Attachment PPQ - Past Performance Questionnaire.docx

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

[APPLICANT NAME / SAM UEI] has provided this questionnaire to you for a reference regarding their record of performance under Award # [INSERT REFERENCE].

***Please DO NOT send the completed PPQ back to the contractor. Your completed questionnaire will become a part of the official Source Selection records. Please e-mail the completed PPQ directly to the following AFOSR contracting email address no later than 10 calendar days after your receipt of this request: AFRL.AFOSR.PIA@us.af.mil

PAST PERFORMANCE INFORMATION REQUESTED:

One of the considerations in proposal evaluation is the verification of the offerors' performance on contracts or other work efforts which reflect the offeror's ability to perform on the proposed effort. Information received from organizations such as yours, offer first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Air Force Office of Scientific Research (AFOSR) is currently in the process of awarding a competitive Partnership Intermediary Agreement (PIA) with entities that facilitate joint projects and accelerate technology transfer between the Air Force Research Lab (AFRL) and commercial market under the authority of §15 USC 3715 - Use of Partnership Intermediaries and §10 USC 4214.

The purpose of the partnership intermediary is to increase the likelihood of success in the conduct of joint activities between AFRL, the U.S. Space Force (USSF), Air Force Central Command (AFCENT), the National Reconnaissance Office (NRO), small business firms, and educational institutions. The intermediary will help identify federal technologies that can be licensed and commercialized; and work to develop and grow environments and capabilities for fostering innovation and collaboration necessary for addressing the basic and applied research challenges of AFOSR, AFRL, USSF, AFCENT, and NRO. The Partnership Intermediary Agreement will enable AFOSR to identify, investigate, and exploit research opportunities that will transform future Department of Defense (DoD) capabilities.

The partnership intermediary is expected to focus PIA activities on eight key areas:

i. Partnership development, collaboration facilitation, and agreement enablement;

ii. Technology transfer and early-stage technology transition awareness, market intelligence, and pathway exploration;

iii. Technology scouting, industry engagement, and ecosystem analysis;

iv. STEM and workforce development ecosystem engagement;

v. Access to non-inherently governmental technical expertise, structured studies, and analytic assessments;

vi. Development and use of data tools, analytic platforms, and collaboration or innovation environments;

vii. Governance support, coordination across Collaborative Project Orders (CPOs), and facilitation of convenings, workshops, or engagement activities; and

viii. Production of factual, non-advocacy communications and knowledge-transfer outputs related to technology transfer and transition (T3) activities.

The partnership intermediary is expected to meet the following seven objectives:

i. Advance technology transfer and early-stage technology transition awareness by increasing visibility, pathway identification, and feasibility understanding of opportunities arising from Air Force Research Laboratory (AFRL) and AFOSR-funded basic research and related Department of the Air Force scientific and innovation activities.

ii. Enable informed consideration of downstream maturation, adoption, and commercialization pathways by facilitating early-stage transition insight, stakeholder connectivity, and ecosystem engagement, without presupposing acquisition, fielding, or operational decisions.

iii. Expand and sustain mission-aligned partnerships and collaboration networks across academia, industry, nonprofit organizations, state or local governments, affiliated entities, government laboratories, and other non-Federal partners to leverage external expertise, infrastructure, and innovation ecosystems.

iv. Support partnership and agreement readiness by enabling the effective use of non-FAR collaboration mechanisms and partnership instruments, consistent with statutory authority and Government determinations.

v. Strengthen STEM, workforce, and talent pipeline outcomes aligned with AFRL and AFOSR scientific priorities and long-term Department needs, contributing to the sustainability of the research and innovation ecosystem.

vi. Improve data-enabled insight and decision support through analytics, studies, landscape assessments, and ecosystem intelligence that inform strategy, investment planning, and technology transfer and transition awareness across AFRL, AFOSR, and aligned mission partners.

vii. Enhance transparency, accountability, and effectiveness in the planning, execution, and assessment of PIA-enabled activities to support stewardship of Government research investments and maximize their potential long-term impact

I. Name of Customer or Agency Providing Past Performance Feedback: Please address

II. Name of Respondent Completing the Past Performance Questionnaire and association with Offeror being rated: Please address

III. Length of time (number of years/months) Respondent worked on the subject Contract and description of responsibility/position/role: Please address

IV. Telephone #: Please address Email: Please address

V. Project Name: Please address

VI. Contractor Name: Please address Contract #: Please address

VII. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

VIII. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, CR, etc.): Please address

IX. Was this a competitively awarded contract? ☐ Yes ☐ No

X. Are there Contractor Performance Assessment Reports (CPARS) or other Past Performance Reports available for this contract or task order? ☐ Yes ☐ No

XI. Period of Performance: Please address

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

XII. Total Contract Award Value ($): Please address

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

XIII. Provide a brief description of the services provided by the Offeror for this Contract: Please address

XIV. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands): Please address

YOU ARE REQUESTED TO ASSESS THE FOLLOWING PERFORMANCE AREAS PER THE FOLLOWING RATINGS: (Mark the appropriate box for each assessment category. Use 'N/A' only if the task was not required. If you lack knowledge, leave the rating blank and write "No Knowledge" in the comments.)

1: Unsatisfactory (U) - 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 a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

2: Marginal (M) - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.

3: Satisfactory (S) - Performance meets 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.

3: Neutral / Not Applicable (N/A) - Unable to provide a rating. Contract did not include performance for this aspect.

4: Very Good (VG) - Performance meets contractual requirements and exceeds some to the requirements. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

5: Exceptional (E) - Performance meets contractual requirements and exceeds many requirements. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

PERFORMANCE

U (1)

M (2)

S (3) N/A (3)

VG

(4)

E (5)

Overall Program Management: Quality of the contractor’s ability to manage the contract/agreement, meet deadlines, and control costs.

Comment:

Stakeholder & Relationship Management: Quality of the contractor's ability to effectively manage relationships and collaborate with the client organization and other relevant stakeholders.

Technical Quality & Expertise: Quality of the contractor’s deliverables, analysis, and reports, and the level of expertise demonstrated.

Subcontractor / Partner Management: Quality of the contractor's ability to effectively manage and integrate their partners or subcontractors.

Proactiveness & Problem Resolution: Quality of the contractor's ability to proactively identify and resolve problems with minimal oversight.

GENERAL COMMENT:

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I [ click and select an item ] award to him today given that I had a choice.

Please provide any additional comments concerning this contractor’s performance, as desired.

REMARKS:

[click and pick the date]

Respondent’s Signature Date Respondent’s Job Title / Phone # / Email:

Thank you for your prompt response and assistance!

Please return this completed questionnaire to the following AFOSR contracting email address no later than 10 calendar days after your receipt of this request: AFRL.AFOSR.PIA@us.af.mil

For Official Use Only

When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.