L Atch 3 PPQ

FA4890-10-R-0009

ATTACHMENT 3

SECTION L

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

IAW L-8.8 the Government will use the attached PPQ as a tool for conducting Past Performance telephonic or email interviews. The PPQ is provided as a point of information to offerors and is for Government use only. In the event a PPQ is used, it will be treated as source selection information in accordance with FAR Part 3.104. Offerors shall not complete and submit the PPQ. Any PPQs submitted by offerors will not be considered as part of the evaluation.

**When completed, this document is Source Selection Information IAW FAR 3.104**

SECTION 1: CONTRACT IDENTIFICATION:

A. Contractor

B. Contractor Cage Code

C. Role (check): Prime Subcontractor Teaming Partner Joint Venture Partner

Other (specify)

If subcontractor, partner or other, who is the Prime?

D. Contract Number

Task/Delivery Order Number

Note: If the referenced contract is an overarching IDIQ or BPA, the Government will only assess performance at the IDIQ level and not performance on each individual underlying task/delivery order. If the offeror would like assessment of the single task/call/delivery/purchase order, the offeror shall submit that as a separate reference

E. Contract Type (FFP, CPFF, IDIQ (include types), LH, etc.)__________________________________________

F. Period of Performance

G. Place(s) of Performance:

Multiple locations? Yes No

If yes, specify locations:

CONUS OCONUS Both

Provide details:

State Federal DOD Other

Provide details:

H. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)

I. Has a CPAR (or more than one CPAR) been completed for this contract? Yes No

If Yes, provide dates covered by CPARs:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or Agency Name

B. Customer or Agency Description

C. Description of Service(s) provided (Provide details on type of work, locations worked, and organizations serviced, to include Department of Defense, Government, or commercial work)

SECTION 3: EVALUATOR IDENTIFICATION

A. Name _________________________________________ B. Title

C. Phone/Fax D. E-mail

E. Years worked on Subject Contract

SECTION 4: EVALUATION

Please indicate your satisfaction with the Contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E

EXCEPTIONAL - The Contractor’s performance meets contractual requirements and exceeds many

(requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

VG

VERY GOOD- The Contractor’s performance meets contractual requirements and exceeds some

(requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

S

SATISFACTORY – The Contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Contractor appear or was satisfactory.

M

MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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

UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the

Contractor’s corrective actions appear or were ineffective.

N/A NOT APPLICABLE - Unable to provide a score or item is not applicable to the referenced contract.

Please provide detailed narrative comments to support your ratings. At a minimum, please discuss each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Q1. Quality of Product or Service E VG S M U N/A

Ability of Contractor to: provide accurate deliverables/reports; meet service specifications of the contract; provide timely proposals; respond to short notice requirements; provide and adhere to quality control/management plan (when required)

Explanation:

Q2. Schedule E VG S M U N/A

Ability of Contractor to provide deliverables/reports required by the contract on time

Q3. Cost/Price Control E VG S M U N/A

Ability of Contractor to: provide accurate contract costs/estimates; track and control costs; meet and perform within negotiated costs; provide current, accurate and complete invoices/billing; submit cost reporting information in a timely manner

Q4. Business Relations E VG S M U N/A

Ability of Contractor to: maintain effective relationship between key

Contractor personnel and key Government personnel; manage, resolve problems and respond to and/or integrate changes in mission-related requirements

Q5. Management of Personnel E VG S M U N/A

Ability of Contractor to: attract, recruit, hire, train and retain qualified management and technical personnel to accomplish mission requirements; manage subcontractors to include identification and resolution of subcontractor problems; ensure continuation of services during personnel absences or vacancies; replace/fill vacancies within timeframe specified; maintain training/certification currency

Q6. Utilization of Small Business E VG S M U N/A

Ability of Contractor to: comply with Small Business Subcontracting

Plan (Large Businesses only); meet Small Business subcontracting goal as stated in the contract (Large Businesses only); meet the Limitations on

Subcontracting in accordance with FAR 52.219-14

SECTION 5: NARRATIVE SUMMARY

A. Was this contract partially or completely terminated for default or convenience or is there any pending termination actions? (Place an “X” by all that apply.)

Yes No Default Convenience Pending Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

B. Would you have any reservations about having this Contractor perform again on one of your critical and demanding programs?

Government Evaluator’s Signature Date