Attachment_5_-_Past_Performance_Questionnaire_Survey.pdf

Solicitation Number: FA527019QA046 Attachment 5

Past and Present Performance Questionnaire (PPQ)

23 August 2019

MEMORANDUM FOR SUGGESTED CONTRACTOR’S CUSTOMER

FROM: 18 CONS/PKA

Bldg. 99, Unit 5199 Kadena AB, Okinawa, Japan

SUBJECT: Past Performance Questionnaire

FOR OFFICIAL USE ONLY (関係者のみ閲覧可)

The 18 CONS/PKA of the United States Air Force, Kadena Air Base, Japan is in the process of competitively selecting a source for Solicitation No. FA527019QA046, Elevator Maintenance, Okinawa, Japan.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. Our schedule is extremely tight and we desire your written response no later than 3 September 2019, 1630 hrs (Japan Standard Time). This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to angelomykael.cabuang.1@us.af.mil . Please call SSgt Angelo Cabuang at 098-938-1111, extension 634-4107 if you have any questions. Your completed questionnaire will become a part of the official contract records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

ANGELICA GUERRERO

Contracting Officer

1 Attachment – PRESENT/PAST PERFORMANCE SURVEY

Past and Present Performance Questionnaire (PPQ)

PRESENT/PAST PERFORMANCE SURVEY

履⾏履歴調査票 23 August 2019

FROM: 18 CONS/PKA

Unit 5199, Bldg 99 Kadena AB, Okinawa, Japan

1. INSTRUCTION: The contractor, who sent this survey, has provided the following project as a reference for their present/past performance. Please provide frank, concise comments regarding your assessment of the contractor’s performance regarding this project. When responding to the descriptive statements, choose the rating that most accurately describes the contractor’s performance or situation. The ratings correspond with the following descriptive values. In accordance with FAR 15.306(e)(4), the names of individuals providing reference information about an offeror’s past performance shall not be disclosed.

嘉⼿納基地契約中隊では在⽇⽶軍の業務委託契約において応札業者の受注実績とその履⾏内容を落札の選定基準に加えております。つ きましては貴殿の率直で簡潔なご意⾒を頂きたく添付の調査票をお送りした次第です。下記の説明に最も近いと思われる評価を項⽬別にご 回答願います。尚、⽶国連邦調達規則に則りご回答内容は⼀切公表いたしません。

RATING SCALE 評価の⽬安

(E) Exceptional (非常に優れている): Performance meets contractual requirements and exceeds many to the customer’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

契約内容を満たした上でさらに多くの利益を顧客に与えた。対象となる業務はほとんど問題もなく、あった場合でも業者の

有効な是正措置で問題なく完了した。

(VG) Very Good ( 大 変 満 足): Performance meets contractual requirements and exceeds some to the customer’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

契約内容を満たした上でさらに、高い満足が得られた｡対象の業務に軽微な問題が生じても、業者は有効な是正処置を取っ

て完了した。

(S) Satisfactory ( 満 足): Performance meets contractual requirements. The contractual performance of the element or sub-element being assessed contains some minor problems for which corrective actions taken by the contractor were satisfactory.

契約要件は満たしている。履行中に軽微な問題が生じたが、業者の是正処置は満足であった。

(N) Neutral (どちらでもない): Did not observe performance in this area. 履行内容に該当なし。

(M) Marginal ( 不 満 ): Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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.

履行は一部不完全であった。対象の業務に、業者の是正手段の不備による重大な欠陥がある。業者の改善策は有効でないか

十分に実行されていないと思われる。

(U) Unsatisfactory (大変不満): Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-elements being assessed reflects a serious problem for which corrective actions were not accomplished. The contractor did not take any corrective

Past and Present Performance Questionnaire (PPQ) actions.

契約内容を満たしておらず、期間内に改善の見込みなし。契約した業務は完了せず、業者は是正処置を怠った。

2. CONTRACT INFORMATION (応札する業者が記⼊): The below listed contractor has identified they provided or are currently providing services for your company/agency. 貴殿との委託業務は以下の通りです。

a. Reference Number 履歴番号(Circle one): No. 1 -履歴 1, No. 2 -履歴 2, No. 3 -履歴 3,

b. Contractor (Company/Agency) 契約者:

c. Contractor Address/Phone 契約者の住所・電話番号:

d. Prime contractor or subcontract 主契約者(元請) または 再委託契約者 (下請) (Circle one)

Prime contractor (元請), Sub contract (下請), Other (その他)

e. Title of Program/Contract 契約件名:

1) Contract Number 契約番号:

2) Period of Performance 契約期間:

3) Services Provided (explain in detail the type of services provided by the contractor) 業務の内容:

f. Contract Value/Amount (Per Year and/or Total) 契約⾦額(単年度合計と総契約⾦額合計):

3. RESPONDENT IDENTIFICATION (回答者、評価者が記⼊): (This information will be kept confidential in accordance with FAR 15.306(e)(4). You may be contacted for additional information pertaining to past or present performance of the contractor identified in section 1 above.

ご回答の内容は公表いたしません。審査の⼿続き上、再度連絡を取らせていただく場合がありますので、ご理解、ご協⼒お願いします。

a. Company’s Name 会社名:

b. Name and Title お名前と役職:

c. Phone Number 電話番号:

E-mail Address 電⼦メールアドレス：

Past and Present Performance Questionnaire (PPQ)

d. Address 住所:

e. Relationship to Project 契約案件における地位：

f. Length of Involvement in Project 契約案件の担当年数:

g. Date Questionnaire Completed 回答⽇:

Past and Present Performance Questionnaire (PPQ)

4. QUESTIONNAIRE 調査票 (Check One いずれかに｢✔｣を付けてください)

1. (Quality of Work) Were you satisfied with the quality of service performed or items supplied?

提供されたサービスや商品の満⾜度はどうですか。

E VG S N M U

2. (Quality of Work) How effective did the contractor’s quality control and/or inspection procedures operate?

-品質管理と作業上の検査⼿順は妥当ですか。

E VG S N M U

3. (Timely Performance/Schedule) Did the contractor provide the required service in a timely manner and on schedule?

-契約者の作業は迅速で予定の納期に間に合ってましたか。

E VG S N M U

4. (Effectiveness of Management for Resolution of Issues, Problems, and Customer Complaints) How well did the contractor resolve Issues/Problems/Customer Complaints?

-契約者は作業上の懸案、問題解決、苦情処理に⻑けていましたか。

E VG S N M U

5. (Compliance with the Applicable Rules, Regs, Laws, including Safety Standards) How efficient was the contractor in abiding by all Rules, Regs, Laws, and Safety Standards?

-契約者の作業は関連する全ての法規や安全基準を守っていますか。

E VG S N M U

6. Overall Rating ‐総合評価

E VG S N M U

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

-これまでに業務改善命令をだしたことがありますか。もしYESの場合は下記の記⼊欄に詳細を

記⼊してください。

YES NO

8. Would you hire this contractor again? If no, why?

-需要があれば、またこの業者に依頼しますか。

YES NO

a. Additional Comments/Remarks その他:

Upon completion of this survey, please send it by email to the address shown below no later than 3 September 2019 1630 hrs (Japan Standard Time).

本アンケートの回答につきましてはご記⼊後、第18 契約中隊/契約課、もしくは電⼦メールにて下記あて先に2019年9⽉3⽇ 午前1630 時 まで にお 送り下さいますようお願い致します。 18th Contracting Squadron/PKA

Attn: Angelo Cabuang Phone (DSN): 634-4107 Unit 5199 Bldg 99, Kadena AB, Okinawa Japan 904-0000 Email: angelomykael.cabuang.1@us.af.mil

Thank you for your cooperation. ご協⼒ありがとうございました。