B01 Attachment 0004 Past Performance Questionnaire 25FEB2025.pdf

Demil and Disposal of Conventional Ammunition Demilitarization Solicitation W519TC-25-R-0012

Past Performance Questionnaire (PPQ) Form

The Offeror must complete Sections IIA and IIB for each Past Performance reference and send copies to the PPQ respondent(s) identified in IIA in a timely manner. The Offeror shall include these documents with its proposal; however, the PPQ respondent will send the completed questionnaire directly to the POC identified in the PPQ Section IV below.

In order to assess potential contractors Army Contracting Command – Rock Island (ACC- RI) is obtaining past performance information with respect to each Offeror. The PPQ respondent will complete all sections of the PPQ except sections IIA and IIB. In addition to this questionnaire, you may receive a follow-up phone call or email to confirm or clarify information. This is a critical acquisition being conducted by ACC-RI and your support is sincerely appreciated.

Thank you for your time, effort, and cooperation in responding to this questionnaire. The completed questionnaire shall be submitted directly via email to Liz Epperly, Contract Specialist, Elizabeth.J.Epperly.civ@army.mil.

The subject line in the submission email shall clearly indicate: ‘[Offeror Name] W519TC-25-R-0012 message shall originate from the PPQ respondent’s Government or corporate email address.

I. GENERAL GUIDANCE

Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):

RATING DESCRIPTION

Excellent The Offeror's past performance far exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits.

Good The Offeror’s past performance exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits.

Satisfactory The Offeror's past performance met the customer's expectations and contract requirements.

Marginal The Offeror's past performance could have been improved.

The Offeror required major agency resources to ensure achievement of contract requirements.

mailto:katie.m.young9.civ@mail.mil

RATING DESCRIPTION

Unsatisfactory The Offeror's past performance did not meet customer expectations and/or contract requirements.

GENERAL INFORMATION

II-A RESPONDENT IDENTIFICATION / POC

1. Name & Title:

2. Organization:

3. Address:

4. Phone No:

5. E-mail:

6. Date:

II-B CONTRACT IDENTIFICATION

1. Prime Contractor Name:

2.

Contractor CAGE Code:

3 Contract Identification Number:

4. Order Number (if applicable):

5.

Product Description (add rows if needed, up to 200 words):

6. Total Delivery Quantity:

7. Monthly Production Rate

8. Date of Award:

9. Date Contract ended/will end:

10. Current/Final Contract Dollar Value (w/Options):

11. Place(s) of LAP:

III-C GENERAL INFORMATION

1. Respondent’s Role (e.g., COTR, Contracting Officer) and length of time in role:

2. Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g., default, convenience).

3. What were the production quantity requirements for this contract and did the contractor meet those requirements?

4. Were there any changes in contract dollar amounts throughout the life of the contract; and if so, please explain (e.g., Government or Contractor caused):

5. Were there any PQDRs/CARs issued on this contract; and if so please explain how resolved.

III-D CONTRACT PERFORMANCE

Please Rate This Contractor With Respect To:

A. Meeting contract quality and delivery requirements including specifications, standards of good workmanship, and technical direction:

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check √

Comment:

B. Contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check √

Comment:

C. Contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner:

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check √

Comment:

D. Satisfaction level of work effort performed:

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check √

Comment:

E. Contractor’s compliance with OSHA and EPA:

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check √

Comment:

IV. RETURN INFORMATION

When completed, please send electronically via email to: Liz Epperly, Contract Specialist, Elizabeth.J.Epperly.civ@army.mil.

mailto:katie.m.young9.civ@mail.mil

Past Performance Questionnaire (PPQ) Form