PAST PERFORMANCE QUESTIONNAIRE (PPQ).pdf

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Contract No.:_______________________________ Contractor: _________________________________

POC: ___________________________________________________________ Title: Contracting Officer

Telephone Number: ________________________ E-mail Address: ______________________________

Department/Agency: United States Department of Transportation - Federal Aviation Administration

The following questions pertain to the contractor’s record of past (within the past five years) and current performance. The information that you provide will be used in the awarding of a federal contract.

Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Excellent: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions, or the corrective actions taken appear only marginally effective.

Unsatisfactory: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

CONTRACT IDENTIFICATION:

Contractor/Company Name/Division: ______________________________________________________

Address: _____________________________________________________________________________

Program Identification/Title: _____________________________________________________________

Contract Number: _______________________ Contract Type: _________________________________

Prime Contractor Name (if different than the name cited above): ________________________________

Contract Award Date: ______________________

Forecasted or Actual Contract Completion Date: ________________________

Nature of the Contractual Effort: _________________________________________________________

IDENTIFICATION OF OFFEROR’S REPRESENTATIVE:

Name: _____________________________________________________________________________

Title: ______________________________________________________________________________

Date: ___________________________ Telephone Number: __________________________________

Address: ____________________________________________________________________________

E-mail Address: _______________________________________________

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

1. Compliance of products, services, and related deliverables to specification requirements and standards of good workmanship.

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

2. Effectiveness of project management, including use and control of subcontractors (if applicable).

Acceptable

3. Timeliness of performance for services and project deliverables.

Acceptable

4. Effectiveness in forecasting and controlling project cost and other related expenses.

Acceptable

Wilpitz, Victoria M (FAA) Change to (if applicable)

5. Commitment to customer satisfaction and business-like concern for it’s customers’ interest

Acceptable

6. General Comments. Provide any other relevant performance information.

7. Respondent Identification. Please provide the following information:

Organization: __________________________________ Name: ________________________________

Title: _________________________________________ Date: _________________________________

Telephone Number: _______________________

Address: _____________________________________________________________________________

E-mail Address: ____________________________________

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer identified in the cover letter. Thank you for your assistance.

Signature Date

Typed or Printed Name