Past Performance Questionnaire.pdf

FORM A: Past Performance Questionnaire, Rating Definitions, and Evaluation Sheet

NA VFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information

Firm Name: CAGE Code:

Address: Unique Entity Identifier:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: D Prime Contractor D Sub Contractor D Joint Venture D 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: D Firm Fixed Price D Cost Reimbursement D 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 D High □ Med D 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):

8. Client's Signature:

NOTE: NA VFAC/USACE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND

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

QUESTIONNAIRE TO USACE WITH THEIR QUOTE AND MAY DUPLICATE IBIS QUESTIONNAIRE

FOR FUTURE SUBMISSION ON USACE SOLICITATIONS. THE GOVERNMENT RESERVES THE

RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

FORM A: Continued

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION

OF THE CONTRACTOR'S PERFORMANCE

RATING DEFINITION NOTE

(E) Performance meets contractual An Exceptional rating is Exceptional requirements and exceeds many to the appropriate when the Contractor

Government/Owner's benefit. The successfully performed multiple contractual performance of the element or significant events that were of sub-element being assessed was benefit to the Government/Owner.

accomplished with few minor problems A singular benefit, however, could for which corrective actions taken by the be of such magnitude that it alone contractor was highly effective. constitutes an Exceptional rating.

Also, there should have been NO sie;nificant weaknesses identified.

(VG)Very Performance meets contractual A Very Good rating is appropriate Good requirements and exceeds some to the when the Contractor successfully

Government's/Owner's benefit. The performed a significant event that contractual performance of the element or was a benefit to the sub-element being assessed was Government/Owner. There should accomplished with some minor problems have been no significant weaknesses for which corrective actions taken by the identified.

contractor were effective.

(S) Performance meets minimum contractual A Satisfactory rating is appropriate Satisfactory requirements. The contractual when there were only minor performance of the element or sub- problems, or major problems that element contains some minor problems the contractor recovered from for which corrective actions taken by the without impact to the contract contractor appear or were satisfactory. There should have been NO significant weaknesses identified.

Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract

(M) Marginal Performance does not meet some A Marginal is appropriate when a contractual requirements. The significant event occurred that the contractual performance of the element or contractor had trouble overcoming sub-element being assessed reflects a which impacted the serious problem for which the contractor Government/Owner.

has not yet identified corrective actions.

The contractor's proposed actions appear only marginally effective or were not fully implemented.

(U) Performance does not meet most An Unsatisfactory rating is Unsatisfactory contractual requirements and recovery is appropriate when multiple not likely in a timely manner. The significant events occurred that the contractual performance of the element or contractor had trouble overcoming sub-element contains serious problem(s) and which impacted the for which the contractor's corrective Government/Owner. A singular actions appear or were ineffective. problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory ratine;.

(N)Not No information or did not apply to your Rating will be neither positive nor Annlicable contract nee;ative.

FORM A: Continued

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING THAT BEST REFLECTS YOUR EVALUATION OF THE

CONTRACTOR'S PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts E VG s M u

b) Ability to meet quality standards specified for technical E VG s M u performance

c) Timeliness/effectiveness of contract problem resolution without E VG s M u extensive customer guidance

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

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

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

b) Rate the contractor's use of available resources to accomplish tasks E VG s M u identified in the contract

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the pro_ject? E VG s M u

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve E VG s M u disagreements/disputes; responsiveness to administrative reports, businesslike and communication)

c) To what extent was the contractor cooperative, businesslike, and E VG s M u concerned with the interests of the customer?

d) Overall customer satisfaction E VG s M u

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of E VG s M u subcontractors, suppliers, materials, and/or labor force?

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG s M u

c) Government Property Control E VG s M u

d) Knowlede:e/expertise demonstrated bv contractor personnel E VG s M u

e) Utilization of Small Business concerns E VG s M u

t) Ability to simultaneously manage multiple projects with multiple E VG s M u disciplines

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to E VG s M u

Government changes

h) Effectiveness of overall management (including ability to effectively E VG s M u lead, manage and control the program)

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually E VG s M u agreed price(s)?

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited E VG s M u the client

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 E VG s M u reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

d) Is the Contractor's accounting system adequate for management Yes No and tracking of costs? Ifno, please exolain in Remarks section.

e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are Yes No there any pending terminations? Indicate if show cause or cure notices were issued, or anv default action in comment section below.

O Have there been any indications that the contractor has had any Yes No

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