PPQ for Playground Equipment.pdf

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Attached to
Installation of Playground Equipment in Okinawa and Mainland, Japan
Solicitation number
HE1260-10-R-7001
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Attachment 3 - Amendment 0001 - Past Performance Questionnaire

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For the Offeror’s Client/Customer Reference

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

FOR SOLICITATION HE1260-10-R-7001 Playground Design, Repair, Installation and Disposal

– Okinawa and Mainland, Japan

The company listed below is being considered for a contract to be awarded by the Department of Defense Education Activity Pacific (DODEA-P) Procurement Division. We would appreciate it if you would provide us with comments regarding the company’s past performance. Your comments are considered Source Selection Sensitive and, therefore, your name as a reference will not be released. In order to maintain the integrity of the source selection process, we respectfully request that you do not divulge the name of the company, nor discuss your comments on this questionnaire, with any other business which may be interested in competing for the same contract.

PLEASE RETURN THIS FORM BY 2:00 ON 12 MARCH 2010 TO DODEA-P

VIA FAX TO: +81-98-957-4535, OR EMAIL TO: dppd@pac.dodea.edu or robin.boyd@pac.dodea.edu.

Please complete the applicable blocks below for each contract or project you have been requested to serve as a Client Reference for the Contractor.

Name of Company you are providing information on:

Please circle: Prime Contractor or Subcontractor Contract Number & Project Title, including location of worksite(s):

REFERENCED EVALUATOR: (The following information will assist in the analysis of the data.

Information will be kept confidential).

Reference’s Name Reference’s Organization

Phone & FAX Numbers: Email Address:

Address:

Position you held or function in relation to the company’s project or contract:

Ratings: Please evaluate the company’s performance using the following ratings:

Exceptional (E)

The Contractor clearly exceeded in this area or requirement.

Acceptable (A)

The Contractor met this requirement.

Marginal (M)

The Contractor met the minimum requirement, but with difficulty.

Unacceptable (U)

The Contractor was poor and/or did not satisfy this requirement.

Please rate and provide any supporting information for the following—respond to only those that are applicable: (Use additional sheets as needed.)

1. The Contractor’s technical capability to perform project or contracted work:

Rating: ______

2. The Contractor’s on-site management and coordination of work requirements:

Rating: ______ mailto:dppd@pac.dodea.edu mailto:robin.boyd@pac.dodea.edu

3. The Contractor’s overall corporate management, integrity, reasonableness and cooperative conduct.

4. The Contractor’s ability to deliver required equipment, supply and parts to work site in a timely manner:

5. The Contractor’s Quality Control system:

6. The Contractor’s ability to meet performance schedules:

Rating: ______

7. The Contractor’s compliance with safety standards:

Rating: ______

8. The Contractor’s loss and damage prevention program:

9. What type of performance problems did this Contractor have, if any, during your contract?

10. Do you think this Contractor would have any difficulty performing under adverse conditions? Please explain.

11. Would you award another contract to this Contractor or recommend him for a contract? If no, please state reason(s).

12. Were you, as the customer, satisfied with this Contractor’s overall performance?

13. Please provide any additional comments regarding this Contractor.

14. OVERALL RATING: Rating: ________

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