24Q2001_Attachment 2_PPQ.docx

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DoDEA Mid-Atlantic District- Puerto Rico School Bus Drivers Annual Physical Examination
Solicitation number
HE1254-24-Q-2001
Issued by

About this file

This document is a Present and Past Performance Questionnaire (PPQ) related to a federal contract opportunity for Puerto Rico School Bus Drivers Annual Physical Examination. The PPQ is to be completed by the offeror's customer and provides an evaluation of the contractor's performance in areas such as experience providing physical examinations, laboratory testing, maintaining medical files, managing personnel, maintaining equipment, and providing timely and accurate reports. The overall contract opportunity is a 5-year Firm-Fixed Price Indefinite Delivery/Indefinite Quantity (IDIQ) contract issued by the Department of Defense Education Activity (DoDEA) for these physical examination services. The contract includes a 1-year base period and four 1-year option periods, with an additional 6-month service possible. Interested parties must submit questions in writing and monitor the SAM.gov website for updates to the solicitation.

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Controlled Unclassified Information (CUI) Source Selection Information - See FAR 2.101 and 3.104

HE125424Q2001 Attachment 2

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE (PPQ)

This Questionnaire Pertains to: Puerto Rico Driver Physicals

The Offeror must complete the “To be completed by Offeror” section prior to sending the PPQ to the Offeror’s Reference/Customer. The Offeror’s Reference/Customer must complete the PPQ’s evaluation section and return the completed PPQ via e-mail to the attention of:

Department of Defense Education Activity Attn: Contract Specialist: John Butts Contracting Officer: John O Myers III 4800 Mark Center Drive, 5th Floor, Suite #05H02-10 Alexandria, VA 22350 E-Mail: john.butts@dodea.edu E-Mail: john.o.myers@dodea.edu

This information section is to be completed by the Offeror.

Contractor Information:
Firm Name: Click or tap here to enter text.N/CAGE Code: Click or tap here to enter text.
Address: Click or tap here to enter text.Unique Entity ID: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.Email Address: Click or tap here to enter text.
Point of Contact: Click or tap here to enter text.Point of Contact Number: Click or tap here to enter text.

Work Performed as: ☐Prime Contractor ☐Sub Contractor ☐Joint Venture ☐Other (Explain)

Percent of project work performed: Click or tap here to enter text.

If subcontractor, who was the prime (Name/Phone #): Click or tap here to enter text.

Reference Information:
Business Name of Reference:Address: Click or tap here to enter text.

Click or tap here to enter text.

Phone Number: Click or tap here to enter text.Email Address: Click or tap here to enter text.
Point of Contact: Click or tap here to enter text.Point of Contact Number: Click or tap here to enter text.

Contract Number: Click or tap here to enter text. Final Contract Value: Click or tap here to enter text.

Contract Type: ☐Firm Fixed Price ☐Cost Reimbursement ☐Other (Explain)

Period of Performance: Click or tap here to enter text.

Present and Past Performance Questionnaire

Controlled Unclassified Information (CUI) Source Selection Information - See FAR 2.101 and 3.104

HE125424Q2001 Attachment 2

This evaluation section is to be completed by the Offeror’s customer.

Evaluation KEY: Please use the following abbreviations to assign an applicable rating for questions 1 thru 6 below:

P/U
S
G
VG
E
N
Poor/Unsatisfactory
Satisfactory
Good
Very Good
Excellent
Neutral/N/A
Does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas; deficiencies in one or more areas which adversely affect overall performance.
Meets or slightly exceeds minimum acceptable standards; adequate results; reportable deficiencies with identifiable, but not substantial, effects on overall performance.
Effective performance; fully responsive to contract requirements; reportable deficiencies, but with little identifiable effect on overall performance.
Very effective performance; fully responsive to contract requirements; contract requirements accomplished in a timely, efficient, and economical manner for the most part; only minor deficiencies with minimal effect on overall performance.
Of exceptional merit; exemplary performance in a timely, efficient, and economical manner; very minor (if any) deficiencies with no adverse effect on overall performance.
No record of relevant past performance or past performance information is not available.

1. How would you rate the Contractor’s experience providing physical examinations? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

2. How would you rate the Contractor’s experience with proving laboratory testing? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

3. How would you rate the Contractor’s experience maintaining medical files? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

4. How would you rate the Contractor’s experience in appropriately managing their personnel (i.e. Has the Contractor been responsive to deficiencies and performance issues and making timely corrections? Has the Contractor taken a proactive approach when known performance issues may hinder mission requirements?) Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

5. How would you rate the Contractor’s performance in maintaining their equipment in accordance with host nation laws and contractual requirements? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

6. How would you rate the Contractor’s performance in providing timely and accurate reports and other contract deliverables? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

7. How would you rate the Contractor’s communication? Have they communicated issues as necessary to ensure all stakeholders were informed? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

8. How would you rate the Contractor’s overall performance? Comments:

P ☐
S☐
G☐
VG☐
E☐
N☐

HE125424Q2001 Attachment 2

HE125424Q2001 Attachment 2Explain any problems and resolutions.

Brief Description of Effort to include relevancy to the solicitation requirements of the RFQ.

Controlled Unclassified Information (CUI) Source Selection Information - See FAR 2.101 and 3.1044

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