Attachment_008_-_Past_Performance_Questionnaire_&_Instructions.pdf

WSTARS/WMII – W52P1J-17-R-0008

PPQ - WSTARS/WMII Page 1

SECTION II – CONTRACTOR’S CONTRACT REFERENCE INFORMATION

(to be completed by the Offeror)

SECTION II A. PPQ RESPONDENT IDENTIFICATION:

Name Phone:

( ) xxx-xxxx Email Agency / Organization

PPQ Respondent

POC:

SECTION II B. CONTRACT IDENTIFICATION: (to be completed by the Offeror) 1 Contractor Name being Evaluated

1a. Contractor CAGE code 1b. Contractor DUNS number

2 Role (Prime or 1st-Tier Sub) 2a. Prime Contractor Name (if 2 is 1st-Tier) 2b. Prime CAGE / DUNS (if 2 is 1st-Tier)

3 Project/Contract Title / Abbreviation 4 Contract Number

4a. Contract Award Date 4b. Start of Work Date 4c. Completion Date 4d. Contract Award $Value 4e. Current/Final $Value

5 Order Number (if applicable) 5a. Order Award Date 5b. Order SOW Date 5c. Order Complete Date 5d. Order Award $Value 5e. Order Current/Final $Value

6 Sub-Contract Number (if applicable) 6a. Sub-K Award Date 6b. Sub-K SOW Date 6c. Sub-K Compete Date 6d. Sub-K Award $Value 6e. Sub-K Current/Final $Value

7 Location of Performance 8 Contact Information: (provide current names of person(s) having knowledge of the work effort)

Role / Title: Name Phone:

( ) xxx-xxxx Email Agency / Organization

Contract Specialist

POC:

Contracting Officer:

COR/Technical Representative:

Other POC/identify or N/A:

Attachment 008 - Past Performance Questionnaire & Instructions, 13 Dec 2016

PPQ - WSTARS/WMII Page 2

SECTION II C. DESCRIPTION OF THE WORK EFFORT:

(to be completed by the Offeror) Brief Description of recent and relevant work effort performed on the contract referenced in this PPQ:

(100 word limit for PPQ only; up to 1000 words are limited for the proposal only)

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

GENERAL INFORMATION: Using the rating definitions and abbreviations above, please read the statements below, and rate the contractor with your relative level of agreement (check mark the applicable box):

E VG S M UN N/A

1. QUALITY OF PRODUCT OR SERVICE:

(a) Contractor provided a product or service that conformed to contract requirements.

(b) Contractor submitted accurate reports.

(c) Contractor utilized personnel that were appropriate to the effort performed.

(d) Contractor understands contract scope and complexity of requirements.

2. SCHEDULE:

(Was the contractor successful in planning and proposing realistic schedules, monitoring performance, completing work on time, and implementing corrections/changes in a timely manner?)

(a) The tasks were performed in a timely manner and on schedule.

(b) Contractor was responsive to technical and/or contractual direction.

3. COST CONTROL:

(in planning and proposing realistic costs, monitoring performance, operating at or below budget, and implementing corrections/changes in a cost effective manner)

(a) Contractor performed the effort within the estimated cost/price.

(b) Contractor submitted accurate invoices on a timely basis.

(c) The actual costs/rates realized closely reflected the negotiated costs/rates

(d) If applicable – as a prime contractor were its subcontractors paid in a timely manner?

4. BUSINESS RELATIONSHIPS:

(a) Contractor demonstrated effective management over the effort performed.

(b) Contractor maintained an open line of communication and kept you apprised of technical, cost, and schedule issues.

(c) Contractor cooperated with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues.

(d) Contractor demonstrated effective management of its subcontractors.

(e) Contractor communication and working relationship with contracting officers, contracting officer technical representatives, end users, other contractors, etc.

PPQ - WSTARS/WMII Page 3

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

GENERAL INFORMATION: Using the rating definitions and abbreviations above, please read the statements below, and rate the contractor with your relative level of agreement (check mark the applicable box):

E VG S M UN N/A

5. KEY PERSONNEL:

(a) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.

(b) Contractor proposed personnel to fulfill the requirements of the contract that were clearly qualified.

6. SERVICE AREAS: (check all that apply) a) b) c) d) e) f) g) h) i) j) k) l) m)

n) Other (please identify)

Please provide a narrative to support the above ratings. (lines will wrap around when typing)

Comments/Notes:

SECTION IV

Performance Information provided by:

Role / Title: Name Phone ( ) xxx-xxxx Email Agency / Company

PPQ Respondent POC:

PPQ - WSTARS/WMII Page 4

Estimated time (years/months) working with this contractor/tracking of the contractor’s performance:

___YES or ___NO I have first-hand knowledge of the contracts work efforts.

___YES or ___NO

To the best of your knowledge, the Contract work efforts description (Section IIB, 7.) and details (dates, dollar values, etc. provided by the Offeror is accurate for the Company being Evaluated.

Note: if the information is not accurate and you have the correct information, please provide this information in your PPQ submission.

Reminder:

• Email this form to the Government Contract Specialist, Send the completed PPQ to the Government

Contract Specialist, Ms. Trisha Mariman, via email at: trisha.m.mariman.civ@mail.mil Phone number: (309) 782-2836.

• Email SUBJECT line should be: “Completed PPQ for W52P1J-17-R-0008, [Offeror Name or Abbreviation]-[contract reference number]”

• PPQ Filename structure: “[Offeror Name or Abbreviation]-PPQ-WSTARS-[contract reference number].docx” or “.pdf”.

mailto:trisha.m.mariman.civ@mail.mil

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

PPQ SUPPLIMENT INSTRUCTIONS ONLY:

PPQ Instructions:

1 Contractor Name being Evaluated

1a. Contractor CAGE code 1b. Contractor DUNS number

1. Enter the name of the Company performing the work effort of the referenced contract/order number submitted in the Offeror’s proposal. This is the name of the company being evaluated on this

PPQ.

1a. Enter the CAGE number of the Company performing the work effort of the referenced contract/order number; and being evaluated on this PPQ. (on contract award or SAM.gov) 1b. Enter the name of the Company performing the work effort of the referenced contract/order number; and being evaluated on this PPQ.

(SAM.gov)

2 Role (Prime or 1st-Tier Sub) 2a. Prime Contractor Name (if 2 is 1st-Tier) 2b. Prime CAGE / DUNS

2. Prime=contract was awarded by the USG to the contractor. 1st-Tier Sub=the prime contractor subcontracted a portion of the work effort to another contractor.

2a. Self-explanatory (see 1a and 1b) 2b. Self-explanatory (see 1a and 1b)

3 Project/Contract Title 3. Enter the title of the referenced Project/Contract submitted the proposal

Long narrative and Acronym describing the project/contract. (Acronym i.e. STARS, SEWP, GSA Alliant; followed by long narrative as applicable).

4 Contract Number 4a. Contract Award Date 4b. Start of Work Date 4c. Completion Date 4d. Contract Award $Value 4e. Current/Final $Value

4. Contract Number:

Format: Include dashes Enter the government contract number to include dashes (i.e. GS-35F-x-xxxx Order W52P1J-xx-x-

xxxx) (This number is the number in which the government would write a CPAR about). If the number is incomplete, the evaluator must search for the complete number(s) to find performance information). DO NOT PROVIDE AN RFP or RFQ number!

4a. Contract Award Date:

Format: MM/DD/YYYY This is the date that the USG awarded the contract to the prime contractor. This must be a recent date, anytime within three (3) years of the issuance date of this RFP. (Good Example: i.e. Awarded 10/01/2005; Start of Work 01/01/2006; Completion 09/30/2019) (Bad Example: Awarded 10/01/2015;

Start of Work 01/01/2006; Completion 09/30/2012).

The 2012 date is not within the 3-year recent timeframe from when the RFP was issued.

4b. Contract Start of Work Date:

Date the prime contractor started its work effort.

Format: MM/DD/YYYY (i.e. Awarded 10/01/2005; Start of Work 01/01/2006; Completion 09/30/2019)

4c. Contract Completion Date:

Date the prime contractor completed its work effort;

or anticipates to complete its work effort. Do not enter “on-going” or “TBD”.

Format: MM/DD/YYYY (example: Awarded 10/01/2005; Start of Work 01/01/2006; Completion 09/30/2019) 4d. Contract Award $Value:

Dollar amount the contractor was awarded at the start of the contract to perform the work effort for the total contract.

Format: $00.0 (round up or down);

i.e. $11,147,000.00 = $11.15M i.e. $11.15M = $11.2M i.e. $11.11M = $11.1M 4e. Contract Current/Final $Value:

Dollar amount the contractor was paid (to-date); or the final amount paid (to-date). This is the amount of funds paid (obligated) to the Company for work efforts completed to date (as of the RFP closing date) on the contract only (for the contract number identified on line 4).

5 Order Number (if applicable) 5a. Order Award Date 5b. Order Start of Work Date 5c. Order Complete Date 5d. Order Award $Value 5e. Order Current/Final $Value

5. Order Number:

Enter the Task Order, Delivery Order, Call Number, etc. that was assigned to the contract (i.e. Contract GS-35F-x-xxxx Order W52P1J-xx-x-xxxx, etc.)

5a. Order Award Date:

Date contract ORDER was awarded to Prime contractor.

Format: MM/DD/YYYY (Good Example: Order 0008 Awarded 07/15/2014;

Start of Work 08/01/2014; Completion 09/30/2019);

(Bad Example: Order 0001 Awarded 10/01/2005;

Start of Work 01/01/2006; Completion 09/30/2010).

Order 0001 would not be recent because it is not within the 3-year recent timeframe from when the RFP was issued.

5b. Order Start of Work Date:

Date contract Order work effort started.

Format: MM/DD/YYYY (i.e. Awarded 07/15/2014; Start of Work 08/01/2014; Completion 09/30/2019) 5c. Order Complete Date:

Date contract Order work effort was complete.

Format: MM/DD/YYYY If the work effort is still on-going, DO NOT say “on-going”. Enter the expected completion date the company is on contract for. Or, enter the date that the work effort stopped; and was completed. The future date indicates the company is still performing work efforts.

5d. Order Award $Value:

Dollar amount awarded for the contract Order.

Format: see 4d.

5e.Order Current/Final $Value:

Dollar amount value to-date; or final amount paid.

Format: see 4d.

This is the amount of funds paid (obligated) to the contractor for work efforts completed to date (as of the RFP closing date) on the Order only (for the Order number identified on line 5).

6 Sub-Contract Number (if applicable) 6a. Sub-K Award Date 6b. Sub-K Start of Work Date 6c. Sub-K Compete Date 6d. Sub-K Award $Value 6e. Sub-K Current/Final $Value

6. Sub-Contract Number:

If the Company Being Evaluated is a 1st-Tier subcontractor, enter the subcontract number that the Prime contractor assigned for the subcontracted work effort. A sub-contract number is often assigned by the Prime contractor – Enter this number (if applicable).

6a. Sub-K Award Date:

Date subcontract was awarded to 1st-Tier subcontractor - format MM/DD/YYYY 6b. Sub-K Start of Work Date:

Date subcontractor started the work effort as a 1st- Tier subcontractor – format MM/DD/YYYY 6c. Sub-K Complete Date:

Date subcontractor’s work effort ended as a 1st-Tier subcontractor – format MM/DD/YYYY 6d. Sub-K Award $Value:

Dollar amount the 1st-Tier subcontractor was awarded to perform the work effort for the Prime.

Format: see 4d.

6e. Sub-K Current/Final $Value:

Dollar amount the 1st-Tier subcontractor has been paid (to-date) for work efforts – Format: see 4d.

7 Location of Performance Enter only the words “CONUS”, “OCONUS”, “Warzone” (list all that apply)

8 Contract Information Self-explanatory; provide current contact information for contract personnel assigned to the contract reference number.

9 Description of Project Limited to 100 words for PPQ. Limited to 500 words for Proposal reference.