Attach 3 - Past Performance Questionnaire___.pdf

Past Performance Questionnaire (PPQ)

F.E. Warren AFB is in the process of soliciting offers from companies capable of providing

Portable Latrine Services at the Launch Facilities assigned to F.E. Warren AFB.

The 90th Contracting Squadron at F.E. Warren AFB, WY is conducting an evaluation on the offeror that has submitted this questionnaire to you. We request you complete the questionnaire below and e-mail a signed, PDF file to Mrs. Karmella Van Stockum at karmella.vanstockum.1@us.af.mil, Contract Specialist, 90 CONS, F. E. Warren AFB, WY.

Questionnaires are due at quote submission, 22 October 2024, 2:00 p.m. MDT.

NOTE: For vendors to be considered, the Past Performance Questionnaires must be returned to Karmella Van Stockum at karmella.vanstockum.1@us.af.mil in its entirety along with quotes by the due date/time specified above.

SECTION 1: CONTRACT IDENTIFICATION

a. Contractor (Company/Division):

b. Contractor CAGE Code:

c. Contract Number:

d. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

e. Program/Project Title:

f. Brief Program/Project Description:

g. Period of Performance:

1. Original Schedule (assuming all options exercised):

Beginning Date __________________ through ___________________.

2. Current Schedule (assuming all options exercised):

Beginning Date __________________ through ___________________.

3. Reason for difference (if applicable):

h. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

Attachment 3: Past Performance Questionnaire mailto:marissa.burlando@us.af.mil mailto:marissa.burlando@us.af.mil

Attachment 3: Past Performance Questionnaire

i. Description of work performed:

j. Frequency of services (i.e. weekly, monthly, quarterly, etc.):

k. Was this a competitively awarded contract? ____ Yes ____ No

l. Contractor’s Role:

____ Prime Contractor ____ Subcontractor ____ Key Personnel

SECTION 2: CUSTOMER OR AGENCY IDENITIFICATION

a. Customer or agency name:

b. Customer or agency description (if applicable):

c. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other commands):

SECTION 3: RESPONDENT IDENTIFICATION

a. Respondent’s name:

b. Respondent’s title:

c. Respondent’s phone number / fax number / e-mail address:

d. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

e. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

f. Other suggested points of contact:

SECTION 4: PERFORMANCE INFORMATION

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:

Code Performance Rating

S SATISFACTORY – Performance meets the contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

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

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

Program/Schedule Management S U N/A

P1. How effective was overall contract management (including ability to effectively lead, manage, control and deliver on-time)?

SUPPORTING INFORMATION:

P2. How timely and effectively did the contractor resolve contract problems without extensive customer guidance?

SUPPORTING INFORMATION:

P3. How well did the contractor understand/comply with customer objectives and technical requirements?

SUPPORTING INFORMATION:

P4. How well did the contractor respond to emergency and/or surge situations?

SUPPORTING INFORMATION:

P5. To what degree did the contractor implement responsive/flexible processes to improve quality and timeliness of support?

SUPPORTING INFORMATION:

P6. How adequate/effective were the contractor’s environmental safety procedures?

SUPPORTING INFORMATION:

P7. How would you rate the contractor’s overall performance on this contract?

SUPPORTING INFORMATION:

Transition / Phase-in S U N/A

TP1. How smoothly did the contractor transition resources and personnel?

SUPPORTING INFORMATION:

TP2. How effective was the contractor in maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts?

SUPPORTING INFORMATION:

Cost Performance S U N/A

C1. How successfully did the contractor alert the Government of unforeseen costs before they occurred?

SUPPORTING INFORMATION:

Government Contracts Only: Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

____ Yes ____ No ____ Pending Terminations

If you selected yes/pending terminations, please select the type of termination below.

____ Default ____ Convenience

Please explain (e.g., inability to meet cost, performance, or delivery schedules):

SECTION 5: GENERAL COMMENT

Given what I know today about the contractor’s ability to execute what he/she promised in his/her proposal, I would/would not award to him today given that I had a choice.

REMARKS:

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

Respondent’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

E-Mail to: karmella.vanstockum.1@us.af.mil