Attachment_3_-_PPP_Questionnaire.pdf

For Official Use Only IAW FAR 2.101 and FAR 3.104

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

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

Contractor’s Name: ____________________ Telephone Number: ___________________

Address: _____________________________ Point of Contact: ______________________

Project Title and Brief Description of Work*: ____________________________________________

Contract Number Provided by Offeror: _____________

Contract Period or Dates of Performance Provided by Offeror*: _______________________

Contractor Performed as*: � Prime Contractor � Sub-Contractor � Key Personnel

* Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation

RFQ No. FA5641-17-R-0004

B. RESPONDENT INFORMATION:

Name of Respondent: _______________________ Title: _________________________

Address: ____________________ Telephone Number: _______________________

__________________________ Fax Number: _____________________________ __________________________ Email Address: ___________________________

C. EMAIL COMPLETED SURVEY FORM TO: james.mercurio@us.af.mil and thomas.collins.16.de@us.af.mil.

D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (S, U, and N) that most accurately describes the contractor's performance or situation. PLEASE PROVIDE A

NARRATIVE EXPLANATION FOR ANY “U” RATINGS.

S U N Satisfactory Unsatisfactory Neutral

Performance meets/met contractual requirements. The contractual performance of the clement or sub· element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet/did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual I 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.

RFQ No. FA5641-17-R-0004 mailto:james.mercurio@us.af.mil mailto:thomas.collins.16.de@us.af.mil

CONTRACTOR'S NAME: _________________ CONTRACT NUMBER: __________________

Place an "X" in the appropriate column using the definitions matrix above. Provide comments in the remark section for any rating other than satisfactory (S).

The contractor: S U N

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

Remarks:

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

Remarks:

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

Remarks:

4. Home office participated in solving significant local problems.

Remarks:

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

Remarks:

6. Followed approved quality control plan.

Remarks:

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

Remarks:

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

Remarks:

10. Suggested alternative approaches to problems.

Remarks:

11. Displayed initiative to solve problems.

Remarks:

12. Developed realistic progress schedules.

Remarks:

13. Met established project schedules.

Remarks:

14. Was responsive to contract changes.

Remarks:

15. Provided adequate project supervision.

Remarks:

16. Paid subcontractors/suppliers in a timely manner.

17. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

Remarks:

18. Cooperated with Government personnel after award.

Remarks:

19. How would you rate the contractor's overall performance on this contract?

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

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

Remarks: ____________________________________________________________________

RFQ No. FA5641-17-R-0004

YES/NO

YES/NO