HSCG38-15-R-010001_Past_Perf_Questionnaire.docx

APPENDIX C

Past Performance Questionnaire (PPQ)

U.S. DEPARTMENT OF HOMELAND SECURITY

U.S. COAST GUARD

AVIATION LOGISTICS CENTER

1664 WEEKSVILLE ROAD

ATTN: CONTRACTING OFFICER, MEDIUM RANGE SURVEILLANCE (MRS) PRODUCT LINE

ELIZABETH CITY, NC 27909

I. INSTRUCTIONS

The company (i.e., contractor) that sent you this questionnaire intends to submit an offer in response to a U.S. Coast Guard solicitation and has identified you as a reference to validate their performance. This PPQ must be completed by the person most familiar with the contractors’ performance on a present or previous contract and then submitted directly to the U.S. Coast Guard by the person completing the PPQ. Please DO NOT send the completed PPQ to the contractor being evaluated. In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. We are thanking you in advance for your time, effort, and cooperation in responding to this questionnaire.

Please submit the completed form to the Contract Specialist via the following method: (1) E-mail to Tonya.W.Bush@uscg.mil and David.E.Tanner@uscg.mil Subject Line: Past Performance, reference RFP HSCG38-15-R-010001.

Please contact the Contract Specialist, Tonya Bush at the above email address or telephone (252)335-6195 if you have any questions.

The completed PPQ is due on or before July 31, 2015 4:00 PM EST

II. GENERAL INFORMATION

Company Name:

B. CONTRACTOR NAME & CONTRACT IDENTIFICATION

(if sub, also provide name of prime)

(e.g., difficult, routine):

III. GENERAL GUIDANCE

Please use the following ratings to score the performance elements below:

Rating System

IV. EVALUATION: Rate the contractor in each of the following Evaluation Areas.

A. Quality of Product or Service. Assess the contractor’s conformance to contract requirements, specifications and standards of good workmanship (e.g., specified technical, professional, environmental, or safety and health standards). List and assess any sub-elements to indicate different efforts where appropriate. For example: Are reports/data accurate? Does the service provided meet the specifications of the contract? Does the contractor’s work measure up to commonly accepted technical or professional standards? Assess the degree of direction given by your organization to solve problems that arise during performance.

Check

Comment(s):

B. Schedule. Assess the timeliness of the contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance). This assessment of the contractor’s adherence to the required delivery schedule should include the contractor’s efforts during the assessment period that contributes to or effect the schedule variance. This element applies to contract closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract schedule and should therefore be noted in the evaluation.

Check

Comment(s):

C. Cost Control. Assess the contractor’s effectiveness in forecasting, managing, and controlling contract cost. For example, does the contractor keep within the total estimated cost (what is the relationship of the negotiated costs and budgeted costs to actuals)? Did the contractor do anything innovative that resulted in cost savings? Were billings current, accurate and complete? Are the contractor’s budgetary internal controls adequate?

Check

Comment(s):

D. Business Relations. Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification and resolution of issues in controversy), and customer satisfaction. Is the contractor oriented toward the customer? Is interaction between the contractor and your organization satisfactory, or does it need improvement? Also, in making the assessment, include the adequacy of the contractor’s accounting, billing, and estimating systems; and the contractor’s management of, if a substantial amount of property has been provided to the contractor under the contract.

Check

Comment(s):

V. SUMMARY

Would your organization/company award another contract to this Contractor (or use the services of the Contractor again)? |_| Yes / |_| No

In summary, if you care to, please give your overall assessment of this Contractor.

Do you have any additional comments to add?

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 Page 3