Solicitiation_Attch_5_ _6-_PPQ_Letter_and_Questionarie.pdf

FA4690-16-R-0010

Attachment 6

PAST PERFORMANCE QUESTIONNAIRE

15 August 16

Questionnaire on Contractor’s Present and Past Performance

Request you provide the following information on the contractor’s present and past performance by placing an X in the space provided by the most appropriate response. Please provide comments on the lines provided after each question for all ratings other than Satisfactory Confidence. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submittal to the 28th Contracting Squadron. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified program.

Performance Assessment Rating Description

Individual’s Name, Title, and Phone Number Completing Questionnaire:

Company’s Name: ______________________________________________________________________

Contractor’s Name:

Contract Number: Contract Title:

Period of Performance (Including Options): __________________________________________________

Contract Amount (Including Options): ______________________________________________________

Contract Type: Firm Price______ Cost Reimbursement______ Other (Specify)_____________________

Rating Description

SUBSTANTIAL CONFIDENCE Based on the offeror’s performance record, your company has a high expectation that the offeror will successfully perform the required effort.

SATISFACTORY CONFIDENCE Based on the offeror’s performance record, your company has an expectation that the offeror will successfully perform the required effort.

LIMITED CONFIDENCE

Based on the offeror’s performance record, your company has a low expectation that the offeror will successfully perform the required effort.

NO

CONFIDENCE

Based on the offeror’s performance record, your company has no expectation that the offeror will be able to successfully perform the required effort.

UNKNOWN CONFIDENCE No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

MANAGEMENT

1. Rate the contractor on their ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies, and weather delays without falling behind the regular schedule.

Substantial Satisfactory Limited No Unknown Confidence Confidence Confidence Confidence Confidence

Comments:

QUALITY OF SERVICE

2. Rate the contractor on their ability to provide effective quality control and/or inspection procedures to meet contract requirements and their ability to take appropriate action to take to correct deficiencies when identified.

(Does the contractor conform to the government accepted quality control plan? Does the contractor provide effective quality control and /or inspection procedures to meet contractual requirements?)

Comments:

3. Rate the contractor’s ability to proactively recognize and resolve unanticipated difficulties. (Does contractor display initiative to solve problems? Does contractor identify risks/problems as they occur?)

Substantial Satisfactory Limited No Unknown Confidence Confidence Confidence Confidence Confidence

Comments:

SCHEDULE

4. Rate the contractor on their ability to complete the contract, task orders, milestones, delivery schedules and administrative requirements in a timely matter. (Does the contractor finish before the required completion dated?)

Comments:

CUSTOMER SATISFACTION

5. Rate the working relationship between the contractor and your company and your designated representatives.

(Includes inspection personnel)

Substantial Satisfactory Limited No Unknown

Comments:

6. Rate the contractor on their environmental awareness. (Includes environmental compliance and environmental initiatives, such as affirmative procurement)

Substantial Satisfactory Limited No Unknown

7. Has the contractor ever been given a Cure Notice, Show Cause Notice, Letter of Concerns, or had payment withheld for services not rendered?

Number of Cure Notices: _____ Number of Show Cause Notices: _____ Number of Letter of Concerns: ____ Number of times payment withheld for services not rendered: _____

SUMMARY

8. Would you hire this contractor again? Highly Likely Likely Unlikely Highly Unlikely