PPQ - Attachment 4.doc
DOC document 77 KB Posted
- Attached to
- Grounds Maintenance Federal contract opportunity
- Solicitation number
- FA8201-08-R-0031
About this file
Attachment 4 - Past Performance Questionnaire
View the file
Other files for this federal contract opportunity
Show all 26
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment No. 4
PAST PERFORMANCE QUESTIONNAIRE
Grounds Maintenance Services
FA8201-08-R-0031
A.
GENERAL INFORMATION: Please correct any information below known to be inaccurate:
Contractor’s Name: ____________________________________________________________________
Address: _____________________________________________________________________________
Telephone Number: ___________________________Fax Number: _______________________________
Point of Contact:
Project Title or Brief Description of Work:
Contract Number: ________________________ Dollar Amount: $ per
Contract Period or Dates of Performance Provided by Offeror:
*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.
Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.
B.
RESPONDENT INFORMATION:
Name of Respondent: __________________________________________________________________
Title: _______________________________________________________________________________
Address: _____________________________________________________________________________
Telephone Number: ____________________________Fax Number: ____________________________
Email Address:
C.
FAX COMPLETED SURVEY FORM TO THE GOVERNMENT AT: (801)-777-5246
If there are any questions or comments, please contact Lt Jaymie Stepanek (801) 775-5256 email jaymie.stepanek@hill.af.mil.
D.
PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NO CONFIDENCE (NC) |
| LITTLE CONFIDENCE |
(LC)
SATISFACTORY CONFIDENCE
(SAC)
SIGNIFICANT
CONFIDENCE
(SIC)
HIGH CONFIDENCE
(HC)
UNKNOWN CONFIDENCE
(UC)
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| Performance met contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner. |
| No record of past performance or the record is inconclusive. |
CONTRACTOR’S NAME: ________________________ CONTRACT N0. _____________________
| The contractor: |
| NC |
| LC |
| SAC |
| SIC |
| HC |
| UC |
| 1. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 3. |
| Home office participated in solving significant local problems. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 4. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 5. |
| Followed approved quality control plan |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 6. |
| Complied with all federal, state and local laws and regulations to include appropriate licensing. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 7. |
| Complied with all USAF regulations. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 8. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 9. |
| Identified problems as they occurred. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 10. |
| Suggested alternative approaches to problems. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 11. |
| Displayed initiative to solve problems. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 12. |
| Met established project schedules. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 13. |
| Was responsive to contract changes. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 14. |
| Provided adequate project supervision. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 15. |
| Responsive to emergency or special events |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 16. |
| Cooperated with Government personnel after award. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 17. |
| How would you rate the contractor's overall performance? |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| 18. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
| YES/NO |
| 19. |
| Would you award another contract to this contractor? If not, explain in “remarks.” |
YES/NO
| 20. |
| Is this contract rated in CPARS or PPIRS? |
YES/NO
Remarks:_____________________________________________________________________________________________ Signature of Reviewer Date
When Filled in this Document is Source Selection Sensitive Information IAW FAR 3.104
File details come from the government source that posted it. Updated .