Attach 4 - Past-Present Performance Questionnaire (PPQ)- Fire Suppression.pdf

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Attached to
Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair (ITMR) Services
Solicitation number
FA489725QC016
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template for solicitation FA489725QC016 regarding Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services at Mountain Home Air Force Base, Idaho. The questionnaire must be submitted directly to the 366 Contracting Squadron through A1C Raphael Parker and Mr. Daniel Parks.

The PPQ template includes sections for general contractor information, respondent details, and performance ratings across multiple categories including quality, schedule, management, regulatory compliance, and other areas. Performance ratings use a five-tier scale from Exceptional to Unsatisfactory. The questionnaire specifically asks about experience with routine inspection and maintenance, emergency response capabilities (24/7), and service call handling. When completed, this document becomes source selection sensitive information under FAR 2.101 and 3.104.

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Attach 4 – Past Performance

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

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

PAST & PRESENT PERFORMANCE QUESTIONNAIRE

SUBJECT: Request for Past Performance Evaluation

OFFEROR BEING EVALUATED:

TO:

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for the Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services at Mountain Home AFB, Idaho. In order for this questionnaire to be valid for solicitation evaluation purposes, it must be sent/received directly from the person/company responding to this request to the 366 Contracting Squadron identified below.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, please contact A1C Raphael Parker at (208) 828-4011.

Please return the completed questionnaire via email to, A1C Raphael Parker at Raphael.Parker.2@us.af.mil and Mr. Daniel Parks at Daniel.Parks.14@us.af.mil

Attachment:

Past & Present Performance Questionnaire mailto:Raphael.Parker.2@us.af.mil.

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

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

PAST & PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name:

Point of Contact:

Telephone:

Address:

Project/Title of Work and Brief description of Work Performed:

Contract Number:

Dollar Value: per:

(Dollar Value should identify whether a total contract or 1-time job price, or the length/period (example: per year).

Contract Period of Performance and Dates: (Please specify the length of time (start/end dates) of the contract/work performed. If it was a 1-time job or whether there was option years/multiple years of performance).

The Contractor performed as:

Prime Contractor Sub-Contractor Key Personnel

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

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

B. RESPONDENT INFORMATION:

Name of Respondent:

Title:

Telephone:

Email:

Address:

C. PERFORMANCE INFORMATION:

For assessment purposes, please use the following ratings and definitions:

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

Very Good – Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

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

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

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

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

Description of Work, Key Tasks, Workloads, Quantities, Frequency:

(Please identify the tasks performed under this requirement being assessed. Try to include the major/key tasks and workloads, any quantities, frequency, etc.)

Did the requirement include routine inspection & maintenance? (whether annual, semi-annual, monthly, etc.)

Did the requirement include routine and emergency (24/7) responses? Included a service call/response, drafting of quotes for repair work, and performing repair work as needed for various types of hangar doors?

Was a CPARS report completed on the contractor regarding this requirement?

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

Using the ratings and definitions described in section C, please rate the company’s overall performance regarding the following areas:

QUALITY: OVERALL RATING: Select One Comments regarding quality of work and how well the contractor met the requirements:

SCHEDULE: OVERALL RATING: Select One Comments regarding contractor's ability to deliver/perform work on time.

MANAGEMENT: OVERALL RATING: Select One Comments regarding contractor's overall management and supervision in performing the contract requirement. This may also include management of key personnel.

Business Relationships - How well did the Contractor communicate, and work with the government/your company.

REGULATORY COMPLIANCE: OVERALL RATING: Select One Comments regarding contractor's compliance with contract clauses, regulatory compliance requirements, and quality control.

OTHER AREA: OVERALL RATING: Select One Any other key, unique, or specific aspects/areas regarding this requirement? – If not you may leave blank.

Questionnaire

FA489725QC016 Commercial Kitchen Chemical Fire Suppression Systems Inspection, Testing, Maintenance & Repair Services

Mountain Home Air Force Base, Idaho

CONTRACT/PERFORMANCE ISSUES: Please include any comments regarding problems or issues regarding performance on this requirement.

ADDITIONAL COMMENTS: Please feel free to include any additional comments, concerns, issues, positive feedback related to the contractor’s performance regarding this requirement: (the government may request to interview/speak with you to clarify any concerns regarding performance during the evaluation process). You may include attachments such as a contract, the requirements description (Performance Work Statement (PWS), etc.)

Please return the completed questionnaire via email to, A1C Raphael Parker at Raphael.Parker.2@us.af.mil and Mr. Daniel Parks at Daniel.Parks.14@us.af.mil mailto:Raphael.Parker.2@us.af.mil.

PAST & PRESENT PERFORMANCE QUESTIONNAIRE
Please return the completed questionnaire via email to, A1C Raphael Parker at Raphael.Parker.2@us.af.mil and Mr. Daniel Parks at Daniel.Parks.14@us.af.mil
PAST & PRESENT PERFORMANCE QUESTIONNAIRE
B. RESPONDENT INFORMATION:
C. PERFORMANCE INFORMATION:
Description of Work, Key Tasks, Workloads, Quantities, Frequency:
Please return the completed questionnaire via email to, A1C Raphael Parker at Raphael.Parker.2@us.af.mil and Mr. Daniel Parks at Daniel.Parks.14@us.af.mil
OFFEROR BEING EVALUATED:
TO:
Prime Contractor: Off
SubContractor: Off
Key Personnel: Off
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File details come from the government source that posted it. Updated .