Attach_3_PPQ.pdf

PRESENT / PAST PERFORMANCE EVALUATION QUESTIONNAIRE

SOLICITATION NO: FA462019QA105

Note: This is a copy of the questionnaire that past performance references will be asked to respond to.

Offerors are not required to complete this form.

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 project?: _________________________________________________________

g. What were the scope and major functions performed under this contract?

If you have questions regarding this questionnaire, please call James Plumlee at (509) 247-4876.

For any ratings less than satisfactory rating, please provide explanation in Remarks section below.

1 2 3 4 5

Unsatisfactory Marginal Satisfactory Very Good Exceptional

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory

Performance meets contractual requirements and exceeds some to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Performance meets contractual requirements and exceeds many to the

Government’s benefit.

The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

MANAGEMENT PERFORMANCE:

1. How well did the contractor coordinate daily work 1 2 3 4 5 N/A including outages and work orders?

2. How well did the contractor provide design reviews and 1 2 3 4 5 N/A maintenance support plans?

3. How effective was the contractor in maintaining professional business 1 2 3 4 5 N/A relationships with government personnel and in resolving contract issues?

TECHNICAL PERFORMANCE

1. How effective was the contractor at maintaining and operating the 1 2 3 4 5 NA telephone switch system?

2. How well did the contractor install and maintain the Inside Plant and 1 2 3 4 5 N/A

Outside Plant cable and equipment?

3. How knowledgeable and skilled were contractor personnel 1 2 3 4 5 NA at operating and maintaining Avaya CM6 telephone systems?

4. How effective was the contractor at identifying, documenting, 1 2 3 4 5 N/A prioritizing and correcting system outages?

5. Did the contractor submit reports in an accurate and timely manner? 1 2 3 4 5 N/A

6. Did the contractor offer competitive pricing on work order parts 1 2 3 4 5 N/A the company supplied

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: