Demo Bldg 7250_Past Performance Questionnaire (PPQ).pdf

Past Performance Questionnaire

FA5000-22-Q-0022

SUBJECT: Request for Past Performance Evaluation

TO: _________________________________

________________________ is currently participating as an offeror in response to the Government’s Request for Quote Number FA5000-22-Q-0022 for the Demolition of Building 7250, Firm-Fixed contract at Joint Base Elmendorf/Richardson, Alaska.

The government will be selecting contractors for this project based on selection factors. One of the selection factors to be rated is contractor past performance. It shall be a key factor in the government’s final decision. To assist the government in its assessment of contractor past performance, we are required to identify previous projects and clients who are familiar with our past work.

As one of our prior/current customers for past contracting work on project ___________________, we are requesting that you complete the attached Past Performance Questionnaire regarding our past performance. This letter also authorizes you to discuss our past performance with the government and to release information regarding our past performance to the government.

Your prompt attention in completing the attached Past Performance Questionnaire will assure we receive full consideration for the contracts to be awarded. Please return the completed form to the government representative POC identified below, to arrive no later than the proposal due date.

Please use the Point of Contact information below to email the completed questionnaire:

673rd Contracting Squadron/PKD Robert Peters, Contracting Officer, robert.peters.11@us.af.mil Attn: Jazmine McWilliams, Contracting Specialist, jazmine.mcwilliams@us.af.mil

Thank you for your assistance.

(Signature and Title of individual who has the authority to sign for and legally bind the offeror).

Attachment: Past Performance Questionnaire

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Attachments, PPQ

Contractor's Name: POC: Telephone:

Address:

Project Title:

Description of Work:

Contract # Dollar Amount:

Name: Title: Telephone:

Address:

Email Address:

YES NO N/A

Very Good

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Exceptional Very Good Satisfactory Marginal Unsatisfactory

1. QUALITY OF SERVICES

a. How would you rate the Contractor's ability to maintain a schedule, meet specific response times, and adjust to varying work load?

a. How would you rate the contractor's response to deficiencies, customer complaints, and re-performance if necessary?

b. How would you rate the Contractor's ability to provide CDRLS, reports, submittals, or other deliverables in a timely manner?

Overall Rating for "Schedule"

Remarks (if necessary)

SECTION C-1: QUESTIONS REGARDING THE SCOPE OF CONTRACT

To be completed by each reference using checkmarks to indicate selection.

QUESTIONS

2. Did this contract include hazardous material and hazardous waste surveying to include testing, test reports, identification of material, and removal?

REMARKS

1. Did this contract demolition services to include removal of debris from construction site?

Satisfactory 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.

Marginal 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. Did your service contract include site restoration?

Performance meets contractual requirements and exceeds some to the government‘s benefit. The contractual performance element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were highly effective.

Unsatisfactory 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.

SECTION C-2: EVALUATION RATING DEFINITIONS:

RATING DEFINITIONS

Exceptional Performance meets contractual requirements and exceeds many to the requiring activity’s benefit. 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.

SECTION C-3 - ASSESSED EVALUATION RATINGS:

To be completed by each reference using the rating scale in Section C-2. Please provide a check mark to indicate assessed rating for each question. An overall rating is requested for each of the major rated area (i.e Quality, Schedule, Management, Regulatory). Please describe in the remarks, any issues that may have influenced overall ratings which are not represented in the questions.

2. SCHEDULE

c. How would you rate the contractor's ability to provide services in compliance with contract requirements?

b. How would rate the contractor's ability to comply with inspection policy and procedures?

Remarks (if necessary)

RATED AREAS RATINGS

Overall Rating for "Quality of Services"

SECTION A : GENERAL INFORMATION

PAST PERFORMANCE QUESTIONNAIRE

Period of Performance:

SECTION C: PERFORMANCE INFORMATION

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

SECTION B : RESPONDENT INFORMATION

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Exceptional Very Good Satisfactory Marginal Unsatisfactory

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Please provide any additional remarks they may have influenced the ratings above:

3. MANAGEMENT

a. How would you rate the contractor's ability to adhere to OSHA guidelines for safety?

b. How would you rate the contractor's ability to adhere to environmental regulatory guidance?

Overall Rating for "Regulatory"

a. How well would you rate the contractor's responsiveness of communication?

Overall Rating for "Management"

4. REGULATORY Remarks (if necessary)

b. How would you rate the Contractor's ability to adapt to varying work situations?

c. How would you rate the Contractor's ability to identify problems, displayed initiative to provide solutions to those problems, and performed as a Team Member?

Remarks (if necessary)

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