Addendum_52.121-1_Atch_4_PPQ.doc

PLEASE SUBMIT BY 19 Oct 15 (12:00PM CST) through email to

POC: Ana Fife, Phone: 618-256-9110 E-mail: ana.fife@us.af.mil

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 assist Government with medical readiness capability based planning related to the contract’s mission?

G Y R

c. How well did the contractor develop and maintained training standards and Mission Essential Task Lists (METLs), Mission Capability Statements, Concepts of Employment, and Tactics, Techniques and Procedures (TTPs) for the contract?

G Y R

d. How well did the contractor provide operational support for short-term information or data system capabilities, in support of Air Force Medical Service peacetime and wartime operations?

G Y R

e. How well did the contractor provide operational support for communications equipment inventory and conditions, and data entry of system, status, and other related issues through in-house or commercial off-the-shelf (COTS) software?

G Y R f.

How well did the contractor provide support to Government with representing medical readiness issues to various high level committees; ex. Readiness Training Oversight Committee (RTOC); Exercise Oversight Committee (EOC); Expeditionary Training Committee; MRDSS Configuration Control Board (CCB)?

G Y R g.

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

G Y R h.

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:

Ana Fife via email at: ana.fife@us.af.mil