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Attachment 5 Past Performance Questionnaire

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ATTACHMENT 5

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

FA4600-16-R-0004

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: _____________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _______________________________________________

C. Description of service provided:______________________________________________________________ D. Initial awarded contract cost and current/final contract cost:__________________________________________

SECTION 2. CUSTOMER OR AGENCY IDENTIFICATION

1. Customer or agency name: _________________________________________________________________

SECTION 3. EVALUATOR IDENTIFICATION

1. Evaluator's name: _________________________________________________________________________

1. Phone number: ______________________________________________________________

C. E-mail Address:___________________________________________________________________

SECTION 4: EVALUATION

1. 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.

Evaluation
Ratings

The Contractor:

Acceptable
Unacceptable
1
Demonstrated the ability to provide a qualified technician to perform preventative maintenance and repair services to the UPS systems.
Acceptable
Unacceptable
2
Demonstrated acceptable knowledge, ability, and approach to preventative maintenance.
Acceptable
Unacceptable
3
Demonstrated the ability to provide a continuously manned emergency point of contact 24 hours a day, seven days a week.
Acceptable
Unacceptable
4
Demonstrated the ability to provide a qualified technician on-site actively repairing the UPS systems within contract requirements.
Acceptable
Unacceptable
5
Demonstrated the ability to obtain replacement parts.
Acceptable
Unacceptable
6
Demonstrated an acceptable approach that ensured no interruption or degradation of services during turnover from previous UPS contractor to current contractor
Customer Satisfaction/General Information
Acceptable
Unacceptable
7
Arrived on site when scheduled to arrive.
8
Complied with security and safety requirements/guidelines as indicated in the contract.
9
Maintained accurate and thorough service records.
10
Proactively preformed preventative maintenance, reducing the number of service calls.
11
Diligently worked problems all the way to solution.

Repaired failed UPS in an acceptable timeframe.

13
How would you rate the contractor's overall performance?
14
Based on this contractor's overall performance, would you award this contractor a similar contract?
Yes ______ No______

2. Please discuss responses for which you indicated Unacceptable in response to the questions above, use additional sheets, if necessary.

SECTION 5: NARRATIVE SUMMARY

Please provide any additional comments concerning this contractor’s performance, as desired.

Thank you for your prompt response and assistance! Please return this completed questionnaire to:

Email Address: sharon.boren@us.af.mil 402-232-6466 (COMM), 272-6466 (DSN)

FA4600-16-R-0004 UPS Maintenance & Repair
Attachment 5 - PPQ
Pages 1

File details come from the government source that posted it. Updated .