Attachment_0008_-_Past_Performance_Questionnaire_-_Rev_1.docx
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- Solicitation number
- W52P1J-16-R-0139
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pRFID III Past Performance questionnaire in Word format.
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ATTACHMENT 0010
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
RFP W52P1J-16-R-0139 - Passive RFID III
OFFEROR NAME and CAGE:
SECTION I – GENERAL GUIDANCE
Introduction: Under solicitation W52P1J-16-R-0139 - Passive RFID III, the Army Contracting Command at Rock Island, IL (ACC-RI) is obtaining past performance information. The completed PPQ serves as a source of information to evaluate the Offerors recent and relevant performance of the submitted project/contract reference (listed in Section IIB below) as it relates to the solicitation.
Instructions:
1. Offerors shall –
· Complete Section IIA and IIB, then email entire PPQ to the intended PPQ Respondent.
· Instruct the PPQ Respondent to complete Section III.
· Respondents to the PPQ shall –
· Complete Section III entirely, to include comments (if any); and Section IV with contact information.
· Send the completed PPQ to the Government Contract Specialist, Tim Volkert at timothy.w.volkert.civ@mail.mil.
· Recommended format for email Subject: “Completed PPQ for W52P1J-16-R-0139, [Offeror Name or Abbreviation]-[contract reference number]”.
· Recommended PPQ electronic document filename: “[Offeror Name or Abbreviation]-PPQ-pRFID III -[contract reference number].doc” or “.docx” or “.pdf”.
· Send the completed PPQ to the Contract Specialist identified above. DO NOT send a copy of the completed PPQ to the Offeror.
In addition to the submitted PPQ email response, Respondents may receive follow-up phone calls for clarification purposes. This is a critical acquisition and as such comments are appreciated for all ratings as applicable.
| RATING |
| DESCRIPTION |
| Excellent |
| The Offeror's past performance far exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Good |
| The Offeror’s past performance exceeds the customer's expectations and provided significant, unusual worthwhile features or benefits. |
| Satisfactory |
| The Offeror's past performance met the customer's expectations and contract requirements. |
| Marginal |
| The Offeror's past performance could have been improved. The Offeror required major agency resources to ensure achievement of contract requirements. |
| Unsatisfactory |
| The Offeror's past performance did not meet customer expectations and/or contract requirements. |
SECTION II (To be completed by the Offeror A. 1 - 6 and B. 1 - 9)
A. RESPONDENT IDENTIFICATION
| 1. |
| Name & Job Title: |
| 2. |
| Organization: |
| 3. |
| Address: |
| 4. |
| Phone No: |
| 5. |
| Email: |
| 6. |
| Date: |
B. CONTRACT IDENTIFICATION
| 1. |
| CAGE and Company (if other than a prime contract holder and first tier subcontractor) |
| 2. |
| Contract Name: |
| 3. |
| Contract Identification Number: |
| 4. |
| Order Number(s) (if applicable): |
| 5. |
| Date of Contract Award and total contract value: |
| 6. |
| Average Annual value of the Contract (provide the number of years used to calculate the average): |
(if any) Estimated Products Value:
(if any) Estimated Services Value:
| 7. |
| Period of Actual Contract Performance |
| 8. |
| CONUS and/or OCONUS locations: |
| 9. |
| Describe the products and/work the work effort performed on this referenced contract or as a subcontractor. Word count is limited to no more than 500 words: |
THE FOLLOWING IS TO BE COMPLETED BY THE RESPONDENT POC.
SECTION III. CONTRACT PERFORMANCE
| 1. |
| Name and Respondent’s Job Title (e.g. COR, Contracting Officer, etc.) |
| 2. |
| Has the Contractor ever been issued a cure notice, show cause notice, etc.? If yes, explain. |
| ____Yes (explain) |
____No
| 3. |
| Has this contract been partially or completely terminated for default or terminated for cause? If yes, explain: |
| ____Yes (explain) |
| 4. |
| If changes in contract dollar amounts throughout the life of the contract increased/decreased was the change generally attributable to customer-issued Change Orders, Contractor-submitted claims, or payment for consideration to the Government and attributed to the Contractor actions? (please explain): |
5. Has the contractor encountered any performance problems related to deliverables, services, and EPA violations? If YES, explain:
____Yes (explain)
| 6. |
| Rate the contractor’s management of the Contract: |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| a. |
| Appropriate Staffing Levels |
| b. |
| Effectiveness in Management of Subcontractors |
| c. |
| Adherence to schedules and Responsiveness to Urgent requirements |
| d. |
| Timeliness & Efficiency of Customer Support |
| e. |
| Satisfaction submission of required contract reports |
7. Compliance with the requirements of the contract; conformance to standards of good workmanship, and responsiveness to technical direction:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comments:
8. Adherence to task order estimates; reasonableness of change order proposals; and completeness of billing:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
9. Adherence to the contract schedules:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
10. Contractor’s performance in identifying and resolving problems:
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
11. Contractor’s performance to effectively manage subcontractors (if applicable) and/or team members (this includes payment, billing and invoicing of subcontractors):
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
12. In summary, please give your OVERALL assessment of this contractor’s performance on this contract.
| Rating |
| Excellent |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
THANK YOU FOR YOUR RESPONSES
4 | Page
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