Attachment_5_Past_Performance_Questionnaire_(PPQ)_REV_02.doc

Source Selection Information -- See FAR 2.101 and 3.104

FA568219RA001

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

***Please DO NOT send the completed PPQ back to the contractor. Please e-mail directly to the following individuals no later than 15 days after the RFP posting date: the proposal due date stated in SF 1442 Section A, Block 13 of this RFP:

Ms. Melissa Maurhart

AND

MSgt Jeffrey Fluck melissa.mauhart.it@us.af.mil jeffrey.fluck@us.af.mil

31 CONS/PKC

31 CONS/PKC

Tel: +39-0434-30-4318

Tel: +39-0434-30-4979

DSN: (314) 632-4318

DSN: (314) 632-4979

1. This Acquisition is for the Multiple Award Construction Contract (MACC) program consisting of a broad range of design-build, maintenance, alteration, repair, renovation, and minor construction projects affecting real property at, but not limited to, Aviano AB, Italy.

2. As part of the source selection process, this questionnaire is provided to assist the 31st Contracting Squadron (31 CONS) in the performance evaluation of offerors pertaining to the competitive acquisition for the MACC 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. Please complete the attached questionnaire using the following guidance:

Performance meets contractual requirements and exceeds many to your organization’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements and exceeds some to your organization’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with 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 appear or were satisfactory.

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

SECTION 1: CONTRACT AND PROGRAM IDENTIFICATION

a. Contractor: _____________________________________

b. Contractor’s CAGE Code: ________________________________

c. Contract / Task Order (TO) Number: _______________________________

d. Contract Type (e.g. FFP, Cost, T&M): ___________________________

e. Was this a competitive contract?

Yes_____ No______

f. Period of Performance: _____________________________

g. Performed as:

Prime Contractor _____

Sub-Contractor ______

h. Initial (at the time of award) Contract Value (if it was a Task Order, indicate the TO value: $_______________

i. Current or Final Contract/TO Value (include all modifications): $_____________________

j. Project Title and Brief Description of Work: _______________________________________________________

k. Are there Contractor Performance Assessment Reports (CPARS) or other Past Performance Reports available for this contract or task order?

Yes ____ No _____

SECTION 2: RATER INFORMATION:

Primary

Alternate Name of Rater:

Name of Rater:

Title:

Title:

Agency:

Agency:

Office Symbol:

Office Symbol:

Telephone Number:

Telephone Number:

Email Address:

Email Address:

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

SECTION 3: PROGRAM RELEVANCY

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

A-E Design work

Civil (pavements, site utilities) work

Structural work (including roofing)

Electrical and/or Communications work

Mechanical (plumbing, HVAC) work

Fire Protection work

Security (secure rooms for classified work) and/or Force Protection work

New Construction (including building additions)

Interior renovation (including flooring)

Interior/Exterior painting

B. Was this an Indefinite-Delivery Indefinite-Quantity (IDIQ) type contract with multiple task orders?

Yes

No

C. Was it a design-build contract/task order?

Yes

No

D. Geographic description of work under this contract, i.e. local, nationwide, worldwide, or other commands:

SECTION 4: 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.”

If not, explain in “remarks.”

Remarks: ____________________________________________________________________________________

RETURN COMPLETED QUESTIONNAIRES DIRECTLY TO

THE CONTRACTING OFFICER (see POCs at paragraph 2)

**DO NOT RETURN TO THE CONTRACTOR**

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!

CONTRACTOR’S NAME:

CONTRACT NUMBER:

For Official Use Only

Source Selection Information -- See FAR 2.101 and 3.104