Attachment B - PPQ - Final.docx

For Official Use Only/Source Selection Information – See FAR 2.101 and 3.104

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION 70FA5020R00000005

To Offeror:

Please email this Past Performance Questionnaire to each of your references according to the instructions in Section L of the Solicitation and include a copy of this page and page 3 in your past performance volume.. After the due date, the Federal Emergency Management Agency (FEMA) CO will notify the Prime of the received PPQs, both for the Prime and any Subcontractors. It is the Prime Contractor’s responsibility to notify their subcontractors when PPQs are received for them. Tailor this PPQ by saving the company name in the file's title. You must customize this block for each of your references:

<Comany Name> is competing for an award for the Federal Emergency Management Agency as a <prime / subcontractor> and asks that you fill out this questionnaire for the solicitation number 70FA5020R00000005. The prime offeror is: _______________.

Reference Requirement Title:

Reference Prime Contractor:

Reference Contract #:

Reference Contract Type:

Reference's Name:

Reference's Agency/Company

Reference's Email:

Reference's Phone:

To Offeror’s Reference:

The FEMA requests your assistance in providing past performance information on the Contractor (a prospective “Offeror” under our Solicitation) and corresponding contract. Please complete this Questionnaire in accordance with the Instructions set forth immediately below. FEMA agrees to protect your information as For Official Use Only/Source Selection Information consistent with FAR 2.101 and 3.104, as noted in the header on each page of this Questionnaire package.

Instructions for Offeror’s Reference:

1. Please complete the attached Past Performance Questionnaire regarding the Offeror based upon your most recent Contractor Performance Assessment Report (CPARs) prepared in accordance with FAR 42.15.

2. Please use the following Rating Instruction (or the equivalent you use in producing your CPARs) in providing the rating assessments that best describe the contractor's performance on your contract.

3. Please email a copy of the completed Questionnaire directly to the FEMAContact no later than proposal deadline of 16 May 2019 or as otherwise amended.

RATING INSTRUCTION

Please provide your assessment of each factor rated in the Questionnaire by using the following rating scale and corresponding definitions (or the equivalent you use in producing your Contractor Performance Assessment Reports (CPARs)), as may be appropriate in each case.

1. Rating Scale:

· Excellent - Performance meets contractual requirements and exceeds many requirements to the Government’s benefit.

· Good - Performance meets contractual requirements and exceeds some to the Government's benefit.

· Fair - Performance meets contractual requirements.

· Poor - Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet implemented satisfactory corrective actions.

· Unsatisfactory - Performance does not meet contractual requirements and recovery is not likely in a timely manner. Contractor’s corrective actions to date are ineffective.

· Not Applicable (N/A) - Unable to provide a score. Performance in this area not applicable to effort assessed.

PAST PERFORMANCE QUESTIONNAIRE

FOR SOLICITATION 70FA5020R00000005

-- TO BE COMPLETED BY THE OFFEROR’S REFERENCE --

1. Your Name: ______________________________________________ Your Title: ______________________________________________ Your Role with this Contract: ________________________________________

2. Your Agency/Company Full Name: _____________________________________ Street Address: _______________________________________________ City, State, Zip: _______________________________________________

3. Contracting Office/Code: ___________________________________________

4. Period Assessed: __________________________________________________

5. Contract #: __________________________________________________

6. Name of Prime Contractor: ______________________________________________

14. Basis for Contract Award (check all that apply):

|_| Negotiated |_| Competitive |_| Non-Competitive

15. Type of Contract (check the one that applies):

16. Key Subcontractors (list as needed):

· Subcontracting under this contract is covered by a [comprehensive][commercial][N/A] (select one) small business subcontracting plan.

· Date of latest Subcontracting Report/Summary Subcontracting Report: ___________

FACTORS RATED:

1. Quality of Product or Service – Assess the contractor's conformance to contract requirements, specifications, and standards of good workmanship (e.g., commonly accepted technical, professional standards).

|_| Excellent |_| Good |_| Fair |_| Poor |_| Unsatisfactory |_| N/A Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Timeliness (Schedule Performance) – Assess the contractor's timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance).

|_| Excellent |_| Good |_| Fair |_| Poor |_| Unsatisfactory |_| N/A Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Cost Control – Assess the contractor’s effectiveness in forecasting, managing, and controlling contract cost, including reporting and analyzing variances.

Note: This factor is not rated for firm fixedprice, firm fixedprice with economic price adjustment, or firm fixedprice levelofeffort type contracts.

|_| Excellent |_| Good |_| Fair |_| Poor |_| Unsatisfactory |_| N/A Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Business Relations – Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness, and quality of problem identification, corrective action plans, proposal submittals, the contractor's history of reasonable and cooperative behavior, customer satisfaction, timely award and management of subcontracts. Include the adequacy of the contractor’s accounting, billing, and estimating systems and the contractor’s management of Property in Possession of Contractor (PIPC) also known as Government Furnished Property/Equipment (GFP/GFE). Address the timeliness of awards to subcontractors and management of subcontractors, including subcontractor costs.

|_| Excellent |_| Good |_| Fair |_| Poor |_| Unsatisfactory |_| N/A Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5.

Problem Resolution (Management of Personnel) – Assess the completeness, timeliness, and quality of problem identification, corrective action plans, proposal submittals (especially responses to change orders, engineering changes proposals, or other undefinitized contract actions). The contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. The contractor’s history of reasonable and cooperative behavior, and customer satisfaction.

|_| Excellent |_| Good |_| Fair |_| Poor |_| Unsatisfactory |_| N/A Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________

OTHER AREAS ASSESSED:

1. Has the contractor been given cure notice(s), show cause notices(s), suspension of progress payments, or letters of direction, etc.?

|_| Yes |_| No |_| N/A Comments:__________________________________________________________________

2. Do you intend to exercise the option on this contract?

|_| Yes |_| No |_| N/A Comments:__________________________________________________________________

19. Recommendation: Given what you know today about the contractor’s ability to execute what they promised in the proposal, would you award to them today if you had a choice?

|_| Yes |_| No Comments:__________________________________________________________________

20. Please provide any additional comments concerning the past performance of the contractor.

Comments:__________________________________________________________________ For Official Use Only/Source Selection Information – See FAR 2.101 and 3.104