B08- Attachment 0002- Past Performance Questionnaire.pdf

Trinitrotoluene (TNT) Solicitation W52P1J-19-R-0075 Past Performance Questionnaire (PPQ) Form

The Offeror must complete Sections IIA and IIB for each Past Performance reference and send copies to the PPQ respondent(s) identified in IIA in a timely manner. The Offeror shall include these documents with its proposal; however, the PPQ respondent will send the completed questionnaire directly to the POC identified in the PPQ Section IV below.

In order to assess potential contractors Army Contracting Command – Rock Island (ACC-

RI) is obtaining past performance information with respect to each Offeror. The PPQ respondent will complete all sections of the PPQ except sections IIA and IIB. In addition to this questionnaire, you may receive a follow-up phone call or email to confirm or clarify information. This is a critical acquisition being conducted by ACC-RI and your support is sincerely appreciated.

Thank you for your time, effort, and cooperation in responding to this questionnaire. The completed questionnaire shall be submitted directly via email to Ashlee Asplund, Contract Specialist, ashlee.g.asplund.civ@mail.mil.

The subject line in the submission email shall clearly indicate: ‘[Offeror Name] W52P1J- 19-R-0075 message shall originate from the PPQ respondent’s Government or corporate email address.

I. GENERAL GUIDANCE

Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):

RATING DESCRIPTION

Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown.

Unacceptable Based on the offeror’s performance record, the Government does not have a reasonable expectation that the offeror will be able to successfully perform the required effort.

GENERAL INFORMATION

II-A RESPONDENT IDENTIFICATION / POC

1. Name & Title:

2. Organization:

mailto:ashlee.g.asplund.civ@mail.mil

3. Address:

4. Phone No:

5. E-mail:

6. Date:

II-B CONTRACT IDENTIFICATION

1. Prime Contractor Name:

2.

Contractor CAGE Code:

3 Contract Identification

Number:

4. Order Number (if applicable):

5.

Product Description (add rows if needed, up to 200 words):

6. Total Delivery Quantity:

7. Monthly Production Rate

8. Date of Award:

9. Date Contract ended/will end:

10. Current/Final Contract Dollar

Value (w/Options):

11. Place(s) of LAP:

III-C GENERAL INFORMATION

1.

Respondent’s Role (e.g., COTR, Contracting Officer) and length of time in role:

2.

Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g., default, convenience).

3.

What were the production quantity requirements for this contract and did the contractor meet those requirements?

4. Were there any changes in contract dollar amounts throughout the life of the contract; and if so, please explain (e.g., Government or Contractor caused):

5.

Were there any PQDRs/CARs issued on this contract; and if so please explain how resolved.

III-D CONTRACT PERFORMANCE

Please Rate This Contractor With Respect To:

A. Meeting contract quality and delivery requirements including specifications, standards of good workmanship, and technical direction:

Rating Excellent Good Satisfactory Marginal Unsatisfactory

Check

Comment:

B. Contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

C. Contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner:

D. Satisfaction level of work effort performed:

E. Contractor’s compliance with OSHA and EPA:

IV. RETURN INFORMATION

When completed, please send electronically via email to: Ashlee Asplund, Contract Specialist, ashlee.g.asplund.civ@mail.mil.

Thank you for your assistance.

mailto:ashlee.g.asplund.civ@mail.mil