Attachment_L-3_Past_Performance_Questionnaire.doc

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ESG - New Mexico - Arizona Performance-Based Remediation (PBR)
Solicitation number
FA8903-12-R-0050
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Atch L-3 Sample PPQ

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FA8903-12-R-0050

Attachment L-3

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 Contracting Officer, Ms. Naomi Alvarado (naomi.alvarado@us.af.mil ) with a copy to the Contract Specialist, SrA Steven Hedgepeth (steven.hedgepeth@us.af.mil ) and Past Performance Evaluation Team Chair, Capt Richard Spencer (richard.spencer.9@us.af.mil) or may utilize USPS mail addressed to 772 ESS/PKJ, Attn: Ms. Naomi Alvarado, 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.
“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).

Comments:

3. Schedule Control: Rating:

a. Ability to manage schedule timeliness of products and services.

b. Timeliness of data submittals and reports.

Comments:

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.

Comments:

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:____________

Comments:

Please provide any additional applicable comments regarding the contractor’s performance:

OVERALL RATING:_________________

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