Attachment 6 - Past Performance PPQ.pdf

PAST PERFORMANCE QUESTIONNAIRE

SECTION 1 – TO BE COMPLETED BY OFFEROR

This Past Performance Questionnaire is submitted in response to solicitation.

1. Company Information: Include name, address, and cage code of company (i.e., offeror, partner, or subcontractor) for which this reference will be provided.

2. Program Title:

3. Contract Number (including Delivery / Task Order number if applicable):

4. Contract Award Basis: ___ Competitive ___ Non-Competitive

5. Contract Date: 09/11/2017 – 09/11/2022

6. Role: ___ Prime Contractor ___ Subcontractor ___ Other: (Specify)

If other than a prime contractor, provide the prime contractor’s name, address, and cage code:

7. Name and Address of Contracting Activity / Customer:

8. Primary Points of Contact: Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals. If this is a commercial reference offeror should change the Title, if appropriate, to commercial equivalents.

Title Name Phone E-Mail

9. Contract Type(s): List all that apply (e.g., FFP, FPIF, CPFF, CPIF, LH, T&M).

10. Contract Value:

a. Awarded Total Contract Value (Including all options):

b. Current Total Contract Value (Including all options):

c. Explanation for difference between awarded and current contract values:

11. Period of Performance:

a. Current (including all exercised options):

b. Potential (including all options):

12. Place of Performance: List all that apply.

13. Scope of work

a. Describe work performed by the company named in item 1 above:

b. Relevancy:

c. What were key positive attributes about your performance?

14. What were the less than positive attributes and how were these resolved?

15. Has this contract been partially or completely terminated for default or convenience?

___ Yes ___ No

If yes, please provide additional details:

16. Are there any pending terminations?

If yes, please provide additional details: N/A

SECTION 2 – TO BE COMPLETED BY ASSESSOR

In an effort to expedite receipt of the requested information, the Contracting Officer respectfully requests that you please e-mail the completed questionnaire (both Section 1 and Section 2) to XXX@usace.army.mil. You may contact USACE POC XXX at 402/995-XXXX should you have any questions.

DO NOT RETURN THE COMPLETED QUESTIONNAIRE TO THE OFFEROR. The information contained in the completed questionnaire is considered Source Selection Information (See FAR 2.101 and FAR 3.104) and may not be released to the offeror.

EVALUATED BY:

I, the undersigned, being familiar with the work and the performing organization I’m providing information about, have responded to the best of my knowledge and belief. I understand that a representative of ACC AMIC may contact me for confirmation of my responses to this questionnaire.

Name and Title:

Organization:

Signature:

Date:

1. Is the information completed by the offeror in Section 1 of this questionnaire complete, current, and accurate?

If no, please explain: N/A

2. Performance Evaluation

Assign a rating to each area based on the ratings guidelines below. Please provide a narrative explanation for any unsatisfactory or exceptional rating.

Exceptional The quotation demonstrates good understanding of requirements and approach that exceeds performance or capability standards.

Satisfactory The quotation demonstrates acceptable understanding of requirements and approach that meets performance or capability standards. required in achieving the proposed level of performance

Marginal The quotation demonstrates shallow understanding of requirements and approach that only marginally meets performance or capability standards necessary for minimal but acceptable contract performance.

Unacceptable The quotation fails to meet the requirement; one or more deficiencies for which correction would require a major revision or redirection of the proposal.

Neutral No past performance evaluated or observed.

a. Quality of Services:

E S M U N/A

1. Contractor provided personnel with the appropriate qualifications and experience required to perform the contract.

2. Performance conformed to contract requirements, specifications, and standards of good workmanship (e.g.

commonly accepted technical, professional standards).

3. Contractor provided accurate and complete reports and other documentation.

4. Contractor was proactive in identifying, notifying the Government, and resolving performance issues/concerns.

b. Compliance with Schedule:

1. Contractor performed services in a timely manner.

2. Contractor provided contract reports and deliverables on time.

c. Cost Control:

1. Contractor completed performance within the established cost parameters.

2. Contractor invoices were current, accurate, and complete.

3. Contractor actions resulted in cost savings to the Government without sacrificing quality of services or schedule.

d. Business Relations:

1. Contractor has a history of reasonable and cooperative behavior and effective business relations.

2. Contractor is dedicated to customer satisfaction.

3. Contractor has a history of submitting viable and timely proposals for required contract modifications or task orders.

4. Contractor effectively adapts to changes in mission requirements and priorities.

e. Management

1. Contractor effectively selected, retained, supported, and replaced (when necessary) personnel with the experience and expertise necessary to accomplish the Government’s requirement.

2. Contractor adequately managed and controlled government furnished property.

3. Contractor effectively managed all subcontractors.

3. Identify the contractor’s overall strengths and weaknesses:

4. Would you have any concerns working with this firm again?

If yes, please explain: N/A

5. Additional information not included above: