Attachment_3_PPQ.doc

Attachment 3

FA5613-13-R-21

For Official Use Only

PAST PERFORMANCE QUESTIONNAIRE

This acquisition is for Maintenance and Repair Service for Fire Suppression Systems in the

Kaiserslautern Military Community (KMC).

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 respondent 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:

Name of Rater:

Title:

Address:

Telephone Number:

Email Address:

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

Erich Fauss, Contract Specialist

Inge Jenkins, Contracting Officer

700 CONS/LGCE

700 CONS/LGCE

Erich.fauss.de@us.af.mil ingeborg.jenkins.1.de@us.af.mil Tel: +49-631-536-6547

Tel: +49-631-536-6800

CONTRACTOR’S NAME: CONTRACT NUMBER:

Attachment 3

FA5613-13-R-0021

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

the contractor were effective.

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.

For Official Use Only

Attachment 3

FA5613-13-R-0021

SHAPE \* MERGEFORMAT

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

Remarks:

CONTRACTOR’S NAME: CONTRACT NUMBER:

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.� Did contractor assign personnel with required skills to accomplish the work?� 5.� Provided effective quality control and/or inspection procedures to meet contract requirements.� 6.� Corrected deficiencies in timely manner and pursuant to their quality control procedures.� 7.� Provided timely resolution of contract discrepancies.� 8.� Identified problems as they occurred.� 9.� Suggested alternative approaches to problems.� 10.� Displayed initiative to solve problems.� 11.� Provided timely resolution of defects.� 12.� Was responsive to contract changes.� 13.� Provided adequate project supervision.� 14.� Complied with environmental requirements.� 15.� Did contractor consistently respond within the required time frames?� 16.� For US Government contracts only: Followed Government accepted Quality

Control Plan.� 17.� For US Government contracts only: Cooperated with Government personnel after award.� 18.� How would you rate the contractor's overall performance?�

19.�

How many pieces of equipment have been serviced under this contract?� Qty:� 20� Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”�

YES / NO�

21.� For US Government contracts only: Is the contractor rated in CPARS?�

YES / NO�

22.� Would you award another contract to this contractor? If not, explain in “remarks.”�

YES / NO�