Attach_A_PPQ.docx
DOCX document 34 KB Posted
- Solicitation number
- HSCG79-17-R-PT2002
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Past Performance Questionnaire
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Other files
| File | Type | Posted |
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| Amendment_00005_HSCG79-17-R-PT2002.pdf | ||
| Attach_B_Price_Input_A5.xlsx | XLSX spreadsheet | |
| Amendment_00004.pdf | ||
| Attach_B_Price_Input_A4.xlsx | XLSX spreadsheet | |
| Amendment_00003.pdf | ||
| QandA_PT2002.pdf | ||
| Amendment_00002.pdf | ||
| Attach_I_SOW_A2.docx | DOCX document | |
| Attach_B_Price_Input_A2.xlsx | XLSX spreadsheet | |
| Amendment_00001.pdf | ||
| Attach_B_Price_Input.xlsx | XLSX spreadsheet | |
| HSCG79-17-R-PT2002_J&A_Redact.pdf | ||
| Attach_I_SOW.docx | DOCX document | |
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Attachment A
Past Performance Questionnaire (Complete one form per reference)
Please fill out the following information in regards to the solicitation.
SECTION 1 – TO BE COMPLETED BY OFFEROR
Offeror:
Contract Number:
BPA Number:
Order Number:
_____ Prime or _____ Subcontractor (Check one)
| Dollar Amount: |
| Date Completed: |
| Contract Type: |
| _____ Fixed Price _____ Cost Reimbursement _____ Other (Specify) |
(Check one)
Item/Service Description:
Contract Quantity/Period of Performance:
Customer/Business/Agency Name:
Customer POC (Note: Ensure POC information is valid and current) Name:
Address:
Phone:
E-mail:
SECTION 2 – TO BE COMPLETED BY THE REFERENCE
The offeror in Section 1 provided you as reference for a solicitation they are a party to. Please complete Section 2 and return to Alan Boucher at: Alan.C.Boucher@uscg.mil [(703) 313-6965] and Nannette Cicolini at Nannette.Cicolini@uscg.mil.
Evaluation Indicate the contractor’s past performance for each category area and overall by identifying with an “x” of check mark for the most appropriate rating according to the scale shown below. Provide rationale, including specific examples, as appropriate, to support your ratings in the space provided for comments for each category area. If more space is needed, continue your comments in the “Additional Comments” section at the end of this questionnaire.
Use the criteria for each category area in Table 1 in the assessment.
TABLE 1- Category Area
| Rating |
| Description |
| Quality |
| Assessment based on the contractor’s conformance to contract requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards). |
| Schedule |
| Assessment based on 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 affect the schedule variance). |
| Cost |
| Assessment based on the contractor’s effectiveness in forecasting, managing, and controlling contract cost. |
***If contract is/was Firm-Fixed Price or Firm-Fixed Price with Economic Price Adjustment, please mark “Not Rated”***
| Business Relations (Management) |
| Assessment based on 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 of issues in controversy), customer satisfaction, timely award and management of subcontracts. |
| Utilization of Small Business |
| Assessment based on whether the contractor provided maximum practicable opportunity for Small Business including Women Owned Small Businesses, Economically Disadvantaged Women Owned Small Businesses, HUBZone, Service Disabled Veteran Owned Small Business, and 8(a) to participate in contract performance consistent with efficient performance of the contract. Also assessment based on compliance with all terms and conditions in the contract relating to Small Business participation (including FAR 52.219-8, Utilization of Small Businesses and FAR 52.219-9, Small Business Subcontracting Plan (when required). |
***If Contractor is a Small Business Concern then mark Not Rated”***
Use the rating definitions in Table 2 to assess contractor performance where appropriate.
TABLE 2 - PERFORMANCE RATINGS DEFINITIONS
| Rating |
| Description |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Not Rated |
| Not applicable or has no history. |
Use the ratings in Table 3 to assess contractor performance where appropriate.
TABLE 3 - PERFORMANCE RATINGS
| Category |
| Rating |
1. Quality:
__Exceptional __Very Good __Satisfactory __Marginal __Unsatisfactory __Not Rated
| 2. Schedule: |
| __Exceptional |
__Very Good __Satisfactory __Marginal __Unsatisfactory __Not Rated
3. Cost:
__Exceptional __Very Good __Satisfactory __Marginal __Unsatisfactory __Not Rated
| 4. Business Relations (Management): |
| __Exceptional |
__Very Good __Satisfactory __Marginal __Unsatisfactory __Not Rated
6. Utilization of Small Business:
__Exceptional __Very Good __Satisfactory __Marginal __Unsatisfactory __Not Rated
Additional Comments:
File details come from the government source that posted it. Updated .