Attachment 7 - PPQ 9 Feb 21.docx

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

INSTRUCTIONS FOR COMPLETING PPQ

1. This This Acquisition is for Maintenance and Repair of Car Lifts throughout the Kaiserslautern Military Community (KMC). The contractor shall provide all non-personal services, management, tools, supplies, materials, equipment, transportation and labor necessary to perform maintenance, safety inspections and repairs of Car Lifts and Dock Levelers (this term includes Car Lifts and Dock Levelers that are steel constructions with electrical and hydraulic systems) at Ramstein Air Base, Construction and Training Squadron (CTS), Vogelweh, Einsiedlerhof, and Kapaun Air Station in a manner that shall ensure safe and continuous operation. All maintenance, inspection, and repair work shall be performed in accordance with (IAW) all existing German laws, commercial practices and safety regulations for the maintenance of car lifts and dock levelers in their current version. Services as requested herein shall be performed only by qualified personnel (Befähigte Person für Hebebühnen / competent person for hydraulic lifts) trained and certified for the service required. The services required under this Performance Work Statement are not mission-essential.

2. As part of the source selection process, this questionnaire is provided to assist the 700th Contracting Squadron in the past performance evaluation of offerors pertaining to the competitive acquisition for Car Lifts throughout the Kaiserslautern Military Community (KMC) that will result in the award of a federal contract. Therefore, it is important that your information be as factual, accurate and as complete as possible to preclude the need for follow-up queries by the evaluators. In an effort to expedite receipt of the requested information, the Contracting Officer respectfully requests that you DO NOT MAIL hard copies. Instead, please e-mail the completed questionnaire(s) to Ms.Karen Stansbury karen.stansbury@us.af.mil and Jushawn Ferrell jushawn.ferrell@us.af.mil by 15 February 2021.

3. Indicate, based on the adjectives below, the contractor’s performance on the identified program. Assessments should reflect only contractor liable performance.

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

Source Selection Information -- See FAR 2.101 and 3.104

FA5613-21-Q-0006

CONTRACTOR’S NAME: CONTRACT NUMBER:

For Official Use Only Source Selection Information -- See FAR 2.101 and 3.104

4. Include the contractor’s name and the contract number for which the past performance information applies on each page of the questionnaire form to ensure there is no mix-up in information among contracts surveyed for respective prime/sub-contractors, etc.

I. BUSINESS AND PROGRAM IDENTIFICATION

A. GENERAL INFORMATION:

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:

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

II. PROGRAM RELEVANCY

To determine program relevancy, please indicate below the services the contractor has or is performing under this contract by marking the applicable box with X or √ or N/A.

Overall Car Lifts serviced: (please specify)

III. PAST PERFORMANCE EVALUATION

Please mark the appropriate column with “X” or “√” using the definitions matrix set forth in the instructions, and provide a narrative explanation for ratings of E, VG, M or U.

If yes, explain outcome in “remarks.”

Remarks:

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO THE CONTRACTING OFFICER (see POCs at paragraph 2)

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO THE CONTRACTING OFFICER (see POCs at paragraph 2)