Attachment (6) Past Performance Questionnaire (PPQ).pdf

Custodial and Grounds Service for RFQ No. N4008425Q7003 Naval Commands Misawa and FLCY Hachinohe, Japan

Rev. Jan 2018 1

ATTACHMENT 6

1. The NAVFAC Form PPQ shall be utilized for all evaluations that require a Past Performance Questionnaire (PPQ).

2. Solicitations utilizing PPQs shall include the language cited below in the RFQ.

“Solicitation Submittal Requirements: IF A COMPLETED CPARS EVALUATION IS

AVAILABLE, IT SHALL BE SUBMITTED WITH THE PROPOSAL. IF THERE IS NOT A

COMPLETED CPARS EVALUATION, the Past Performance Questionnaire (PPQ) included in the solicitation is provided for the offeror or its team members to submit to the client for each project the offeror includes in its proposal for Factor 1, Experience. AN OFFEROR SHALL NOT

SUBMIT A PPQ WHEN A COMPLETED CPARS IS AVAILABLE.

IF A CPARS EVALUATION IS NOT AVAILABLE, ensure correct phone numbers and email addresses are provided for the client point of contact. Completed PPQs should be submitted with your proposal. If the offeror is unable to obtain a completed PPQ from a client for a project(s) before proposal closing date, the offeror should complete and submit with the proposal the first page of the PPQ (Attachment 6), which will provide contract and client information for the respective project(s). Offerors should follow-up with clients/references to ensure timely submittal of questionnaires. If the client requests, questionnaires may be submitted directly to the Government's point of contact, Daisuke Ishikawa, via email at daisuke.ishikawa.ln@us.navy.mil prior to proposal closing date. Offerors shall not incorporate by reference into their proposal PPQs or CPARS previously submitted for other RFPs. However, this does not preclude the Government from utilizing previously submitted PPQ information in the past performance evaluation.

mailto:daisuke.ishikawa.ln@us.navy.mil

Rev. Apr 2017 2

ATTACHMENT 6

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information

Firm Name: CAGE Code:

Address: Entity Identifier Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information

Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: NAVFAC REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL

SUBMIT THE COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION

ON NAVFAC SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO NAVFAC. PLEASE CONTACT THE OFFEROR FOR NAVFAC POC INFORMATION. THE GOVERNMENT

RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

Rev. Apr 2017 3

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and An Exceptional rating is appropriate when 特に優れている exceeds many to the Government/Owner’s benefit. the Contractor successfully performed

The contractual performance of the element or sub- multiple significant events that were of element being assessed was accomplished with few benefit to the Government/Owner. A singular minor problems for which corrective actions taken benefit, however, could be of such magnitude by the contractor was highly effective. that it alone constitutes an Exceptional rating.

仕事が契約内容と合致しており、顧客の希望を Also, there should have been NO significant 上回る点が多い。修正可能な範囲の軽微な不具 weaknesses identified.

合を含め、契約通りの内容である。修正箇所は 非常に満足な結果である。

(VG) Very Good Performance meets contractual requirements and A Very Good rating is appropriate when the 優れている exceeds some to the Government’s/Owner’s benefit. Contractor successfully performed a

The contractual performance of the element or sub- significant event that was a benefit to the element being assessed was accomplished with some Government/Owner. There should have been minor problems for which corrective actions taken no significant weaknesses identified.

by the contractor were effective.

仕事が契約内容と合致しており、顧客の希望を 多少上回る。修正可能な範囲の若干の不具合を 含め、契約通りの内容である。修正箇所は満足 な結果である。

(S) Satisfactory Performance meets minimum contractual A Satisfactory rating is appropriate when 満足 requirements. The contractual performance of the there were only minor problems, or major element or sub-element contains some minor problems that the contractor recovered from problems for which corrective actions taken by the without impact to the contract. There should contractor appear or were satisfactory. have been NO significant weaknesses 仕事が最低限の契約内容と合致している。修正 identified. Per DOD policy, a fundamental 可能な若干の不具合を含め、契約通りの内容で principle of assigning ratings is that

ある。修正箇所は特に問題ない結果である。 contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual A Marginal is appropriate when a significant 問題あり requirements. The contractual performance of the event occurred that the contractor had trouble element or sub-element being assessed reflects a overcoming which impacted the serious problem for which the contractor has not yet Government/Owner.

identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

仕事が契約内容と合致していない。修正可能な 不具合があるかどうかも把握できておらず、深 刻な状態である。業者から提案される方法は効 果的とは言えない、またはその方法を実行され てもいない。

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

業者の評価の為の評価基準と定義

Rev. Apr 2017 4

(U) Unsatisfactory Performance does not meet most contractual An Unsatisfactory rating is appropriate when 不満足、問題あり requirements and recovery is not likely in a timely multiple significant events occurred that the manner. The contractual performance of the element contractor had trouble overcoming and which or sub-element contains serious problem(s) for impacted the Government/Owner. A singular which the contractor's corrective actions appear or problem, however, could be of such serious were ineffective. magnitude that it alone constitutes an 仕事が契約内容にほとんど合致しておらず、不 unsatisfactory rating.

具合の復旧も迅速ではない。不具合の修正も全 く効果的ではなく、深刻な状態である。

(N) Not Applicable

該当なし No information or did not apply to your contract

評価材料がない、または該当せず。 Rating will be neither positive nor negative.

Rev. Apr 2017 5

Contractor Information (Firm Name): ________________________________________________

Client Information (Name): ________________________________________________________

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

該当する評価基準に○を付けて下さい。

1. QUALITY:

a) Quality of technical data/report preparation efforts

技術データ／報告書作成作業の質

E VG S M U N

b) Ability to meet quality standards specified for technical performance

サービスの品質は仕様書で要求されている技術基準に適合していた

E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

詳細な助言無しで問題を適時/適正に解決ができる

E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

品質管理プログラムは適切かつ有効で、その品質管理プログラムに基

づいて品質管理が実施されている（仕事に悪影響が出ることなく）

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

契約に含まれてる納期・期限の遵守（遅延損害金の発生、または納

期・期限が遵守されていなかった場合、詳しくお書き下さい）

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract

契約を遂行するための業者の資材調達、活用能力

E VG S M U N

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project?

顧客満足度

E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff

(including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

業者は御社の担当者との対応において協力的であった（意見の相違、

論争をうまく解決する能力、ビジネスライクな対応、コミュニケーシ

ョンを含む）

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

業者の協力姿勢、ビジネスライクな態度、顧客の希望を考慮したかど

うかについての満足度

E VG S M U N

Rev. Apr 2017 6

d) Overall customer satisfaction

総合的な顧客満足度

E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

現場と人員の管理、下請け業者、取引業者、メーカー等との連携能力

E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort

適格な労働力を雇用し、適用し、維持する能力

E VG S M U N

c) Government Property Control

政府の所有物の管理をする能力

E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel

請負業者の担当者の知識レベル

E VG S M U N

e) Utilization of Small Business concerns (Not applicable to contracts performed in Japan)

小規模事業者の活用度（日本国内で実施される契約には適用されな

い）

E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines

複数の現場を同時に管理する能力

E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

変更に対しての、優先順位の把握、計画、遂行の対応能力

E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program)

経営全般の有効性（プログラムを効果的に指導、管理、統制する能力

を含む）

E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

契約上の合意価格内で条件を満たす能力

E VG S M U N

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

請負業者が、コスト削減、保守性の向上、または顧客に利益をもたら

すその他の要因をもたらす革新的な代替方法／プロセスを提案した。

E VG S M U N

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

この契約が政府コスト・タイプの契約である／あった場合、請負業者

が適切な裏付け資料とともに月次請求書、月次状況報告書／予算差異

報告書を提出する際の適時性及び正確性、確立された予算の遵守、並

Rev. Apr 2017 7

びに大幅な差異及び／又は説明のつかない差異の回避について評価し

てください。

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.

請負業者の会計システムは、コストの管理と追跡のために適切です

か？ 適切でない場合は、備考欄にその旨を詳しくお書きください。

Yes No

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

この契約が政府との契約である／あった場合、この契約の一部または

全部が請負業者の責任で解約された又は、解約手続き中のものはあり

ますか？ 不履行理由通知または是正措置通知が発行された場合、また

は不履行があった場合は、以下の備考欄に詳しくお書きください。

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

請負業者に財務上の問題があったという指摘はあるか？

Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

請負業者はどの程度まで安全環境を維持し、承認された安全計画を遵

守し、安全上の問題に対応できたか？(ハウスキーピング、安全性、指

摘された欠陥の是正などに関する利用者の規則、規制、要件に従うこ

とを含む）。

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements.

請負業者は、プロジェクトのすべてのセキュリティ要件と要員のセキ

ュリティ要件を遵守した。

E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations

(including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

緊急時の仕事又は仕事量の急増に対応する能力（政府の担当各所への

適切なタイミングでの連絡を含む）

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues)

総合的な契約内容の遵守（具体的な問題があれば詳しくお書き下さ

い）

E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below)

またこの会社に依頼したいですか？（そうでない場合、詳しくお書き

下さい）

Yes No

Rev. Apr 2017 8

d) In summary, provide an overall rating for the work performed by this contractor.

この請負業者が行った仕事に対する総合的な評価

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

上記の設問にお答えになり、下記に文章にて業者の長所、短所、欠点など、業者の選定に役立つコメントがあ

ればお書き下さい。

Rev. Apr 2017 9