PPQ.pdf

PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN THIS DOCUMENT IS

SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND FAR 3.104

FA9101-10-R-0011

INSTRUCTIONS FOR OFFEROR

SECTION A

1. Complete Section A of this questionnaire (pages 2&3) for each reference.

2. Submit a copy of each Section A to the Contract Specialist with your proposal.

SECTION B

1. Complete Block 2 of Section B (Contract Number and Program Name) for each reference.

2. Submit the Past Performance Questionnaire directly to your references.

3. Request that your reference completes Section B of the questionnaire and then returns it directly to the Contract Specialist.

The offeror is highly encouraged to ensure that the references return Section B to the Contract Specialist by the proposal response date.

RESPONSE DATE: WEDNESDAY 20 SEPTEMBER 2010, 2:00 PM CST

CONTRACT SPECIALIST

NAME: LINDSEY AMACHER

TEL: (931) 454-4458 or DSN 340-4458

FAX: (931) 454-7330

E-MAIL: lindsey.amacher@arnold.af.mil

MAIL: AEDC/PKE

100 Kindel Drive, Suite A332 Arnold AFB TN 37389‐1332 ATTN: Lindsey Amacher Solicitation ‐ FA9101‐10‐R‐0011

SECTION A

1. COMPANY NAME / REFERENCE NAME: __________________________________________

ADDRESS: ____________________________________________________________________

TEL: ___________________________ FAX: _____________________________

EMAIL: ____________________________________________________________________

2. CONTRACTING OFFICER (IF DIFFERENT FROM REFERENCE): ________________________

ADDRESS: ____________________________________________________________________

3. REFERENCE CONTRACT #: _______________________________________________________

4. CONTRACT TYPE: Firm-Fixed Price Cost-Reimbursement Other (describe)

5. DESCRIPTION OF WORK: _______________________________________________________

6. EFFORT WAS PERFORMED AS: Prime ____ or Subcontractor ____

7. AWARD DATE: __________________ ORIGINAL COMPLETION DATE: __________________

CURRENT / FINAL COMPLETION DATE (if different): ___________________________________

EXPLANATION OF ANY DIFFERENCE: _______________________________________________

8. AWARD AMOUNT: ______________ CURRENT TOTAL AMOUNT: _____________________

EXPLANATION OF ANY DIFFERENCE: ______________________________________________

9. COMMENTS REGARDING COMPLIANCE WITH CONTRACT TERMS AND CONDITIONS

10. COMMENTS REGARDING ANY PERFORMANCE KNOWN TO BE UNSATISFACTORY TO THE

CUSTOMER, OR NOT IN ACCORDANCE WITH THE CONTRACT TERMS AND CONDITIONS

11. LIST ALL MAJOR SUBCONTRACTORS THAT WORKED ON THIS PROJECT, IN WHAT TRADE,

AND WHAT PERCENTAGE OF WORK DONE:

SECTION B

INSTRUCTIONS FOR REFERENCE

1. You have been identified as a past performance reference for solicitation FA9101-10-R-0011 Electrical Installation, Maintenance and Repair at Arnold AFB, TN

2. In order for the Government to evaluate the past performance of the Offeror identifying you as a reference, please complete Section B of this Past Performance Questionnaire, and then return it to the Contract Specialist.

RESPONSE DATE: WEDNESDAY 20 SEPTEMBER 2010, 2:00 PM CST

CONTRACT SPECIALIST

NAME: LINDSEY AMACHER

TEL: (931) 454-4458 or DSN 340-4458

FAX: (931) 454-7330

E-MAIL: lindsey.amacher@arnold.af.mil

MAIL: AEDC/PKE

100 Kindel Drive, Suite A332 Arnold AFB TN 37389‐1332 ATTN: Lindsey Amacher Solicitation ‐ FA9101‐10‐R‐0011

The individual knowledgeable of the contractor’s day-to-day operations and overall performance should complete this questionnaire. That individual is encouraged to supplement their own knowledge of the contractor’s performance with the judgment of others within their organization. Thank you for your assistance.

1. NAME: ____________________________________________________________________

POSITION: ____________________________________________________________________

ADDRESS: ____________________________________________________________________

2. CONTRACT #: _______________________PROGRAM NAME:___________________________

3. RELATIONSHIP AND TIME INVOLVED WITH OFFEROR:

4. WHAT, IF ANY, ELEMENTS OF WORK WERE SUBCONTRACTED? PLEASE ESTIMATE

THE PERCENTAGE OF THE TOTAL WORK THAT WAS SUBCONTRACTED.

Please rate the offeror’s performance using the scale below.

E G S M U N Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance met contractual requirements with many exceeded to the Government / Owner’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance met contractual requirements with some exceeded to the Government / Owner’s benefit.

The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance met contractual requirements.

The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance did not meet some contractual requirements.

The contractual performance of the element or sub-element being assessed 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.

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

Performance was not observed or not applicable to the current effort being reported against.

EVALUATION AREAS

I. Quality E G S M U N

1. Contractor developed and submitted realistic progress goals.

2. Contractor provided materials and products that met or exceeded contract requirements.

3.

Contractor completed all efforts with good workmanship in conformance with the specifications. There were minor, if any, punch list items.

4.

Contractor provided effective quality control and inspection procedures that resulted in a high quality finished project.

5.

Performance was cost effective. There were minimal cost increases to the original negotiated amount. If there were significant changes, please explain below.

6.

Contractor provided timely and satisfactory response to warranty and maintenance issues after project completion.

7. Contractor performed work without the issuance of a cure notice or show cause letter. If a notice ___ YES ___NO was issued, please describe the circumstances below and identify how the situation was resolved.

Comments:

II. Timely Performance E G S M U N

1. Contractor met established milestones to complete the project on time without sacrificing quality.

2. Contractor provided timely proposals and responses to contract changes.

3.

Contractor submitted realistic progress schedules and interim progress reports, as required, in a timely manner.

4. Contractor provided submittals, and resubmittals if applicable, within the time required.

5.

Contractor provided advance notice of conditions which could cause delay and successfully adjusted performance to minimize negative impact.

6.

Contractor proactively coordinated suppliers and subcontractors, resulting in minimal third-party delay.

7. Contractor provided timely resolution of all punch list items.

III. Management Effectiveness E G S M U N

1.

Contractor provided experienced, qualified project managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Contractor hired quality subcontractors and effectively managed and coordinated their work.

3.

Contractor ensured the site superintendent had sufficient authority to make decisions and take actions during project performance.

4. Contractor paid employees/subcontractors/suppliers fully and on time.

5.

Contractor cooperated to resolve problems, attended meetings, and maintained effective communication to ensure satisfactory resolution.

IV. Contract Administration E G S M U N

1. Contractor provided complete and correct documentation in a timely manner.

2.

Contractor was responsive during contract performance on administrative issues.

V. Compliance with Safety Standards E G S M U N

1.

Contractor’s Safety Plan was thorough and comprehensive. Contractor successfully implemented Safety Plan.

2.

Contractor demonstrated safe work habits through proper and adequate use of protective equipment and job site protection to maintain accident, injury, and damage free work zone.

3.

Contractor fulfilled all safety regulations without notice, warning, work suspension, or other outside motivation.

4.

Response to spills, mishaps, or other incidents was timely. Reports were made as required. Collateral risk was mitigated promptly. If no incidents for the project, please write N/A.

VI. Overall Performance E G S M U N

1. Please rate the contractor’s overall performance on this project.

2. How does this contractor compare to others which have performed similar work for your organization?

___ BEST ___ ABOVE AVG ___ AVERAGE ___ BELOW AVG ___ UNACCEPTABLE

3. Would you contract with this contractor again?

If no, please explain below. ___ YES ___ NO

ADDITIONAL COMMENTS (attach additional sheets as necessary):