PPQ_-_Hickam_Flag_Display.pdf

Attachment 3

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor (Company/Division):________________________________________________________________

B. Contractor Cage Code/DUNS: _________________________________

C. Contract number: ______________________________________

D. Contract type: ______________________________

E. Program Title:____________________________________________________________________

F. Description of service provided:

G. Was this a competitive contract? Yes _____ No _____

H. Period of performance: _________________________________________________________

I. Initial contract cost (Including base and all option periods at time of award: $____________________________

J. Current/final contract cost (Including base and all option periods): $_______________________________

K. Reasons for differences between initial contract cost and final contract costs:

L. Required Facility Security Clearance Level:______________________________________________

M. Required Personnel Security Clearance Level:____________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name: __________________________________________________________

B. Customer or agency description (if applicable): __________________________________________

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name: __________________________________________________________________

B. Evaluator's title: ___________________________________________________________________

C. Evaluator's phone/fax number: ________________________________________________________

Length of time (number of years/months) evaluator 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 statement. This scale is defined as follows:

CODE PERFORMANCE RATING

B BLUE/EXCEPTIONAL - During the entire period, the contractor met and exceeded many of the requirements of the contract and consistently performed at a superior level. Performance was accomplished with very few minor problems, and the contractor took immediate and effective corrective actions for those problems that did occur.

P PURPLE/VERY GOOD - During the entire period, the contractor met and exceeded some of the requirements of the contract and consistently performed very well. Performance was accomplished with some minor problems, and the contractor took timely and effective corrective action for those problems that did occur.

G GREEN/SATISFACTORY - During the entire period, the contractor met the requirements of the contract and consistently performed at an acceptable level. Performance was accomplished with some problems, and the contractor took effective corrective action for those problems that did occur.

Y YELLOW/MARGINAL – During the entire period, the contractor did not always meet some of the requirements of the contract and intervention was required to continue performance. There were instances where performance was at a less than acceptable level; performance was accomplished with some problems and some corrective actions appear only marginally effective or were not fully implemented.

R RED/UNSATISFACTORY – During the entire period, the contractor did not meet the requirements of the contract and performance was at an unacceptable level. There were a number of serious problems that required extensive oversight and involvement, and corrective actions were either ineffective or non-existent.

N/A NOT APPLICABLE - Unable to provide a rating. Contract did not include performance for this aspect, or information was not available. Do not know.

Past Performance B P G Y R N/A

PP1. Experienced in designing, creating and installing a museum-quality display case that meets the conservation and environmental requirements for the preservation of a large textile artifact, such as an early-20th century American Flag (or similar).

PP2. Demonstrated ability to manage the logistical requirements for shipping, receiving, staging and installing the components to create a large conservation display case (e.g., capable of displaying a 10’ x 16’ flag).

PP3. Demonstrated ability to present the final display case for immediate (“turn-key”) use on time.

PP4. Demonstrated ability to make adjustments/adaptations for successful installation at the customer's facility.

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), Y/M (Yellow/Marginal) or R/U

(Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___

No ___

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

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspect in the performance of the contract?

Given what you know today about the contractor’s ability, would you solicit this contractor in the future or have them perform one of your critical and demanding programs?

definitely would _________ probably would _________ might or might not__________ probably would not__________ definitely would not__________

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please scan and email this completed questionnaire to:

A1C Jake Hartzog at jake.hartzog@us.af.mil and MSgt Brian Hendrix at brian.hendrix@us.af.mil.

mailto:jake.hartzog@us.af.mil mailto:brian.hendrix@us.af.mil