Attachment_6_PPQ.pdf

Attachment 6

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

TO:

RETURN TO: 92 CONS/LGCA

Contracting Officer 110 W. Ent St Fairchild AFB WA 99011

SUBJECT: Present/Past Performance: Contract # , Contractor:

1. Your assistance is respectfully requested in providing information on the attached performance questionnaire. The importance of your opinion cannot be overstated. This survey measures the present/past performance of , a prospective offeror for parking lot snow removal services for Fairchild AFB.

2. INSTRUCTIONS FOR COMPLETION: Fill it in by hand or type and please email the results to the

Contracting Officer, Edward C. Campbell at edward.campbell.2@us.af.mil and to the Contract Administrator, SrA Kristian Perlas at kristian_martin.perlas.1@us.af.mil. Email submissions are preferred. You can also send by mail to the address listed above. Please direct questions to Mr. Edward Campbell at (509) 247-1970 or SrA Kristian Perlas at (509) 247-2233. Your participation is greatly appreciated.

Explanation of codes:

Code PERFORMANCE LEVEL

RATING DEFINITION

E Exceptional Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

G Good Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

S Satisfactory Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required effort.

N Neutral No performance record identifiable.

M Marginal Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Circle the appropriate letter for each item on the questionnaire and provide narrative justification.

PLEASE RETURN NO LATER THAN: 14 Oct 2015 mailto:edward.campbell.2@us.af.mil mailto:kristian_martin.perlas.1@us.af.mil

PRESENT / PAST PERFORMANCE

EVALUATION QUESTIONNAIRE

SOLICITATION NO: FA4620-15-Q-A020 Parking Lot Snow Removal

Section A: Contractor Information.

Contractor’s name and address:

a. Point of Contact:

b. Phone #:

c. Contract Number:

d. Project Title:

e. Period of Performance:

SECTION B: RESPONDENT INFORMATION

a. Respondent’s name and address: Organization:

Address:

City: State: Zip: _

b. Respondent’s Name and Title:

Signature:

c. Commercial Phone #: _ DSN Phone #:

Fax #: E-Mail:

d. Contract Type:

e. Award Amount: $ Final Amount: $

f. What was the job title for this position?:

g. Was the position full time on site?:

h. Did the position require clearance to work on classified networks?

i. What duties/responsibilities did this job entail?:

Please email or FAX the completed questionnaire no later than 14 Oct 2015 to:

92 CONS/LGCA

ATTN: SrA Krisitan Perlas and Mr. Edward Campbell

EMAIL: kristian_martin.perlas.1@us.af.mil/edward.campbell.2@us.af.mil

FAX: (509) 247-8685

DSN FAX: 657-8685

If you have questions regarding this questionnaire, please call SrA Perlas at (509) 247-2233.

Performance Evaluation Instructions: When responding to the descriptive statements, select the number which most accurately describes the contractor’s performance or situation. If the contractor has no record of past performance relevant to a particular question, select “N/A” for “Neutral”.

Evaluation of the Contractor’s Performance: For any ratings less than satisfactory, please provide explanation in Remarks section below.

MANAGEMENT PERFORMANCE:

1. How well did the contractor coordinate daily work with supervisors

N/A including arrangement of back-up personnel?

2. How effective was the contractor in maintaining professional business relationships with government personnel and in resolving contract issues?

1 2 3 4 5 N/A

3. How effective was the contractor in maintaining documentation? 1 2 3 4 5 N/A

TECHNICAL PERFORMANCE

1. How was the overall appearance and professionalism of contractor

N/A personnel?

2. Did the company respond to unscheduled service calls in a timely manner?

1 2 3 4 5 N/A

3. How well did the contractor perform snow removal? 1 2 3 4 5 N/A

4. Did contractor personnel possess any and all the required training and certificates?

1 2 3 4 5 N/A

5. Was the contractor knowledgeable and experienced with performing snow removal?

1 2 3 4 5 N/A

PERFORMANCE CONFIDENCE ASSESSMENTS

Rating Description

Exceptional (5) Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Good (4) Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

Satisfactory (2-3) Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required effort.

Marginal (1) Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Neutral (N/A) No performance record identifiable.

CORRECTIVE ACTION HISTORY:

1. Have there been any show cause or cure notices issued or legal actions taken? (circle one)

YES NO

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

2. If Contract Discrepancy Reports (CDR) were issued, were they addressed appropriately? If so, how? (circle one)

YES NO N/A

If yes, explain and indicate the status.

EVALUATION SUMMARY:

1. Overall evaluation of the contractor. (Circle one and explain.) 1 2 3 4 5

2. Would you enter into another contract with this contractor? (circle one)

YES NO N/A

If no, please explain.

Additional Remarks: