L-2_Past_Performance_Questionnaire_-_18_Sep_17.pdf

SECTION L, ATTACHMENT 2: Past Performance Questionnaire (PPQ)

Please complete Questionnaire Sections 1-5 below.

WHEN COMPLETED, THIS DOCUMENT IS SOURCE SELECTION

SENSITIVE INFORMATION IAW FAR 3.104.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

E. Was this a competitive contract?

F. Period of Performance:

G. Initial contract cost:

H. Current/final contract cost:

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, ie local, nationwide, worldwide, MAJCOM:

SECTION 3: EVALUATOR IDENTIFICATION

A. Customer or agency name:

B. Evaluator’s name:

C. Evaluator’s title:

D. Evaluator’s phone/fax number:

E. Evaluator’s email:

F. Name of Company Being Rated:

G. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

B

BLUE/EXCEPTIONAL

The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

P

PURPLE/VERY GOOD

The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

G

GREEN/SATISFACTORY

The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Y

YELLOW/MARGINAL

Performance does not meet some contractual requirements. The contractual performance 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.

R

RED/UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NOT APPLICABLE Unable to provide a score.

Training B P G Y R N

TR1. Ability to develop realistic, mission based training scenarios.

TR2.

Ability to conduct rescue training in the following disciplines:

Confined space, structural collapse, and light/heavy extrication.

TR3. Ability to conduct training courses safely and effectively.

SRD Compliance B P G Y R N

SRD1.

Ability to procure equipment meeting contractual specifications.

SRD2.

Ability to kit and deliver equipment to location both CONUS and OCONUS.

Annual Maintenance and Service Visits (AMSVs) B P G Y R N

AMSV1 . Ability to perform maintenance to manufacturer specifications.

AMSV2 . Effectively track and report current and historical maintenance data including inventory levels using a data management system.

AMSV3. Ability to coordinate with operational units for scheduling.

Code Performance Level

2. Please discuss each and every response for which you indicated B/E (Blue/Exceptional), P/VG (Purple/Very Good), Y/M (Yellow/Marginal) or R/U (Red/Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

3. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes Default Convenience Pending

No Terminations

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What were the contractor’s most negative aspects in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE.

Please return this completed questionnaire to: Mr. Lawrence Edelmann, Lawrence.edelmann@us.af.mil and Mr. Andrew Gill, Andrew.gill.7@us.af.mil.