Attachment 3 A-E MATOC Past Performance Questionnaire (PPQ) for CQM.docx

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information – See FAR 2.101 and 3.104

Architect and Engineer (A/E) Multiple Award Task Order Contract (MATOC)

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information – See FAR 2.101 and 3.104

CQM Multiple Award Task Order Contract (MATOC)

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Your organization has been identified for participation in past performance evaluation on a current solicitation at the National Institutes of Health (NIH) at Bethesda, Maryland. This information contained in this questionnaire will be used to evaluate the past performance for the contractor and contracting action identified below.

NIH’s CQM Multiple Award Task Order Contract (MATOC)

Your candid response to the questions is important to our evaluation effort and may affect the award outcome. Please indicate "Unknown" in any area that was not applicable to work performed on your contracting action.

THE COMPLETED FORM MUST BE SUBMITTED BY E-MAIL TO THE FOLLOWING INDIVIDUALS:

Thuy Le, thuy.le@nih.gov Ana Marie Pagulayan, anamarie.pagulayan@nih.gov Magan Miller, magan.miller@nih.gov

If you have any questions/concerns pertaining to this survey and/or the requested information, please contact Thuy Le, Ana Marie Pagulayan, and Magan Miller using the above contact information.

Thank you for your time and effort in completing this survey.

PAST PERFORMANCE QUESTIONNAIRE for offering CQM PART I - TO BE COMPLETED BY CQM Contractor

CQM Company Name

CQM Representative Name

Title

Address

Telephone

Fax

E-mail Address

Contract Number

Task Order Number

Title of Contract

Owner/ Company/ Organization/ Agency Name

Owner Representative Name

Title

Address

Telephone

Fax

E-mail Address

PAST PERFORMANCE QUESTIONNAIRE

PART II - TO BE COMPLETED BY CQM’s REFERENCE

DEFINITIONS

Please use the following definitions when completing the Past Performance Questionnaire:

Exceptional

Performance meets and exceeds many contractual requirements to the Client’s benefit. The contractual performance of the element was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good

Performance meets and exceeds some contractual requirements to the Client’s benefit. The contractual performance of the element was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory

Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal

Performance does not meet some contractual requirements. The contractual performance of the element being evaluated 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.

Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A

Performance was not observed. This indicates neither a favorable nor unfavorable rating.

PAST PERFORMANCE QUESTIONNAIRE

PART II - TO BE COMPLETED BY CQM’s REFERENCE

INSTRUCTIONS

Place a ‘rating’ in the appropriate column box using the definitions above.

Item

How do you rate the CQM’s ...?

Comments Please provide any comments, at the bottom of this form, to explain the rationale for you Rating to facilitate the Technical Evaluators in their review of the survey results. Please indicate if an item is not applicable to the representative project.

1 - Quality of Work

Ability to maintain quality control of assigned work.

Responsiveness to design review comments.

Review of applicable documents.

Item 1. Quality Rating here >

2 - Schedule Performance

Ability to provide schedule analysis and recommendations.

Ability to adhere to administrative deadlines.

Processes in place to detect and advise on schedule slippage.

PAST PERFORMANCE QUESTIONNAIRE

PART II - TO BE COMPLETED BY CONTRACTOR’S REFERENCE

3 - Effectiveness of Cost Control

Effectiveness in forecasting and advising on contract/modifications.

Recommendations for controlling costs.

Processes in place to detect and advise on cost slippage.

4 - Effectiveness of Management

Ability onsite and at home office to adequately respond to changes in identified issues.

Effectiveness in communicating concerns with the Contracting Officer/Owner concerning emerging issues.

Effectiveness of key CQM personnel in identified issues in design and during construction.

Item 5. Overall Rating here >

Would you recommend this CQM firm for similar requirements in the future? Yes / No __________

Any other comments:

Attachment 3 - Past Performance Questionnaire - Offeror, Page 2 of 2 (Rev 04/19)