Questionnaire-PPQ.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Part A is to be completed by Offeror; the offeror’s reference is to send questionnaire to the Contracting Officer identified below. Questionnaires submitted by the offeror will NOT be reviewed.

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

********Offeror seeking contract with AEDC******** Offeror Company Name: _________________________________________________________ Telephone Number: _______________________ Fax Number:_________________________ Address: ______________________________________________________________________ Point of Contact: _________________________ Company’s CAGE Code: _______________ Email Address: _________________________________________________________________

**********Relevant and Recent Past Performance ************

Contract Number (if applicable):______________________________________________ Dollar Amount of Contract: _________________________________________________ Contract Period or Dates of Performance Provided by Offeror: _____________________

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

Project Title: _____________________________________________________________

Description of Scope of Project: ______________________________________________

* 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.

B. RESPONDENT INFORMATION (to be completed by offeror’s reference):

Name of Respondent and Title:____________________________________________________ Telephone Number: ____________________ Fax Number:_________________________ Address: _____________________________________________________________________ Email Address: ________________________________________________________________

C. FAX or E-MAIL COMPLETED SURVEY NO LATER THAN 2:00 PM Central Time on 02 September 2014 TO:

FAX: 931-454-7330 ATTN: Christopher Fanning E-Mail: christopher.fanning.1@us.af.mil Office: AFTC/PZI (ARNOLD)

Base: Arnold AFB, TN

Attachment 5 mailto:christopher.fanning.1@us.af.mil

D. TECHNICAL QUESTIONS (to be completed by offeror’s reference):

Please choose the appropriate response.

1. Did the contractor meet all technical requirements?

YES NO

2. If no, please explain.

3. If yes, were there any issues during or after completion of the project?

4. Were project milestones completed within the time allotted? YES NO

5. Would your company seek to do business with this supplier again should the need of their services arise? YES NO

E. PERFORMANCE INFORMATION(to be completed by offeror’s reference): : Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

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

Performance meets contractual requirements with many exceeded to the Government’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 meets contractual requirements with some exceeded to the Government’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 meets 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 does 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 does 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.

CONTRACTOR’S NAME: ________________________ CONTRACT NUMBER:_________

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

4. Home office participated in solving significant local problems.

5. Followed approved quality control plan.

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

8. Provided timely resolution of contract discrepancies.

9. Identified problems as they occurred.

10. Suggested alternative approaches to problems.

11. Displayed initiative to solve problems.

12. Developed realistic progress schedules.

13. Met established project schedules.

14. Provided timely resolution of warranty defects.

15. Was responsive to contract changes.

16. Provided adequate project supervision.

17. Obtained consent of surety for increases in bonding as work-in-progress increased.

18. Paid subcontractors/suppliers in a timely manner.

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

20. Cooperated with Government personnel after award.

21. How would you rate the contractor's overall performance?

22. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

23. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER ______________

Remarks:

Reference Evaluator’s Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire no later than 2:00PM Central Time on 2 September

2014 to: christopher.fanning.1@us.af.mil or FAX to: 931-454-7330 mailto:christopher.fanning.1@us.af.mil