Attachment 8 - Past Performance Questionnaire.docx

DOCX document 46 KB Posted

Attached to
Luke AFB AUX Airfield Modernization
Solicitation number
FA488726R0011
Issued by

About this file

This is a Past Performance Questionnaire template attachment to the Luke AFB AUX Airfield Modernization solicitation. The document serves as an appendix containing evaluation criteria and submission requirements for offerors to demonstrate their relevant past performance experience. Rather than specifying particular products or services, the questionnaire functions as an assessment tool to be completed by prospective contractors bidding on the airfield modernization project. Offerors must use this template to document their qualifications, experience with similar projects, performance metrics, and references that substantiate their capability to execute the work at Luke Air Force Base. The questionnaire is a mandatory component of the technical proposal evaluation for this SBA WOSB set-aside solicitation, with proposals due electronically no later than July 31, 2026 at 2:00 p.m. MST. This template does not contain pricing terms, contract vehicles, or specific technical requirements; instead, it provides the framework through which the Government will assess contractor capability and past performance history relevant to airfield modernization projects.

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Reference Solicitation FA488726R0011 on SAM.GOV

PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information
Firm Name:CAGE Code:
Address:UEI 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 - Original (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 WorkHighMedRoutine

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: THE GOVERNMENT REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND RETURN TO THE CONTRACTOR WHO SUBMITTED THE QUESTIONNAIRE.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional
Performance meets contractual requirements and exceeds many to the Government/Owner’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.
An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO

significant weaknesses identified.

(VG) Very Good
Performance meets contractual requirements and exceeds some to the Government’s/Owner’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 were effective.
A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.
(S) Satisfactory
Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
A Satisfactory rating is appropriate when there were only minor problems, or major problems that the Contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that 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 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.

To justify a Marginal rating, identify a significant event that occurred from which the Contractor had trouble overcoming and that impacted the Government/Owner.

(U) Unsatisfactory
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 serious problem(s) for which the Contractor's corrective actions appear or were ineffective.
To justify an Unsatisfactory rating, identify multiple significant events that occurred from which the contractor had trouble overcoming and that impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an Unsatisfactory rating.

(N) Not Applicable

No information or did not apply to your contract
Rating will be neither positive nor

negative.

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING THAT BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. 1. QUALITY

How would you rate the overall quality of the service received?
E
VG
S
M
U
N

Please provide comments to justify the overall quality rating:

2. SCHEDULE

How would you rate the firm’s ability to stay on schedule?
E
VG
S
M
U
N

Please provide comments to justify the schedule rating:

3. COST CONTROL

How would you rate the firm’s ability to control costs?
E
VG
S
M
U
N

Please provide comments to justify the cost control rating:

4. MANAGEMENT

How would you rate the firm’s management?
E
VG
S
M
U
N

Please provide comments to justify the management rating:

5. SMALL BUSINESS SUBCONTRACTING

How would you rate the firm’s ability to utilize small businesses (If Applicable)?
E
VG
S
M
U
N

Please provide comments to justify the small business subcontracting rating:

6. REGULATORY COMPLIANCE

How would you rate the firm’s regulatory compliance?
E
VG
S
M
U
N

Please provide comments to justify the regulatory compliance rating:

7. RECOMMENDATION

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

Yes

No

If you have additional comments/information not covered in the above spaces, please add them here. (please attach additional pages if necessary):

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