Attachment 18_Present Past Performance Questionnaire.pdf

ATTACHMENT 18

PRESENT PAST PERFORMANCE QUESTIONNAIRE

NOTE: When completed, this document is Source Selection Information IAW FAR 3.104. Agency must ensure all pages of the completed documents being emailed directly to 11 CONS/PKA are marked:

“SOURCE SELECTION INFORMATION – See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY”

SECTION 1: CONTRACT IDENTIFICATION – INFORMATION MUST BE TYPED

(TO BE COMPLETED BY OFFEROR)

A. Contractor

B. Contractor Cage Code

C. Role (check): Prime ____ Subcontractor _____ Teaming Partner _____

Joint Venture Partner _______________________________

Other (specify) _________________________________________________

If subcontractor, partner or other, who is the Prime? ____________________

D. Contract/Blanket Purchase Agreement (BPA) Number

Task/Call/Delivery/Purchase Order Number

Note: Each PPI and corresponding PPQ shall cover actual work performed and not overarching contracts, such as Indefinite-Delivery Indefinite Quantity (IDIQ) basic contracts, Blanket Purchase Agreements (BPA), etc. (i.e., each PPI and corresponding PPQ shall only address one performance effort such as a TO for an IDIQ contract, a call order off of a BPA, or delivery order).

E. Contract Type (FFP, CPFF, ID/IQ (include types), LH, etc.)

F. Period of Performance

G. Place(s) of Performance:

Multiple locations? Yes _____ No _____ If yes, specify locations:

CONUS _____ OCONUS ______ Both ______

Provide details: ______________________________________________________________

State _____ Federal _____ DoD ______ Other ______ Provide details:

H. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)__________

I. Has a CPAR (or more than one CPAR) been completed for this contract Yes ____ No ____ If Yes, provide dates covered by CPARs:

*****FOLLOWING SECTIONS COMPLETED BY CONTRACTING AGENCY*****

INFORMATION MUST BE TYPED

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description

C. Description of Service(s) provided (Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or commercial work)

SECTION 3: EVALUATOR IDENTIFICATION

A. Name _________________________________________ B. Title __________________________________________ C. Phone: Work: ___________________ Cell: __________________ D. E-mail __________________________________________________ E. Years worked on Subject Contract

SECTION 4: EVALUATION

Please indicate your satisfaction with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E

EXCEPTIONAL - The Contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VG

VERY GOOD- The Contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

S SATISFACTORY – The Contractor’s performance meets contractual requirements.

The contractual performance contained some minor problems for which corrective actions taken by the Contractor appear or was satisfactory.

M

MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the Contractor has not yet identified corrective actions or the Contractor’s proposed actions appear only marginally effective or were not fully implemented.

U

UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE - Unable to provide a score or item is not applicable to the referenced contract.

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Q1. Quality of Product or Service E VG S M U N/A

Ability of Contractor to: provide accurate deliverables/reports; meet service specifications of the contract; provide timely proposals; respond to short notice requirements; provide and adhere to quality control/management plan (when required)

Explanation:

Q2. Cost/Price Control E VG S M U N/A

Ability of Contractor to: provide accurate contract costs/estimates; track and control costs; meet and perform within negotiated costs; provide current, accurate and complete invoices/billing; submit cost reporting information in a timely manner

Q3. Business Relations E VG S M U N/A

Ability of Contractor to: maintain effective relationship between key Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate changes in mission-related requirements

Q4. Management of Personnel E VG S M U N/A

Ability of Contractor to: attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements; manage subcontractors to include identification and resolution of subcontractor problems;

ensure continuation of services during personnel absences or vacancies; replace/fill vacancies within timeframe specified;

maintain training/certification currency

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or are there any pending terminations? (Place an “X” by all that apply.)

Yes____ No _____ Default ____ Convenience ____ Pending Terminations ____

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

B. Would you have any reservations about having this Contractor perform again on one of your critical and demanding programs?

Evaluator’s Signature Date