Attachment_L-3_Past_Performance_Questionnaire_22_Feb_13.pdf
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- Attached to
- Vandenberg Air Force Base (AFB) Performance-Based Remediation (PBR) Federal contract opportunity
- Solicitation number
- FA8903-12-R-0033
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Attachment_L-3_Past_Performance_Questionnaire 22 Feb 13
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FA8903-12-R-0033
Attachment L-3
22 February 2013
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
The contractor listed below is being considered in a competitive acquisition by the 772d Enterprise Sourcing Squadron and the Air Force Civil Engineering Center (AFCEC). Please complete this Questionnaire and submit in accordance with instructions herein. Prefer that all completed PPQs by the evaluator be sent via email to the Procuring Contracting Officer, Ms. Rebecca Quint (rebecca.quint@us.af.mil ) with a copy to the Contract Specialist, Ms. LaTorie Bivins (latorie.bivins@us.af.mil ) and Past Performance Evaluation Team Chair, Capt Rebecca Ban (rebecca.ban@us.af.mil) or may utilize USPS mail addressed to 772 ESS/PKB, Attn: Ms. Rebecca Quint, 2261 Hughes Ave, Ste 163, JBSA, TX 78236-9853. Your comments are considered FOR OFFICIAL USE ONLY. Therefore, you are advised that the Federal Acquisition Regulation prohibits the release of the names of individuals providing the reference information about an offeror’s past performance. In order to maintain the integrity of the acquisition process, it is requested that you do not divulge the name of the contractor or discuss your comments on this questionnaire with any other individuals. For Government contracts, task orders or delivery orders only Government personnel shall be the evaluator.
Past Project Information (Offeror shall complete items 1-9 below)
1. Offeror
2. Address
3. Phone Number ( )
4. Firm being evaluated (offeror or team subcontractor)
5. Contract Number (only one number allowed per
PPQ)
6. Project Title being evaluated
7. Total Dollar Amount (including options) $
8. Period of Performance (POP) Start and End Dates Start: End:
9. Percentage complete
Evaluator (Evaluator point of contract shall complete all items below)
1. Name of Evaluator
2. Email Address
3. Firm/Agency Name and Address
4. Phone Number ( )
5. Position held or function in relation to project
Rating: Please evaluate the contractor’s performance using the following ratings only:
“O” Outstanding Performance meets contractual requirements and exceeds many to the
Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
mailto:rebecca.quint@us.af.mil mailto:latorie.bivins@us.af.mil mailto:rebecca.ban@us.af.mil
“AA” Above Average Performance meets contractual requirements and exceeds some to the Government's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
“S” Satisfactory Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
“M” Marginal Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
“U” Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.
“N” Neutral No relevant past performance record is identifiable upon which to base a meaningful performance risk prediction. A search was unable to identify any relevant past performance information for the contractor or their key personnel.
(This is neither a negative nor positive assessment)
“N/A” Not Applicable Not applicable to this project Do not rate on a plus (+) or minus (-) scale. Please use only the ratings provided above, without variation
Please rate and provide any supporting information for the following:
1. Cost Control and Cost-Effective Performance: Rating:
a. Ability to track and control expenditures, invoiced costs and projected costs.
b. Reasonableness, timeliness and accuracy of cost/price proposals and supporting data
c. Initiative to minimize project costs.
Comments:
2. Quality Control with Contract Specifications and Schedules: Rating:
a. Quality of work (technical, professional and environmental).
b. Quality of data submittals and reports.
c. Ability to manage and track government property (if applicable).
3. Schedule Control: Rating:
a. Ability to manage schedule timeliness of products and services.
b. Timeliness of data submittals and reports.
4. Compliance with Law and Regulations: Rating:
a. Adequacy of responses to regulator comments and concerns.
b. Effectiveness in interfacing with regulators, concerned community groups and stakeholders.
c. Compliance with safety standards and/or number of safety related incidents.
5. Performance
a. Would you award another contract to this contractor?
If not, please indicate why:
Yes: ___________
No:____________
b. Has the Contractor been provided an opportunity to discuss any negative performance ratings? If so, what were the results?
Yes: ___________
No:____________
Please provide any additional applicable comments regarding the contractor’s performance:
OVERALL RATING:_________________
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