Attachment 0022 - Contract Performance Questionnaire.docx

ATTACHMENT XXXX

CONTRACT PERFORMANCE QUESTIONNAIRE

RFP W52P1J-16-R-0001 LOGCAP V

GENERAL GUIDANCE

The information that you provide will be used in the award of an Army contract. Therefore, we ask that the information you provide to be complete and candid. If you do not have knowledge of or experience with the contractor that is referenced, then please forward this Questionnaire to the person who does. The completed Questionnaire is to be returned to Brian Knutson, Contracting Officer, and Ms. Alejandra Figueroa, Contract Specialist, at your very earliest convenience.

Email: brian.a.knutson2.civ@mail.mil, Alejandra.c.figueroa.civ@mail.mil, and usarmy.ria.acc.mbx.logcapv@mail.mil

Should you have any questions, please email the above point of contact with your inquiries. If you experience transmission issues, please call Mr. Brian Knutson, (309) 782-8679 or Ms. Alejandra Figueroa, (309) 782-1371, for assistance. Thank you for your time and your cooperation.

INSTRUCTIONS:

PART I: (To be completed by the Offeror) Completed questionnaires (sections I a. and I b.) shall be provided with the Offeror’s proposal by the due date established for receipt of offers. NOTE: The Offerors shall send out these questionnaires to each of the reference POCs, requesting them to complete Part II of the questionnaire and to e-mail the completed questionnaire to the POCs identified above.

I. General Information:

a. Contract Reference Information:

REFERENCED CONTRACTOR’S NAME & ADDRESS:

Contract Title and I.D. Number, Order Number(s) (if applicable)

Date Awarded

Type of Contract

Contract Value

Period of Performance

Place(s) of Performance - specify locations

Project/Contract Requirements Description - Provide details: (e.g. related services)

Please select from the following as it applies to this contract:

Contract Terminated (e.g. default)

b. Point of Contact (POC) & Agency Identification:

If discrepancies are identified in the submitted information from Sections Ia and Ib, please provide the discrepancies in your PPQ submission.

In addition to the submitted PPQ email response, Respondents may receive follow-up phone calls and/or e-mails from the Government to either confirm or clarify information submitted on the PPQ response. This is a critical acquisition and your time and support is sincerely needed and appreciated.

PART II - (To be completed by the POC Respondent)

Questionnaire Ratings and Definitions Please use the following rating in scoring the performance of the contract:

Rating Description: Please use the following ratings for the performance questions below:

PART III. CONTRACT PERFORMANCE (to be completed by PPQ Respondent / POC)

GENERAL INFORMATION

1. Management and Planning (e.g. pre and post activation planning; theater analysis; develop concept of support; exercise support)

2. Engineering (e.g. power generation equipment; force providers; water production; plumbing; human waste management; fuel storage and issue; horizontal construction; vertical construction; facilities)

3. Base Camp Services (e.g. Power/electricity; environmental control systems; water and ice; textile/laundry; food service operations; custodial; pest; waste management; morale, welfare, recreation; camp postal operations; fire protection and emergency; medical and health; roads, grounds; security (other than armed), and barrier maintenance)

4. Camp Logistics Support Functions (e.g. agricultural cleaning; class III retail operations; mortuary affairs; communication and information technology support)

5. Supply Operations (e.g. property management; class III bulk operations; ammunition and munition operations; class VIII medical supply)

6. Maintenance (e.g. maintenance management; equipment and material maintenance; facility maintenance)

7. Transportation services (e.g. motor transportation; air transportation; personnel transport; intermodal operations – ports, terminals; inland water transportation, personnel transport, containerization, theater distribution; movement control; airfield management/operations)

____No

Explanation:

Explanation:

Explanation:

7. Has the contractor encountered any performance problems related to deliverables, services, and security breaches (i.e. data, physical, virtual, etc.)? If YES, explain in detail:

____Yes (explain)

Comments (Please number each comment according to performance area (i.e. 8.a., 8.d. etc.)

1. Compliance with the requirements of the contract; conformance to standards of good workmanship, and responsiveness to technical direction:

Check

Narrative / Comments:

1. Adherence to task order estimates; reasonableness of change order proposals; and completeness of billing:

Check

1. Adherence to the contract schedules and/or milestones:

Check

1. Contractor’s performance in identifying and resolving problems to prevent or mitigate potential problems:

Check

1. Working relationship with Contracting Officer, COR, Technical and other program personnel:

Check

1. Extent to which the contractor has demonstrated reasonable and cooperative behavior with Government staff and other contractors:

Check

1. Contractor’s performance to effectively manage subcontractors (if applicable) and/or team members (this includes payment, billing and invoicing of subcontractors):

Check

1. Was the staffing level adequate and the Subject Matter Experts (SMEs) of the contractor’s staff adequate:

Check

1. Contractor’s compliance with security requirements:

Check

1. Contractor’s ability to meet and maintain appropriate staffing levels with qualified personnel :

Check

K. In summary, please give your OVERALL assessment of this contractor’s performance on this contract.

Check

Please provide any additional comments regarding this contractor’s performance?

Also, are you aware of other relevant past efforts by this company? If yes, please provide the name and telephone number of a point of contact:

PART IV: Performance Information provided by:

Name & Title:

Govt. Agency or Company; Military Service: (i.e. Army, Navy, Air Force, Marine Corps) E-Mail: @mail.mil other email address:

Phone: DSN: / Commercial: ( ) extension:

Date PPQ Complete: MM/DD/YYYY

Reminder: Return this form to ONLY the Government Contract Specialist, Specialist Name at Specialist’s email. DO NOT send a completed copy of this questionnaire to the Offeror.

· Email SUBJECT line should be: “Completed PPQ for W52P1J-XX-R-XXXX, [Offeror Name or Abbreviation]-[contract reference number]”

· PPQ Filename structure: “[Offeror Name or Abbreviation]-PPQ-project acronym [contract reference number].doc” or “.docx” or “.pdf”.

IMPORTANT: The responses you are providing must be your OWN evaluation and OWN comments, and NOT pre-populated by the Offeror. If you receive a pre-populated PPQ with more than Sections I a. and Ib. complete, contact the Contract Specialist and report the incident immediately.

It is suggested to save as a PDF format before sending to the Contract Specialist. A digital signature is also acceptable.

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