J-6 Contractor Past Performance Questionnaire PPQ.docx

DOCX document 37 KB Posted

Attached to
Roof Fall Protection Systems Services Federal contract opportunity
Solicitation number
HQ003426RE004
Issued by
DOD Washington Headquarters Service

About this file

This document is a Contractor Past Performance Questionnaire (PPQ) for the U.S. Department of Defense Washington Headquarters Services (WHS) related to a Roof Fall Protection Systems Services solicitation (RFP #HQ003426RE004). The questionnaire is designed to evaluate a contractor's past performance across seven key evaluation factors: Quality of Product or Service, Schedule, Cost Control, Business Relations, Management of Key Personnel, Utilization of Small Business, and Customer Satisfaction. Evaluators are instructed to rate each factor using a scale from Exceptional to Unsatisfactory, with accompanying narrative justifications.

The associated federal contract opportunity involves roof fall protection systems services, with a mandatory site visit scheduled for December 4, 2025, from 10:00 AM to 12:00 Noon. Critical deadlines include a December 10, 2025 deadline for questions and a proposal submission deadline of January 7, 2026, at 9:00 AM. Failure to attend the mandatory site visit will result in bid disqualification. The solicitation is issued by the DOD Washington Headquarters Service and requires vendors to review the full solicitation and adhere to the specified timeline and requirements.

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CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE SOURCE SELECTION SENSITIVE – RFP #HQ003426RE004 See FAR 2.101 and 3.104

This is a past performance questionnaire for the U.S. Department of Defense (DoD) Washington Headquarters Services (WHS) to obtain past performance information on the contractor listed below. You should have received this questionnaire along with a Client Authorization Letter from the contractor listed in SECTION 1: CONTRACT DATA asking for your cooperation in completing this questionnaire. Information obtained in this questionnaire is for the sole purpose of evaluating the contractor’s past performance history to assist WHS in determining the best value for award of a contract resulting from our solicitation. As an evaluator, your participation in this questionnaire is greatly appreciated.

INSTRUCTIONS

To complete this questionnaire, the contractor should:

1. Complete SECTION 1: CONTRACT DATA.

2. Forward this questionnaire along with a Client Authorization Letter to the evaluator. A sample letter is included with this questionnaire.

To complete this questionnaire, the evaluator should:

1. Review the SECTION 1: CONTRACT DATA.

2. Complete SECTION 2: ADMINISTRATIVE INFORMATION and SECTION 3: DESCRIPTION OF SERVICES.

3. Complete SECTION 4: EVALUATION FACTORS using the RATINGS on Page 3 based on the Contractor Performance Rating System (CPARS). Evaluate and assign a rating for Quality of Product or Service, Schedule, Cost Control, Business Relations, Management of Key Personnel, Utilization of Small business, and Customer Satisfaction. Include a narrative for each rating; if you require additional space, continue your narrative on a blank sheet. To avoid a follow-up request for additional information, please provide as much information as possible.

4. Return the questionnaire to WHS by email to bianca.l.betancourt.ctr@mail.mil and Keisha.L.Simmons.civ@mail.mil by the date indicated in the Client Authorization Letter.

QUESTIONS

If you have any questions about completing or submitting this questionnaire, please contact the Contract Specialist for this acquisition, Bianca Betancourt at bianca.l.betancourt.ctr@mail.mil. And Keisha.L.Simmons.civ@mail.mil

SECTION 1: CONTRACT DATA

Contract Number:

Contractor Name:

Contract Title:

Contractor Address:

Contract Value:

Contractor DUNS:

Contract Type:

Contract Award Date:

Agency/Org. Name:

Reporting Period (Start):

Place of Performance:

Reporting Period (End):

SECTION 2: ADMINISTRATIVE DATA

Evaluator:

Contracting Officer/Admin.:

Phone:

Phone:

Fax:

Fax:

Email:

Email:

Title:

Name of Firm:

Length of time overseeing the subject contract:

SECTION 3: DESCRIPTION OF SERVICES

Please provide a brief description of the services provided.

RATINGS

The following ratings and definitions apply to the Quality of Product or Service, Schedule, Cost Control, Business Relations, and Management of Key Personnel factors:

Rating
Definition
Note
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.
To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there

should have been NO significant weaknesses identified.

Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with some minor problems for which corrective actions

taken by the contractor was effective.

To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub- element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower

than Satisfactory solely for not performing beyond the requirements of the contract.

Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the

contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

Unsatisfactory
Performance does not meet most contractual requirements, and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency

reports, or letters).

N/A
N/A (not applicable) should be used if the rating category does not apply
Please explain all ratings of N/A

SECTION 4: EVALUATION FACTORS

1. Quality of Product or Service. Assess 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).

RATING
Provide comments on Quality of Product or Service:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

2. 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.

RATING
Provide comments on Schedule:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

3. Cost Control (Not required for Firm Fixed Price or Firm Fixed Price with Economic Price Adjustment).

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?

RATING
Provide comments on Cost Control:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

4. 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 of issues in controversy), customer satisfaction, timely award and management of subcontracts.

RATING
Provide comments on Business Relations:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

5. Management of Key Personnel (For Services and Information Technology Business Sectors only - Not Applicable to Operations Support). Assess the Contractor's performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

RATING
Provide comments on Management of Key Personnel:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

6. Utilization of Small Business (Not applicable if contractor is a small business or if the contract did not require a Subcontracting Plan)

RATING
Provide comments on Utilization of Small Business:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

7. Customer Satisfaction

Was the contractor committed to customer satisfaction?

Yes

No

Would you recommend the selection of this firm again?

Yes

No

Provide comments on Customer Satisfaction:

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