Attachment_J4_Past_Performance_Questionnaire_13-Q-7628.doc

Past Performance Questionnaire (PPQ) Your assistance is requested by the Marine Corps Tactical Systems Support Activity to assist with establishing the performance history for the contractor named below. Please complete this questionnaire and submit to the following:

Marine Corps Tactical Systems Support Activity

Attn: Contracts – Sheryl Wright Box 555171

Camp Pendleton, CA 92055-5171

Phone 760-763-5496 Fax 760-725-2514

Email: sheryl.wright1@usmc.mil

Refer: M68909-13-Q-7646 PPQ is due back to the Contracting Officer at least 3 business days prior to the due date of 30 Aug 2013.

When Complete, the information on this form is Source Selection Sensitive (41 USC 423); SAFEGUARD.

Contract Award Date:

Completion Date:

Contract Value:

Type of Contract:

Evaluator Name/Title/Phone:

Description of Contract Requirements:

Evaluation: Please provide brief comments on each area explaining your rating of the contractor’s performance.

Past Performance Ratings:

Not Applicable (N/A) – Performance information not recent or relevant and unable to provide assessment.

Outstanding – Performance exceeded MANY and met the other contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

Exceeds Expectations – Performance exceeded SOME and met most other contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

Meets Expectations – Performance MET all contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

Unsatisfactory – Performance DID NOT meet contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. _________________________________________________________________________________________

A1. Quality of Products, Documents, Presentations, and Related Deliverables.

FORMCHECKBOX

N/A

Comments:

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B1. Effectiveness of Project Management and Control.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B2. Timeliness of Performance for Services and Product Deliverables.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

B3. Quality of Support Staff and Key Personnel - Retention and Replacement.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C1. Customer Satisfaction - Business/Contracting Relations.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C2. Customer Satisfaction - Subcontracting Management and Attainment of Goals.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

C3. Customer Satisfaction - Interaction with Government Staff and Flexibility.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

D1. Overall Satisfaction.

OUTSTANDING

FORMCHECKBOX

EXCEEDS EXPECTATIONS

FORMCHECKBOX

MEETS EXPECTATIONS

FORMCHECKBOX

UNSATISFACTORY

General Comments:

The information provided has been previously shared with the Contractor -

YES

NO

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Source Selection Information - FAR 3.104

ATTACHMENT J.4