Addendum 52.121-1 Atch 4 PPQ.doc

ADDENDUM 52.212-1 ATTACHMENT 4

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

When filled in this document is source selection sensitive information iaw FAR2.101 & 3.104

I. CONTRACT IDENTIFICATION

A. Contractor (Company/Division): _____________________________________________________ B. Cage Code: ________________ C. Contract Number: ________________________________ D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF): ____________________________________________ E. Program Title:

F. Brief Program Description: ___________________________________________________________ G. Program Phase: (e.g., Engineering & Manufacturing Development (EMD)) ____________________ H. Period of Performance: _______________________________________________________

II. RESPONDENT(S) TO QUESTIONNAIRE

A. Name(s): _________________________________________________________________________

B. Phone Number(s):

C. Position (e.g., Program Manager, PCO/ACO): ____________________________________________

D. Other suggested points of contact: _____________________________________________________

III. GENERAL COMMENTS

IV. PERFORMANCE EVALUATION

Please indicate your performance rating for the contractor’s by circling or place an “X” over the appropriate code using the performance evaluation scale below. Ratings are defined as follows:

CODE

PERFORMANCE RATING

B BLUE/EXCEPTIONAL - During the entire period, the contractor met and exceeded many of the requirements of the contract and consistently performed at a superior level. Performance was accomplished with very few minor problems, and the contractor took immediate and effective corrective actions for those problems that did occur.

P PURPLE/VERY GOOD - During the entire period, the contractor met and exceeded some of the requirements of the contract and consistently performed very well. Performance was accomplished with some minor problems, and the contractor took timely and effective corrective action for those problems that did occur.

G GREEN/SATISFACTORY - During the entire period, the contractor met the requirements of the contract and consistently performed at an acceptable level. Performance was accomplished with some problems, and the contractor took effective corrective action for those problems that did occur.

Y YELLOW/MARGINAL - During the entire period, the contractor did not always meet some of the requirements of the contract and intervention was required to continue performance. There were instances where performance was at a less than acceptable level; performance was accomplished with some problems and some corrective actions appear only marginally effective or were not fully implemented.

R RED/UNSATISFACTORY - During the entire period, the contractor did not meet the requirements of the contract and performance was at an unacceptable level. There were a number of serious problems that required extensive oversight and involvement, and corrective actions were either ineffective or non-existent.

N/A NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect, or information was not available. Do not know.

Respondents should explain their rating in the remarks section for any rating of Blue, Yellow or Red and ratings that might contradict official Past Performance documentation (e.g., Contractor Performance Assessment Reports (CPARs)). If more space is needed, remarks may be continued on separate pages. Please identify Factor and Sub-factor and question number.

A. TECHNICAL FACTOR - Rate the Offeror’s performance for the following sub-factors:

1. Sub-factor – Technical Approach

a. How well did the contractor meet the technical requirements of the contract?

B P G Y R N/A

REMARKS:

b.

How well did the contractor manage the training program and training scenarios?

G Y R

c. How well did the contractor ensure that the training program included the most up to date information IAW DoD, Air Force, and Air Force Office of Safety and Health directives?

G Y R

d. How well did the contractor stay current on information regarding techniques employed in detection, identification, determining safest method of handling, rendering safe, recovery, and destruction of domestic and foreign conventional, nuclear, chemical, biological, and improvised explosive ordnance? Was the current information added to the training program and scenarios in a timely manner?

G Y R e.

How well did the contractor provide support to EOD equipment including maintenance, cleaning, inventory and repair? Was equipment serviced and maintained within AF standards IAW Air Force Equipment Management System (AFEMS)?

G Y R f.

How successfully did the contractor respond to emergency and/or surge situations?

G Y R g.

How well did the contractor understand/comply with customer objectives and technical requirements?

G Y R

2. Sub-factor – Quality Control Plan a.

How timely and effectively did the contractor resolve contract problems without extensive customer guidance?

G Y R b.

How reasonable and cooperative was the contractor when dealing with program staff (including the ability to successfully resolve disagreements/disputes)?

G Y R

3. Sub-factor – Staffing Approach a.

How effectively was the contractor able to hire/apply a qualified workforce to this effort?

G Y R

b. How effectively was the contractor able to retain a qualified workforce on this effort?

G Y R

5. Sub-factor – Cost/Price

a. How accurately did the contractor forecast contract costs?

G Y R

b. How well did the contractor meet forecasted costs and perform within contract costs?

G Y R c.

How successfully did the contractor alert the Government of unforeseen costs before they occurred?

G Y R

Please provide the following information regarding cost/price:

(1) Original Contract Cost or Price

(2) Value of Negotiated Contract Changes

(3) Actual/Projected Cost to Complete

(4) Baseline Estimate at Completion

(5) Total Negotiated Changes EAC

(6) Cost Under run/Over run (-)

C. GENERAL COMMENT (Choose one of the following and explain your choice in the remarks)

Given what I know today about the contractor’s ability to execute what he promised in his proposal, I definitely would_____ probably would _____ might or might not _____ probably would not _____ definitely would not _____ award to him today given that I had a choice.

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Jennifer Gasparich via email at: jennifer.gasparich@us.af.mil