B08 Attachment 0006 Past Performance Questionnaire 10-15-21.pdf

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Environmental Stack Testing and Consulting Services
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W52P1J-22-R-0003
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Attachment 0006 October 15, 2021

Past Performance Questionnaire

In order to evaluate each offeror, the Army Contracting Command – Rock Island (ACC-RI) is obtaining past performance information. The Offeror must complete Section II of this Past Performance Questionnaire (PPQ) for each past performance reference and submit it with its proposal.

In addition, the offeror shall send a copy of the PPQ to each Point of Contact (POC) identified in II-A. The POC will be responsible for completing Section III of the PPQ, and shall submit the completed questionnaire directly to ACC-RI. POC’s may receive a follow-up phone call or email from the Government to confirm or clarify information provided.

POCs shall submit completed PPQs via emailing to the following:

Elizabeth Shepherd Contract Specialist elizabeth.j.shepherd3.civ@mail.mil

Bridget Kramer Contracting Officer bridget.l.kramer.civ@mail.mil

The subject line in the submission email shall clearly indicate: ‘[Offeror Name] PPQ W52P1J-22- R-0003. Message shall originate from the PPQ POC’s corporate email address.

I. GENERAL GUIDANCE

Please use the following ratings in scoring the performance elements below:

RATING DESCRIPTION

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

Good The Offeror’s past performance exceeded the customer's expectations and provided 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 significant resources to ensure achievement of contract requirements.

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

mailto:elizabeth.j.shepherd3.civ@mail.mil mailto:bridget.l.kramer.civ@mail.mil

II. GENERAL INFORMATION

II-A REFERENCE POC

1. Name & Title:

2. Company:

3. Address:

4. Phone No:

5. E-mail:

6. Date:

II-B CONTRACT IDENTIFICATION

1. Offeror:

2. Cage Code:

3. Type of Instrument – Prime Contract/Subcontract/Other:

4. If subcontract, identify Prime Contractor:

5. Contract Number:

6.

Description (e.g., product, quantity):

7. Contract Type (e.g., Fixed

Price, Cost Reimbursable):

8. Date of Award:

9. Period of Performance:

10. Contract Value:

11. Place of Performance:

III. CONTRACT PERFORMANCE

Please Rate This Contractor With Respect To:

A. Conforming to the contract 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 cost and schedule. What were the causes of any cost or schedule variances or terminations?

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

D. Contractor’s level of work effort performed:

E. Contractor’s reasonable and cooperative behavior in dealing with your staff and other contractors (including responsiveness and the ability to successfully resolve disagreements/disputes):

F. Contractor’s compliance with security, environmental, and safety requirements:

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