IMIT Past Performance Questionnaire Attachment 3.pdf

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Offeror – Complete Part I and forward onto past/present customers of yours for them to complete, sign, and return to you. Include competed and signed PPQ’s with your Past

Performance volume and submit as part of your Offer.

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this

Questionnaire to the person who does. Thank you.

PART I. (To be completed by the Offeror)

A. Contract Identification

Contractor/Company Name/Division:

DUNS Number/CAGE Code:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Contract Dollar Value:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

Labor categories (including brief description of labor category) and number of workers per labor category:

B. Identification of Offeror’s Representative

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

PAST PERFORMANCE QUESTIONNAIRE

PART II. EVALUATION (TO BE COMPLETED BY POINT OF CONTACT –

RESPONDENT)

A. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number

Address:

Fax Number:

E-mail Address:

Describe the complexity of this effort:

Is the information the contractor provided on the proceeding page, page 1, PART I., A. Contract

Identification accurate (circle one)? Yes No

If not accurate, describe corrections?

Performance Rating Descriptions:

Exceptional Performance met contractual requirements and exceeded many to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated may have been accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance met contractual requirements and exceeded some to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated may have been accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance met contractual requirements. The contractual performance of the element or sub-element may have contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Below Satisfactory Performance did not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated may have reflected a serious problem for which the contractor did not yet identify corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Poor Performance did not meet most contractual requirements and recovery did not occur or was not likely to occur in a timely manner.

The contractual performance of the element or sub-element contained a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

B. What level of understanding did the contractor have of the technical needs and mission requirements? Assess the contractor’s ability to understand/comply with contract objectives and technical requirements. Assess the contractor’s responsiveness, use of technology to achieve the highest results, accuracy of the data provided.

PERFORMANCE

RATING

EXPLANATION

Exceptional

(please substantiate exceptional rating with specific examples)

Very Good

Satisfactory

Below Satisfactory

Poor

C. How well did the contractor meet the established milestones and project dates? 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 affect the schedule).

EXPLANATION

Exceptional

(please substantiate exceptional rating

D. How do you rate the quality of the services performed by the contractor? Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

EXPLANATION

Exceptional

(please substantiate exceptional rating

E. How would you rate the contractor’s effectiveness in controlling, monitoring, and appropriately invoicing FTE hours?

EXPLANATION

Exceptional

(please substantiate exceptional rating

F. How well did the contractor manage key personnel? Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

EXPLANATION

Exceptional

(please substantiate exceptional rating

Knowing what you know now would you select this offeror for your above described effort

(circle one)? Yes No

Additional comments (Please insert additional comments if you have any if no additional comments enter – NONE.

PART III. RESPONDENT CERTIFICATION

I, _____________________________, certify that I completed this questionnaire accurately to

(printed name) the best of my knowledge and belief.

(Signature) (Date)

After you complete this PPQ please return it to the Offeror. Offeror will submit it to the

Government as part of its Past Performance volume in its Offer to the Government.

If you have any questions or concerns you can contact the Government Contracting Officer Mr.

Carlos Sikaffy at: carlos.a.sikaffy.civ@mail.mil