Attachment 1 Present and Past Performance Questionnaire PPQ Psychological Assessment Support Services v2.pdf

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

PRESENT AND PAST PERFORMANCE

QUESTIONNAIRE (PPQ)

SOLICITATION H92239-25-R-0008

HQ UNITED STATES ARMY SPECIAL OPERATIONS COMMAND

PSYCHOLOGICAL ASSESSMENT SUPPORT SERVICES

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Subcontractor to Prime? Y/N If Yes, who?

C. Cage Code:

D. Contract number:

D. Contract type:

E. Was this a competitive contract? Yes No F. Was this a classified contract? Yes No G. Period of performance:

H. Initial contract cost: $ I. Current/final contract cost: $ I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL: Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V VERY GOOD: Performance meets contractual requirements and exceeds some requirements to the Government’s benefit.

The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY: 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 appear or were satisfactory.

M MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY: 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.

N/A NOT APPLICABLE: Did not apply to this acquisition; or questionnaire respondent has no knowledge of, and/or did not observe, the contractor’s performance in this area.

Controlled By: USASOC Controlled By: USASOC Contracting CUI Category: PRVCY, PBI, P&A Limited Dissemination Control: FEDCON POC: Gail C. Williams, 910-432-8598

Program Management E V S M U N/A

Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

Understand/complied with customer objectives and technical requirements and regulations

Contractor implemented responsive/flexible processes to improve quality and timeliness of support

Effectiveness in scheduling and maintaining Psychologist/Psychiatrist ratios

Technical Performance E V S M U N/A

Conformance to the Performance Work Statement (PWS) requirement

Adherence to contract quality assurance requirements of the contract

Compliance with applicable local and federal policies, laws, and regulations

Employee Retention/Attraction E V S M U N/A

Ability to hire/apply a highly qualified workforce

Ability to retain a highly qualified workforce

Maintain qualifications, certifications, and clearances on all Contractor personnel

1. Please discuss each and every response for which you indicated or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes No Default Convenience Pending Termination

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs? Yes or No (Circle One)

Please provide any additional comments concerning this contractor’s performance in a separate document.

Evaluator’s Signature Date

PLEASE RETUN TO: Gail C. Williams, gail.williams@socom.mil and Brian Gilmore, brian.gilmore1@socom.mil mailto:gail.williams@socom.mil