the award period, contractor performance is failing/fail to meet most award requirements.

Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required. Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort for Utility Task Vehicle Maintenance

N/A NOT APPLICABLE Unable to provide a rating. Contractor did not include performance for this aspect, performance was not observed, or information was not available. Do not know.

Past Performance Point of Contact Signature

Additional Comments:

Contractors Name:
Address:
Point of Contact:
Phone Number:
Email:
Project Title:
Description of Work:
Contract Number:
Dollar Amount:
Contract Period or Dates of Performance:
Name:
Title:
Address_2:
Email_2:
Check Box33: Off
Check Box34: Off
E:
V:
S:
M:
U:
NA:
Text1:
Text3:

File details come from the government source that posted it. Updated .