Attach_0003_-_NEC-RI_ITSS__PPQ_18Oct2016.doc

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

NEC-RI ITSS – W52P1J-16-R-4002

OFFEROR’s COMPANY NAME/CAGE__________________________________________________

COMPANY BEING EVALUATED/CAGE_______________________________________________

INSTRUCTIONS FOR THE OFFEROR:

The Offeror is required to complete the PPQ, SECTION I A, B, and C. Subsequently, the Offeror shall include this PPQ’s Section I A, B, and C with its Volume IV proposal as well as send a copy to the Agency/Respondent identified in SECTION I C below (in a timely manner).

INSTRUCTIONS FOR THE AGENCY / RESPONDENT / POC / TECHNICAL REPRESENTATIVE:

In order to assess potential vendors under the NEC-RI ITSS Army procurement (W52PIJ-16-R-4002), the ACC-RI contracting office is obtaining past performance information with respect to each Offeror or its identified Joint Venture Partner, teaming partner, or proposed subcontractor. Please complete the SECTION II EVALUATION portion of this PPQ and return the completed questionnaire via email to: Mr. David S. Fields, Contract Specialist, david.s.fields16.civ@mail.mil and Ms. Tami L. Lord, Contracting Officer, tami.l.lord.civ@mail.mil. The email “subject” line in the submission email shall clearly indicate: W52P1J-16-R-4002 NEC PPQ for Company and Contract Number. In the event that additional information is needed, you (as the Respondent) might receive a follow-up telephone call and/or email from the past performance team member to confirm or clarify performance information.

The email message shall originate from the Evaluator’s corporate or government email system.

Please provide your candid responses. The information that you provide will be used in the awarding of DoD/Army contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up. If you do not have knowledge of or experience with the company being evaluated, please forward this Questionnaire to the person who does, and copy furnish the Contracting POCs above on the email.

Please return the completed Questionnaire within 5 days via email to the Contracting POCs above. Thank you.

SECTION I. CONTRACT and CONTACT INFORMATION (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number/Order Number (if applicable):

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

CAGE Code:

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Contract Value (Obligated $ to date for work efforts completed):

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

Organization:

Name:

Title:

Date:

Telephone Number

Address:

E-mail Address:

SECTION II: EVALUATION (To be completed by – Agency or Respondent POC)

· Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

· Meets Contractual Requirements

· Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

Comments:

· Exceptional (Explanation must be provided in Comments field below)

· Satisfactory

· Unsatisfactory (Explanation must be provided in Comments field below)

· Satisfactory

· Extremely Satisfactory (Explanation must be provided in Comments field below)

Submitted By Respondent/POC/Agency: (name, email, Commercial/DSN phone number) Date:

C. AGENCY OR RESPONDENT IDENTIFICATION

A. Compliance of Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship.

B. Effectiveness in Transition of work from/to another Contractor at the end of a contract.

C. Effectiveness of Project Management (to include use and control of subcontractors).

D. Timeliness of Performance for Services and Deliverables, including the Administrative Aspects of Performance.

E. The ability to resolve technical problems or issues quickly and effectively to include timely notification that an issue or problem exists to Contracting Officer, Contracting Officer Representative, or Customer.

F. Effectiveness in Forecasting and Controlling Project Cost.

G. Internal billing and control systems for estimating, customer property accountability, warranties processing, and associated cost controls.

H. Training of systems and integration of newly hired or re-assigned personnel within the company to satisfy customer expectations.

I. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest.

J. Overall Satisfaction.

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

L. Other Information Sources.

1) Number of contractor provided FTEs used to support the contracted work?

2) Was there any significant outages or security issues/problems?