FA9301-15-R-0005 _Attachment_10 _L-4_PPQ2.pdf

PAST AND PRESENT PERFORMANCE QUESTIONAIRE (PPQ)

You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. This firm would like to be considered for the Demolition and Abatement contract at Edwards AFB, California.

One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts or other work efforts, which reflect the offeror's ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offeror's performance on those contracts or work efforts.

Our areas of interest regarding the offeror are summarized in the enclosed questionnaire.

Our schedule is extremely tight and we desire your written response no later than five calendar days after your receipt of this letter. This schedule will allow us sufficient time to analyze the data prior to the start of evaluations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to ashley.priestley@us.af.mil and ty.okuhara@us.af.mil. Your completed questionnaire will become a part of the official Source Selection records.

Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.

TY T. OKUHARA

Contracting Officer

Attachment:

Past and Present Performance Questionnaire

FA9301-15-R-0005, Attachment 10, L-4 Past Performance Questionnaire Page 1 of 9 mailto:ashley.priestley@us.af.mil mailto:ty.okuhara@us.af.mil

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any inaccurate information:

Contractor’s Name: _______________________ Telephone Number: ____________________

Address: _______________________________ Fax Number: _________________________

Point of Contact: _______________________________________________________________

Project Title and Brief Description of Work:__________________________________________

Contract Number Provided by Offeror: ____________________ Dollar Amount: ____________

Highest number of Task Orders performed concurrently_________________________________

Contract Period or Dates of Performance Provided by Offeror: ___________________________

Contractor performed as the Prime Contractor Sub-Contractor Mentor/Protégé

Job Disciplines Performed:

☐ Asbestos Abatement ☐ Demolition ☐ Lead Paint Remediation ☐ Other:______________________________________________________________________

* 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:

Name of Respondent: _______________________________ Title: _______________________

Address: ______________________________________________________________________

Telephone Number: ________________________Fax Number: __________________________

Email Address: _________________________________________________________________

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C. EMAIL COMPLETED SURVEY FORM TO:

Ashley Priestley Ty T Okuhara 661-277-7286 661-277-5435 Directorate of Contracting Directorate of Contracting ashley.priestley@us.af.mil ty.okuhara@us.af.mil

D. PERFORMANCE INFORMATION:

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/met 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/met 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/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.

does not meet/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 does not meet/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.

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

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

Quality Control

1. Quality of Workmanship

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

3. Contractor provided effective measures in implementing their established Quality Control Plan

4. Corrected deficiencies in a timely manner and pursuant to established quality control procedures

5. Contractor provided adequate Storage and facilities in order to properly store their Materials

6. Adequacy of Submittals

7. Adequacy of Lead Paint and Asbestos Testing

8. Identification and Correction of Deficient work in a timely manner

Comments on Quality Control:

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Timely Performance

1. Developed realistic Progress Schedules

2. Adherence to Approved Schedule

3. Resolution of Delays

4. Submission of Required Documentation

5. Completion of Punchlist Items

6. Submission of Updated and Revised Progress Schedules

7. Provided timely resolution of warranty calls

8. Provided adequate Bonding as required

9. Contractor’s ability to handle a high volume of Task Orders concurrently

Comments on Timely Performance:

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Effectiveness of Management

1. Cooperation with personnel after award

2. Adequacy of effectively maintaining and sustaining Key Personnel

3. Coordination and Control of Subcontractors

4. Adequacy of Site Clean Up

5. Effectiveness of Job-Site Supervision

6. Compliance with Laws and Regulations

7. Professional Conduct

8. Review and Resolution of Subcontractor Issues

9. Displayed effective Subcontractor Management

10. Paid sub-contractors and suppliers in a timely manner

11. Provided accurate and complete proposals for task orders including all aspects of work required for each task

12. Provided adequate project supervision

13. Displayed initiative to solve problems

Comments on Effectiveness of Management:

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Compliance with Labor Standards

1. Corrected deficiencies in a timely manner and pursuant to their Quality Control Plan.

2. Payrolls Properly Completed and Submitted

3. Compliance with Labor Laws and Regulations with Specific Attention to the Wage Rate Requirements (Construction) formerly known as the Davis-Bacon Act and the Service Contract Labor Standards, formerly known as the Service Contract Act of 1965.

Comments on Compliance with Labor Standards:

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Compliance with Safety Standards

1. Adequacy of Safety Plan

2. Implementation of Safety Plan

3. Adequacy and efficiency in correcting noted Deficiencies

Comments on Compliance with Safety Standards:

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Overall Quality of Performance

1. Overall Quality of Performance

Please provide any additional information you feel is important and not covered elsewhere in this evaluation:

How would you rate the contractor’s overall quality of performance on this contract?

Would you award another contract to this contractor? (Yes/No) if No, please explain.

Thank you for your remarks. Be sure to return to the Contracting Agency and not to the Contractor you are providing a reference for.

Name:_______________________________Contact Phone #:__________________________

Respondent Signature:______________________________Date Completed:_______________

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