Atth_5,_PPQ.pdf

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA4803-16-R-0005

Awards and Decorations Services

1. Please complete this questionnaire. The following is an explanation of the evaluation codes:

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY

RATINGS OF 1 OR 2.

1 2 3 4 5

UNKNOWN

CONFIDENCE

NO CONFIDENCE LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

SUBSTANTIAL

CONFIDENCE

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

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

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

Based on the offeror’s performance record, the Government has an expectation that the offeror will successfully perform the required effort

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

PAST PERFORMANCE EVALUATION

SOLICITATION NUMBER: FA4803-16-R-0005

Awards and Decorations Services

Evaluator please complete the following:

A. Contractor: ________________________________________________________________

B. Subcontractor: _____________________________________________________________

C. Contract number: ____ ___________________________________

D. Total annual contract dollar amount: _______________________________

E. Period of Performance: From: ________ To: ___________

Exercised Option Periods: ______________________________________________________

F. Description of services being performed:

FA4803-16-R-0005

Attachment 5

1. How well did management work to resolve problems encountered throughout the performance of the contract.

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

SUBSTANTIAL

CONFIDENCE

Narrative: _________________________________________________________________________________

2. How well did the contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

3. How well did the home office participate in solving significant local problems?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

4. How well did the contractor provide effective quality control and/or inspection procedures to meet contract requirements?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

5. How well did the contractor comply with all regulations and guidelines?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

6. How effective was the contractor’s quality control program.

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

7. Did the contractor correct deficiencies in a timely manner in accordance with their quality control procedures?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

8. Based on your judgment of the contractor’s performance, would you award the contractor another contract?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

9. Did management personnel have sufficient experience to accomplish the requirements of the contract?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

10. Please rate the contractor’s demonstrated ability on this contract in each of the following service areas (if applicable). “Satisfactory” needs no further explanation; however, if possible, please provide a short explanatory narrative for performance deemed Unknown Confidence, Limited Confidence, or No Confidence.

a. Did contractor exhibit ability to identify and correct non-compliance issues or internal concerns (i.e.

management, personnel, scheduling, and quality issues)?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

b. The contractor prevents unacceptable performance?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

c. During the course of the contract, was notification sent to contractor identifying unsatisfactory work:

[ ] Yes [ ] No

Narrative: _________________________________________________________________________________

d. If answered, was immediate action taken by contractor to correct the situation? [ ] Yes [ ] No

e. How well did contractor meet required deadlines?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

f. How well did contractor respond to contract changes?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

Please check “yes” or “no” to the following questions:

11. Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied?

[ ] Yes (if Yes, please explain) [ ] No

Narrative: _________________________________________________________________________________

RESPONDENT(S) TO QUESTIONNAIRE

A. Name(s):

B. Phone Number(s):

C. Position/Duty Title :

Name of reviewer (print) ;_______________________________________________

Location _____________________________________________________________

Telephone Number _____________________________________________________