13-R-0012-Atch_2_-_PPQ_12-12-06.pdf

FA5613-13-R-0012

Attachment 2

CONTRACTOR’S NAME: CONTRACT NUMBER:

For Official Use Only

Past Performance Questionnaire

This Acquisition is for Consolidated Custodial Services at the Kaiserslautern Military Community (KMC), and

Spangdahlem areas. Areas to be cleaned include, but are not limited to, the (Kaiserslautern Military Community

Center (KMCC), the PAX Terminal, Indoor Pools, Child Development Centers (CDC), and multiple DeCA facilities.

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

Contractor’s Name: ____________________ Address:

Telephone Number: ____________________

Email Address: ____________________

Point of Contact: ____________________

Project Title or Brief Description of Work*:

Contract Number*: Contract Amount:

Contract Period or Dates of Performance*:

Contractor performed as the ���� Prime Contractor ���� Sub-Contractor ���� Key Personnel.

To be completed by the rater and returned directly to the contracting office.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. RATER INFORMATION:

Primary Alternate

Name of Rater: _____________________ Name of Rater: _____________________

Title: _____________________ Title: _____________________

Address: _____________________ Address: _____________________

Telephone Number: _____________________ Telephone Number: _____________________

Email Address: _____________________ Email Address: _____________________

C. RETURN COMPLETED SURVEY FORM WITHIN 4 WORKING DAYS AFTER RECEIPT TO:

Attn: 700 CONS/LGCE Attn: 700 CONS/LGCE

Mark Jenkins or Inge Jenkins mark.jenkins@ramstein.af.mil Inge.jenkins@ramstein.af.mil

+49-631-536-6870 +49-631-536-6800

*Note: Once the PPQ is complete, it is considered to be Source Selection Information.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF E, M or U.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets contractual requirements with many exceeded to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

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 were satisfactory.

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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.

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.

Performance was not observed or not applicable to the current effort being reported against.

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

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: E G S M U N

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

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

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

4. Home office participated in solving significant local problems.

5. Followed Government accepted Quality Control Plan.

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

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

8. Provided timely resolution of contract discrepancies.

The contractor: E G S M U N

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic contract cleaning schedules.

13. Met established contract cleaning schedules.

14. Provided timely resolution of defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Complied with environmental requirements.

18. Paid subcontractors/suppliers in a timely manner.

19. Did contractor consistently respond within the required time frames?

20. Did contractor assign personnel with required skills to accomplish the work?

21. Did contractor consistently accomplish cleaning services within the required time frames and required minimal re-performance of services?

22. Did the contractor comply with Government supplied schedules?

23. Cooperated with Government personnel after award?

24. How would you rate the contractor's overall performance?

24. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain outcome in “remarks.”

YES / NO

25. For US Government contracts only: Is the contractor rated in CPARS? YES / NO

26. Would you award another contract to this contractor?

If not, explain in “remarks.”

YES / NO

Remarks: