Attachment 22 Past Performance Survey.pdf

FA7000-12-R-0004

Attachment 22

** FOR GOVERNMENT USE ONLY ONCE COMPLETED **

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

This attachment will not be incorporated into the resultant contract.

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSTIVE INFORMATION IAW FAR 2.101 & 3.104 This survey is for the United States Air Force Academy Contracting Office.

I. CONTRACT IDENTIFICATION

Contractor: ___________________________________________________________________

Address: _____________________________________________________________________________

Telephone Number: ____________________________________________________________________

Point of Contact: ______________________________________________________________________

Project Title or Brief Description of Work: _________________________________________________*

Contract Number: ___________________________________________________________________*

Contract Value Per Year: _________________________________________________________________

Contract Period or Dates of Performance: ___________________________________________________*

Contractor performed as the __Prime Contract ____ Subcontractor ____ Key Personnel

*Note: If offeror holds or has held more than one contract with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

II. SURVEY RESPONDENT INFORMATION:

Complete the following information on your company. You may be contacted for additional information pertaining to the past or present performance of the contractor identified in the section above. (The following information will assist in the analysis of the data. Information will be kept confidential.)

Name of Respondent: __________________________________________________________________________________

Company/Organization: ________________________________________________________________________________

Title: _______________________________________________________________________________________________

Address: ____________________________________________________________________________________________

Telephone Number: ___________________________________________________ Fax Number: _____________________

Relationship and time involved with Program/Contract:

Date you completed this questionnaire:

FAX or E-MAIL COMPLETED SURVEY FORM TO:

FAX: LGCB ATTN: Rachell Monteleone, Contracting Specialist or Diana Myles-South, Contracting Officer, USAFA

CONTRACTING, FAX (719) 333-9075.

EMAIL: rachell.monteleone@us.af.mil or diana.south@us.af.mil

III. PERFORMANCE INFORMATION:

Choose the description of the contractor’s work that best reflects their performance using the descriptions provided below. Please provide a narrative explanation for any ratings of unsatisfactory, marginal, very good or exceptional and any other specific problems or annotations that would help us evaluate the contractor.

E VG S M U N/A

Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Applicable

During the entire period, the contractor met and exceeded many of the requirements of the contract and consistently performed at a superior level.

Performance was accomplished with very few minor problems, and the contractor took immediate and effective corrective actions for those problems that did occur.

During the entire period, the contractor met and exceeded some of the requirements of the contract and consistently performed very well.

Performance was accomplished with some minor problems, and the contractor took timely and effective corrective action for those problems that did occur

During the entire period, the contractor met the requirements of the contract and consistently performed at an acceptable level.

Performance was accomplished with some problems, and the contractor took effective corrective action for those problems that did occur

During the entire period, the contractor did not always meet some of the requirements of the contract and intervention was required to continue performance.

There were instances where performance was at a less than acceptable level;

performance was accomplished with some problems and some corrective actions appear only marginally effective or were not fully implemented

During the entire period, the contractor did not meet the requirements of the contract and performance was at an unacceptable level. There were a number of serious problems that required extensive oversight and involvement, and corrective actions were either ineffective or non-existent.

Unable to provide a rating.

Contract did not include performance for this aspect, or information was not available.

Do not know.

QUALITY

1 Rate the contractor’s ability to plan for and execute quality control. Did the finish garments show any problems that could have been avoided with good quality control, such as finished measurements, wrong sizes, and poor workmanship in the hem area, closures, or seam finishes?

Comments:_____________________________________________________________________

2 Rate the contractor’s ability to correct deficiencies in timely manner and pursuant to their quality control procedures.

PLEASE ANSWER ALL QUESTIONS. PLEASE PROVIDE ADDITIONAL COMMENTS FOR EACH QUESTION

3 Rate the contractor’s ability to follow the specifications.

SCHEDULE

4 Rate the contractor’s ability to perform (timely) in accordance with contract schedule.

5 Did the contractor deliver timely? Was the contractor never late, sometimes late, always late, always early (please comment in the space provided).

BUSINESS RELATIONS

6 Provided timely resolution of contract discrepancies.

7 Did the contractor keep you informed of any problems as they occurred and suggest solutions to the problem?

8 Rate the contractor’s history of reasonable and cooperative behavior (E.G., communications, positive customer service, compliance with the order/contract terms, etc.).

SUBCONTRACTING

9 Rate the contractor’s ability to maintain or exceed their subcontracting goals. “FOR LARGE

BUSINESSES ONLY”

10 Rate the contractor’s efforts taken to locate small business; veteran owned small business, service-disabled veteran-owned small business, HUB Zone small business, small disadvantaged small business and women-owned small business concerns and award subcontractor to them.

“FOR LARGE BUSINESSES ONLY’

11 Rate the contractor’s ability to submit their electronic Subcontracting Report for Individual contracts and summary subcontract report on the Electronic subcontracting Report System (eSRS).

THE FOLLOWING QUESTIONS ARE "YES/NO" IN NATURE:

12. QUALITY/SCHEDULE/BUSINESS RELATIONS/SUBCONTRACTING PLAN IF APPLICABLE. Based on your judgment of the contractor’s performance, would you award another contract to this contractor for the same services again?

Please explain.

( ) Yes ( ) No Comments:______________________________________________________________________________________________

13. GOVERNMENT CONTRACTS ONLY: Was this contract partially or completely terminated for default or conveniene or are there any pending terminations?

Yes___ Default______ Convenience_____ Pending Terminations)_____

No_____

Comments:______________________________________________________________________________________________

14. ADDITIONAL COMMENTS:

Thank you for your prompt response and assistance: