Past Performance Questionnaire Template.pdf

Project Name: Design Warm Storage Facility Requirement Number: A036817-1

PAST/PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR

2.101 & 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor (Firm being evaluated):

B. Contractor CAGE Code:

C. Contract number:

D. Contract type:

E. Was this a competitive contract? Yes No

F. Period of performance:

G. Initial contract cost: $

H. Current/final contract cost: $

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name that firm contracted with:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

SECTION 4: PERFORMANCE INFORMATION

For the following questions, use this rating scale:

Outstanding Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

Very Good Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with some minor issues or concerns for which the Contractor’s corrective actions taken were highly effective.

Satisfactory Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which the Contractor’s corrective actions taken were satisfactory.

Marginal Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions taken were only marginally effective.

Unacceptable Performance DOES NOT MEET contractual requirements. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

Not Applicable (N/A) Performance information not recent or relevant as defined in the Solicitation.

Unable to provide assessment.

Outstanding Very Good

Satisfactory Marginal Unacceptable N/A

How was the quality of any draft or intermediate submittals?

How was the quality of the final submittal?

How well did this firm examine alternatives, if applicable (Examined all reasonable alternatives?

Evaluations of alternatives well reasoned?)

Were cost estimates prepared by this firm detailed and accurate?

If this firm produced a design, was the cost of the construction project kept within budget?

If questions arose regarding the firm’s work or if errors or omissions were found, after payment of the final invoice, how willing was the firm to answer those questions or correct those errors?

Was this firm cooperative and responsive to your needs and goals?

Did you feel the employees were highly qualified and knowledgeable?

SECTION 5: SUMMARY

A. Do you have any reservations about this contractor providing support to your agency in the future?

B. Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date

SUBCONTRACTOR CONSENT:

We are currently participating as (CIRCLE ONE ANSWER): member of a joint venture, subcontractor, teaming partner, or key person with the prime contractor identified above in response to the referenced Request for Proposal. We understand that the Government is placing increased emphasis on past performance in order to obtain best value in source selections. In order to facilitate the performance confidence assessment process, we are signing this consent form to allow you to discuss or performance information with the prime contractor during the source selection process.

(Signature) (Name and Title)

(Signature and Title of individual who has the authority to sign for and legally bind the company)

Thank you for your prompt response and assistance! Please return this completed questionnaire to:

Ms. Maureen Badey and TSgt Nicholas Cripe via e-mail: maureen.badey.1@us.af.mil and nicholas.cripe@us.af.mil.