ePS_RFP_Attach_18_Gate Form_Past Performance Questionnaire_20170217.docx

ePS Gate Form: Past Performance Questionnaire electronic Procurement System Request for Proposal Attachment 18: Gate Form - Past Performance Questionnaire (PPQ)

ACAT 1

Dated 17 February 2017

Distribution Notice A: Approved for public release; distribution is unlimited.

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

SECTION I – GENERAL GUIDANCE

Introduction: Under solicitation N00039-17-R-0002, the Department of the Navy is obtaining past performance information. The completed Past Performance Questionnaire (PPQ) serves as a source of information to evaluate the Offeror’s recent and relevant performance of the submitted contract/task order reference (listed in Section II below) as it relates to the solicitation.

Instructions:

1. Offerors shall:

a. Complete Section II and then email the entire PPQ to the intended PPQ Respondent

b. Instruct the PPQ Respondent to read these instructions, complete Section III, and send the completed PPQ directly to terry.coley@navy.mil; Terry Coley, Contracting Officer, SPAWAR 21500, and patrick.f.wheeler@navy.mil; Patrick Wheeler, Contract Specialist, SPAWAR 21500

2. Respondents shall:

a. Complete Section III to include providing comments if applicable

b. Send the completed PPQ directly to terry.coley@navy.mil; Terry Coley, Contracting Officer, SPAWAR 21500 and patrick.f.wheeler@navy.mil; Patrick Wheeler, Contract Specialist, SPAWAR 21500 using:

i. Recommended format for email Subject: “Completed PPQ for N00039-17-R-0002, [Offeror Name or Abbreviation]-[Reference Contract/Task Order Number]”

ii. Recommended filename for completed PPQ file: “[Offeror Name or Abbreviation]_PPQ_ePS.docx” or “.pdf”

c. Do not send a copy of the completed PPQ to the Offeror

3. In addition to the submitted PPQ email response, Respondents may receive follow-up phone calls or emails for clarification purposes from the Contracting Officer. This is a critical acquisition and as such comments are appreciated for all ratings as applicable.

SECTION II – OFFEROR SECTION

Contractor Name

Contractor CAGE Code / DUNS #

Program/Project Name

Program/Project Location

Client/Department/Agency Name

Contracting Activity Name

Contracting Activity Address

Person Completing this Questionnaire Information (Name, Title, Phone, Email)

Contract # and Type

|_| 1st Tier Subcontractor

|_| 2nd Tier Subcontractor or lower

Awarded Contract Price

Final or Projected Final Contact Price

Awarded Period of Performance

Final Period of Performance

A brief description of contract scope (500 words or less):

SECTION III – RESPONDANT SECTION

1. Is the information provided by [Offeror] in the table above correct? If no, then please explain:

Please rate [CONTRACTOR’s] performance using the following ratings:

1) Technical/Quality of Product or Service

Justification/comments:

2) Cost Control

Justification/comments:

3) Schedule/Timeliness

Justification/comments:

4) Management or Business Relations

Justification/comments:

5) Small Business Subcontracting

Justification/comments:

6) Regulatory Compliance

Justification/comments:

7) Other

Justification/comments:

8) Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem during the performance of this contract? Yes, please explain.

9) Have you terminated this Contractor for default within the performance period, or are there any pending termination actions? If Yes, please explain.

10) Have you discussed any adverse past performance problems with the Contractor’s and given them an opportunity to comment? If Yes, please explain.

11) Do you file past performance information in a database that the Contracting Officer may search?

12) If the contract had options, were those options exercised? If No, please explain.

13) Based on the Contractor’s overall performance, would you award them another contract? If No, please explain.

N00039-17-R-0002

Solicitation Number: N00039-17-R-0002

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