Attachment_2_Past_Performance_Questionnaire_and_Client_Submission.pdf

ATTACHMENT-2

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

NOTE: NAVFAC REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND

SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE

COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL, AND MAY

DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON NAVFAC

SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES

DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED

DIRECTLY TO NAVFAC. PLEASE CONTACT THE OFFEROR FOR NAVFAC POC

INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL

INFORMATION ON THIS FORM.

8. Client’s Signature:

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S

PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts Acceptable Unacceptable

b) Ability to meet quality standards specified for technical performance Acceptable Unacceptable

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance Acceptable Unacceptable

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

Acceptable Unacceptable

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

Acceptable Unacceptable

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract Acceptable Unacceptable

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project? Acceptable Unacceptable

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

Acceptable Unacceptable

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? Acceptable Unacceptable

d) Overall customer satisfaction Acceptable Unacceptable

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? Acceptable Unacceptable

b) Ability to hire, apply, and retain a qualified workforce to this effort Acceptable Unacceptable

c) Government Property Control Acceptable Unacceptable

d) Knowledge/expertise demonstrated by contractor personnel Acceptable Unacceptable

e) Utilization of Small Business concerns Acceptable Unacceptable

f) Ability to simultaneously manage multiple projects with multiple disciplines Acceptable Unacceptable

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes Acceptable Unacceptable

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) Acceptable Unacceptable

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)? Acceptable Unacceptable

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client Acceptable Unacceptable

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

Acceptable Unacceptable

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. Acceptable Unacceptable

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Acceptable Unacceptable

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. Acceptable Unacceptable

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

Acceptable Unacceptable

b) Contractor complied with all security requirements for the project and personnel security requirements. Acceptable Unacceptable

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

Acceptable Unacceptable

b) Compliance with contractual terms/provisions (explain if specific issues) Acceptable Unacceptable

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor. Acceptable Unacceptable

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide brief narrative addressing specific weaknesses, deficiencies, if any or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):