J.5 - Past Performance Questionnaire (PPQ).pdf

Attachment 1 Past Performance Questionnaire

Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

PPQs shall not be sent directly to the Contracting Office soliciting this requirement; it is the responsibility of the Offeror to include the completed CPAR and/or PPQ as part of its quote.

U.S. Government Publishing Office Acquisition Services 732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. NAME AND ADDRESS OF

CONTRACTOR BEING EVALUATED

3. CONTRACT NO.:

CONTRACT DATE:

4. PERIOD OF PERFORMANCE:

4. PACE OF PERFORMANCE:

5. COMPLETION DATE:

6. CONTRACT VALUE $

2. PROJECT NAME: 7. TYPE OF CONTRACT:

8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:

EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)

Attachment 1 Past Performance Questionnaire

EVALUATOR’S PHONE NUMBER MONTHS PERFORMANCE MONITORED BY

EVALUATOR:

Please check the response code for each topic that best reflects your experience with this Contractor:

EX = Exceptional VG = Very Good S = Satisfactory MG = Marginal US = Unsatisfactory N/O = Not Observed Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.

EX VG S MG US N/O

Overall Performance- Assess the Contractor’s overall performance for the project.

EX VG S MG US N/O

Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).

EX VG S MG US N/O

Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.

EX VG S MG US N/O

Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.

EX VG S MG US N/O

Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.

EX VG S MG US N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.

EX VG S MG US N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.

EX VG S MG US N/O

Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.

EX VG S MG US N/O

List Contractor’s Weak Points:

List Contractor’s Strong Points:

List any other projects this Contractor has completed for you:

If an award fee contract, what was the average award fee % earned?

Past Performance Questionnaire