Attachment 4 Past Performance Questionnaire (REV 1).pdf

FA462020QA200

Attachment 4

Past Performance Questionnaire (PPQ)

PRESENT / PAST PERFORMANCE EVALUATION QUESTIONNAIRE

ELEVATOR MAINTENANCE SERVICES FAIRCHILD AFB, WA

SOLICITATION NO: FA462020QA200

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 prospective offeror for providing Elevator Maintenance Services at Fairchild AFB, WA.

2. INSTRUCTIONS FORM COMPLETION: Please fill this questionnaire in by hand or type, and please email the results to the Contracting Officer (s), Zachery W. Ray at zachery.ray.2@us.af.mil, and to the Contract Specialist, Clifford Dockter at clifford.dockter@us.af.mil. Email submissions are preferred. You can also return by mail to the following address:

92 CONS/PKA

Contracting Officer

Attn: Zachery Ray

110 W. Ent St

Fairchild AFB WA 99011

3. Please direct questions to Zachery Ray (509) 247-2608. Your Participation is greatly appreciated.

4. PLEASE RETURN NO LATER THAN: 24 February 2020, at 2:00 PM (Pacific Time)

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: _ mailto:zachery.ray.2@us.af.mil mailto:clifford.dockter@us.af.mil

Past Performance Questionnaire (PPQ)

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?:

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

If you have questions regarding this questionnaire, please call Zachery Ray @ 509-247-2608.

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

1 2 3 4

Unsatisfactory Marginal Satisfactory Very Good

Performance does not Performance does not meet Performance meets Performance meets meet most contractual some contractual contractual contractual requirements requirements and requirements. The requirements. The and exceeds some to the recovery is not likely in contractual performance of contractual performance Government’s benefit. The a timely manner. The the element or sub-element of the element or sub- contractual performance of contractual performance being evaluated reflects a element contains some the element or sub-element of the element or sub- serious problem for which minor problems for being evaluated was element contains a the contractor has not yet which corrective actions accomplished with some serious problem(s) for identified corrective actions. taken by the contractor minor problems for which which the contractor’s The contractor’s proposed appear or were corrective actions taken by corrective actions actions appear only satisfactory the contractor was appear or were marginally effective or were effective.

ineffective. not fully implemented.

Past Performance Questionnaire (PPQ)

MANAGEMENT PERFORMANCE:

1. How well did the contractor coordinate daily work including all monthly inspections, maintenance, repairs, replacements, routine and emergency service calls?

1 2 3 4 N/A

2. How well did the contractor work with scheduling 5 and or 3 year over-speed valve tests in accordance with American National Standards Institute A17.1.

1 2 3 4 N/A

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

1 2 3 4 N/A

TECHNICAL PERFORMANCE

1. How effective was the contractor at maintaining and operating vertical transportation equipment (Elevators)

1 2 3 4 NA

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

1 2 3 4 N/A

3. How well did the contractor perform routine maintenance?

1 2 3 4 NA

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

1 2 3 4 N/A

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

6. Was the contractor knowledgeable and experienced working with the installed elevators?

1 2 3 4 N/A

Past Performance Questionnaire (PPQ)

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

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

YES NO N/A

If no, please explain.

Additional Remarks: