Attachment 5-Past Performance Questionnaire (PPQ).pdf

PRESENT IP AST PERFORMANCE QUESTIONNAIRE

SEWER CLEANING and INSPECTION SERVICES

FAIRCIDLDAFB, WA

SOLICITATION NO: FA462025QA911

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FA462025QA911

1. Your assistance is respectfully requested in providing information on the below present/past performance questionnaire. The importance of your opinion cannot be overstated since this survey will measure the present/past performance of each prospective offeror for providing Sewer Cleaning and Inspection Services at Fairchild AFB, WA.

2. INSTRUCTIONS FORM COMPLETION: Please fill this questionnaire in by hand or electronically and email the results to the Contract Specialist, SSgt Mimi Robertson Lake, mimi.robertson_lake@us.af.mil. Email submissions are preferred but you can also return by mail to the following address:

92 CONS/PKA

Attn: SSgt Mimi Robertson Lake or SSgt Patrick Rangel 110 W. Ent St Fairchild AFB, WA 99011

3. Please direct questions to SSgt Mimi Robertson Lake (509) 247-4862. Your Participation is greatly appreciated.

4. PLEASE RETURN NO LATER THAN: 28 April 2025, at 10:00 AM (Pacific Time) Section A: Contractor Information.

Contractor's name and address.,_: ___________________________ _

a. Point of Contact:--------------------------------

b. Phone#: ________________ _

c. Contract Number:--------------------------------

d. Project Title:---------------------------------

e. Period of Performance:------------------------------

SECTION B: RESPONDENT INFORMATION

a. Respondent's name and address: Organization: ____________________ _

Address: ___________________ _

City: ____________ _ State: __ Zip: __ _

b. Respondent's Name and Title: __________________________ _

c. Signature: _________ _

d. Commercial Phone#: ______ _

Fax#: _________ _

DSN Phone#: ______ _

E-Mail: ______ _

e. Contract Type (i.e.: Firm Fixed Price): ________________________ _

f. Award Amount:$ ____ _ Final Amount: $ ____ _

g. What was the job title for this project? _______________________ _

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FA462025QA911

What were the scope and major functions performed under this contract?

If you have questions regarding this questionnaire, please call SSgt Mimi Robertson Lake@ 509-247-4862

For any ratings less than satisfactory rating, please provide explanation in Remarks section below.

1 2 3 4 5

Unsatisfactory Marginal Satisfactory Very Exceptional Good

Performance does not Performance does not meet Performance meets Performance meets The Contractor's meet most contractual some contractual contractual contractual requirements performance meets requirements and requirements. The requirements. The and exceeds some to the contractual requirements recovery is not likely in contractual performance of contractual performance Government's benefit. and exceeds many a timely manner. The the element or sub-element of the element or sub- The contractual

(requirements) to the contractual performance being evaluated reflects a element contains some performance of the of the element or sub- serious problem for which minor problems for element or sub-element Government's benefit.

element contains a the contractor has not yet which corrective actions being evaluated was The contractual serious problem(s) for identified corrective actions. taken by the contractor accomplished with some performance was which the contractor's The contractor's proposed appear or were minor problems for accomplished with few corrective actions actions appear only satisfactory which corrective actions minor problems for appear or were marginally effective or were taken by the contractor which corrective actions ineffective. not fully implemented. was effective. taken by the Contractor were highly effective.

CONTRACTOR PRESENT/PAST PERFORMANCE EVALUATION

1. How effective was the contractor's recruitment plan for filling the required positions and providing replacements for personnel that discontinued employment under this contract?

5.__ 4. _3. _2. _1.__

COMMENTS/REMARKS:

2. How well did contract personnel perform assigned duties?

5.__ 4. _3. _2. _1.__

COMMENTS/REMARKS:

3. How well did the contractor meet timelines?

5.__ 4. _3. _2. _1.__

COMMENTS/REMARKS:

4. Were the contract employees knowledgeable and experienced in their position?

5.__ 4. _3. _2. _1.__

COMMENTS/REMARKS:

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FA462025QA911

5. How well did the contractor correct deficiencies and valid customer complaints in a timely manner and pursuant to their quality control procedures?

5.__ 4. __ 3. __ 2.__ 1. __

COMMENTS/REMARKS:

6. Was the contractor responsive to contract changes?

5.__ 4. __ 3. __ 2.__ 1. __

COMMENTS/REMARKS:

7. How effective was the contractor in maintaining professional business relationships with government personnel and in resolving contract issues?

5.__ 4. __ 3. __ 2.__ 1. __

COMMENTS/REMARKS:

9. How would you rate the contractor's overall performance?

5.__ 4. __ 3. __ 2.__ 1. __

COMMENTS/REMARKS:

10. Did contract personnel possess all required licensing, certifications, and training prior to start date?

Yes/No

COMMENTS/REMARKS:

11. Were Contract Discrepancy Reports (CDR) issued, Yes/No __ Were they addressed appropriately? Yes/No___ If so, how?

12. Was the contractor ever issued a cure or show cause notice under the referenced contract? Yes/No

COMMENTS/REMARKS:

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FA462025QA911

13. Would you award another contract to this contractor? Yes/No __ Please explain in "remarks".

REMARKS: