Attachment___5_PPQ.pdf

Solicitation: FA4819-17-R-4006 PPQ, Attachment #5

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104

SUBJECT: Request for Past Performance Evaluation

TO:

You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire.

The below-named contractor/offeror is being considered for an award of the, LO

Facilities Maintenance (Paint Booth) contract located on Tyndall Air Force Base, FL. A consideration in our selection process is the contractor’s performance history of similar efforts.

Please make every effort to be thorough in your answers/comments. Provide all pages to this questionnaire to the following:

SrA Matthew Lahr matthew.lahr.1@us.af.mil Contracting Specialist Deborah Williams deborah.williams.3@us.af.mil Contracting Officer

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted by email at deborah.williams.3@us.af.mil or by phone at 850-283-8664.

\\signed\\

DEBORAH F. WILLIAMS

Contracting Officer

1 Atch Past and Present Performance Questionnaire file://tynfs03/consshared$/Contracts/LGCA/LGCAA/C%20&%20D%20types/Recompete%20CTFS/TAB%20A--Pre%20Award%20Documents/01--Misc%20Corr--Memos--ASP%20Minutes/ChuckReynolds/far/Far02.doc#T2101 file://tynfs03/consshared$/Contracts/LGCA/LGCAA/C%20&%20D%20types/Recompete%20CTFS/TAB%20A--Pre%20Award%20Documents/01--Misc%20Corr--Memos--ASP%20Minutes/ChuckReynolds/far/FAR03.DOC#b3104 mailto:deborah.williams.3@us.af.mil

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

(The government enters the following information based on list of references provided by the offeror.

The offeror will enter this information if the solicitation requires him to submit questionnaires to the references.)

Project Title and Brief Description of Work: _____________________________________*

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number: _____________________ _____________________________ Email Address: _____________________

C. SEND COMPLETED SURVEY FORM TO: deborah.williams.3@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate rating in the table below that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A

NARRATIVE EXPLANATION FOR AN UNACCEPTABLE RATING.

Rating Description

Acceptable

Based on the Offeror’s performance record, the Government has a reasonable expectation that the Offeror will successfully perform the required effort, or the Offeror’s performance record is unknown.

Unacceptable

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

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix above.

The Contractor: Acceptable Unacceptable NA 1 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements

2 Provided experienced technicians with the abilited needed to meet contract requirements.

3 Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

4 Delegated authority to project managers and supervisors commensurate with contract requirements.

5 Home office participated in solving significant local problems 6 Followed approved quality control plan.

7 Provided effective quality control and/or inspection procedures to meet contract requirements.

8 Corrected deficiencies in timely manner and pursuant to their quality control procedures.

9 Provided timely resolution of contract discrepancies 10 Identified problems as they occurred.

11 Suggested alternative approaches to problems.

12 Displayed initiative to solve problems.

13 Developed realistic maintenance schedules.

14 Met established maintenance schedules.

15 Provided timely resolution of warranty defects.

16 Paid subcontractors/suppliers in a timely manner.

17 Provided accurate and complete line item cost proposals including all aspects of work required for each task.

18 Cooperated with Government personnel after award.

19 How would you rate the contractor's overall performance?

20 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

21 Would you award another contract to this contractor? If not, explain in “remarks.”

22 Is the contractor rated in CPARS?

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER __________

Remarks:

DEBORAH F. WILLIAMS Contracting Officer