Attch 3. Past Performance.pdf

PDF 2 MB Posted

Attached to
Natural Gas Leak Detection Survey Federal contract opportunity
Solicitation number
FA462623Q0011
Issued by
Department of the Air Force Global Strike Command

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Text version

FA4626-21-Q-0012

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

for LCC Cleaning Sevices

(Fields 1-4 to be completed by the Contractor)

1. Name of Contractor:

2. Title or Description of Project:

3. Contract Number:

4. What role did the Contractor fill in the referenced contract:

Please return completed PPQ by 12 May 2021 to: edsa.artates@us.af.mil

(Fields A-J to be completed by the Customer) A. Contract Type:

B. Contract Price:

C. Was the final contract price the same as the initially proposed price:

(if Yes, skip to D; otherwise answer C.i. and C.ii.)

C.i. Did the final contract price increase or decrease after contract award:

C.ii. Briefly explain the reason for the change:

D. Was the work completed on or before the initially proposed completion date:

(if Yes, skip to E; otherwise answer D.i. and D.ii.)

C.i. How long past the proposed completion date did performance take:

C.ii. Briefly explain the reason for the change:

E. Describe the Service provided:

F. Is performance for this contract reported in CPARS:

(if No or Unsure, answer H-J and complete page 2; if Yes, answer G-J and ignore page 2) G. Has an out-of-cycle CPAR been initiated to document changes in performance:

If Yes, briefly describe the reason:

H. Name of entity completing the PPQ:

I. Name/Title of person completing the PPQ:

J. Contact phone and/or email of person completing this PPQ:

Please use the following ratings to answer sections 1-3 on page 2 and the dropdown menu to answer section 4.

Neutral To be used instead of a rating for a particular area that has not been evaluated.

Exceptional Performance meets contractual requirements and exceeds many to the Customer’s benefit. Performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Very Good Performance meets contractual requirements and exceeds some to the Customer’s benefit. Performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Satisfactory Performance meets contractual requirements. Performance was accomplished with some minor problems for which corrective actions taken by the Contractor were, or appear to be, satisfactory.

Marginal Performance does not meet some contractual requirements. Performance reflects a serious problem for which the Contractor has not identified, or not implemented, satisfactory corrective actions.

Unsatisfactory Performance does not meet most contractual requirements. Performance reflects serious problems for which the Contractor’s corrective actions were, or appear to be, ineffective.

FA4626-21-Q-0012

Evaluation of Services

N eu tra l

E xc ep tio na l

V er y G oo d

S at is fa ct or y

M ar gi na l

U ns at is fa ct or y

1. Quality of Service

a) The Contractor provided a service that conforms to contract requirements, specifications and standards of good workmanship.

b) The Contractor provided effective quality control and/or inspection procedures to conform with contract requirements.

c) The Contractor utilized qualified personnel to fulfill contract requirements.

d) The Contractor acted promptly to resolve problems in a manner conforming to contract requirements and their quality control plan.

2. Cost Control

a) The Contractor completed the effort within the negotiated cost/price.

b) The Contractor was responsive to requirement changes and provided accurate and reasonable proposals for change orders.

c) The Contractor submitted accurate invoices on a timely basis.

d) The Contractor paid employees/subcontractors/suppliers in a timely manner.

3. Schedule

a) The Contractor completed the effort in accordance with the period of performance of the contract.

b) The Contractor provided submittals on schedule and in accordance with contract requirements.

4. Customer Satisfaction

Customer has no reservations about awarding another contract to the Contractor.

5. Comments

Project Title or Description:
Contractor Name:
Contract Price:
Contractor Role: [ ]
Price Change: [ ]
Same Price: [ ]
Contract Type:
Extra Performance Time:
Reason Price Changed:
Contract Number:
Work on Schedule: [ ]
In CPARS: [ ]
Reason Schedule Changed:
Reason Out of Cycle:
A-E Services Description:
Customer Name:
POC Name:
POC Contact Info:
1a: Off
1b: Off
1c: Off
1d: Off
2a: Off
2b: Off
2c: Off
2d: Off
3a: Off
3b: Off
Out of Cycle: [ ]
Reservations: [ ]
Comments:

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