PPQ-Washer and Dryer FA4800-10-T-0016.doc

FA4800-10-T-0016

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. Fax the completed questionnaire to:

633 CONS/LGCZ

Attn: Ursela C. Jackson

74 Nealy Ave

Langley AFB, VA 23665

DSN Phone: 574-4923

Commercial Phone: 757-764-4923

DSN Fax: 574-7447

Commercial Fax: 757-764-7447

2. Explanation of Codes:

CODE

PERFORMANCE LEVEL

E

EXCEPTIONAL – Performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V

VERY GOOD – Performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

S

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

M

MARGINAL – Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U

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

N

NOT APPLICABLE – unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

A. Contractor: ______________________________________________________________

B. Contract Number: _________________________________________________________

C. Period of Performance: _____________________________________________________ D. Negotiated Price or Cost at Award: ____________________________________________ E. Current Estimated Contract Dollar Amount: _____________________________________ F. Briefly Describe Scope of Contract: ____________________________________________

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

ASSESSMENT ELEMENTS:

1. Were you satisfied with the quality of services received? _____ Yes _____ No

2. Were there any times that you were dissatisfied? If so, please explain. _____Yes ____No

3. Was re-performed work always completed satisfactorily? Sometimes completed satisfactorily? Rarely completed satisfactorily? Never completed satisfactorily?

4. Is there a history of recurring problems? If so, please explain. ______ Yes _____ No

5. Has there been any indication that the contractor is having financial problems? If so, please explain. _______ Yes _______ No

6. Was there any replacement in contract managers during the duration of the contract period of performance? ____ Yes _____ No

7. Was it ever elected not to exercise any option due to contractor’s poor performance?

____ Yes _____ No

8. Has the contractor ever been issued a cure notice or a show cause notice? Please provide details. _____ Yes ____ No

9. Has the contractor ever been terminated for default? Please provide details.

___ Yes ___No

10. How did you surveil your contract? 100%, Random, or Customer Complaint? When discrepancies were identified by any one of the above methods, did the offeror re-perform the service promptly? ___ Yes ___ No

11. Did the contractor provide you with all reports required by your contract in a timely manner? ___ Yes ____ No

12. Did the contractor provide an effective Quality Control/Inspection procedure?

____ Yes ____ No

13. Did the contractor identify problems in advance? Once problems were identified, did the contractor take positive and effective corrective action? _____ Yes ____ No

14. Did the offeror demonstrate effective response to your needs in a timely and professional manner? _______ Yes _______ No

15. Would you award another contract to this contractor? Explain below. ____ Yes ____ No

16. Contractor’s cost control. Did the contractor deliver at the agreed-to price/cost? Describe the reasons for changes to contract value (e.g. scope changes, overrun/underrun, Government-imposed scheduling changes, etc.) _____ Yes ____ No

17. Did the product or service meet the required level of quality? ___ Yes ____ No

18. Did the contractor always use technicians with at least three years experience?

_____ Yes _____ No

19. Did the contractor perform service calls in a timely manner? ____ Yes ____ No

20. Was the contractor easy to contact for service calls? ____ Yes ____ No

21. Did the contractor respond to emergency calls in a timely manner? ____ Yes ____ No

22. Did the contractor always use new parts to make repairs? ____ Yes ____ No

23. How well did the contractor communicate with the Facility Manager or equivalent?

____ Yes ____ No

24. Did the contractor invoice in a timely manner for work completed? ____ Yes ____ No

25. Did the contractor have to make the same repair more than once? ____ Yes ____ No

26. Did the contractor perform all work in a safe manner at all times? ____ Yes ____ No

27. Did the contractor perform all elevator inspections on schedule? ____ Yes ____ No

28. Are you satisfied with the quality of workmanship provided by your contractor?

____ Yes ____ No

29. Describe in a sentence or two any positive or negative qualities of your contractor.

30. What is your overall rating of the contractor’s performance?

E

V

S

U

N

31. Given the choice, would you award to the contractor again? ____ Yes ____ No

32. Is there anyone else we should send this questionnaire to? Please identify by name, organization and phone number.

If more comment space is needed, please attach pages.

33. Please provide the name, title, address and phone number of the person completing this questionnaire.

Evaluator’s Name: __________________________________________________________

Title: ______________________________________________________________________

Organization, Symbol, and Address:_______________________________________________________________________________________________________________________________________________

Telephone Number: DSN___________________Commercial__________________________

Fax Number: ________________________________________________________________ Length of involvement in the contract ______________________________________

Date of questionnaire completion: ________________________________________

Thank you for your time and effort in assisting us with our requirement. If you have any questions, please call Ursela C. Jackson at: 633 CONS/LGCZ, Langley AFB, VA at DSN 574-4923 or commercial 757-764-4923.