Attachment0003PPQ.pdf

Attachment 0003 – Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE COVER SHEET

(NOTE TO OFFEROR: For each past performance questionnaire to be completed by a client and submitted to the Government as a reference, provide a copy of this cover sheet with your proposal identifying the client’s point of contact information. Ensure correct phone numbers and email addresses are provided for the client point of contact.)

PART 1

c. OFFEROR:_____________________________________________________________

c. FIRM BEING EVALUATED:_________________________________________________

c. CONTRACT NUMBER:____________________________________________________

c. PROJECT DESCRIPTION:___________________________________________________

5. CONTRACT/TASK ORDER AMOUNT:________________________________________

6. PERFORMANCE PERIOD:__________________________________________________

7. REFERENCE ORGANIZATION NAME:______________________________________

8. EVALUATOR’S CONTACT INFO:

c. NAME & TITLE:______________________________________________________

b. PHONE NUMBER:____________________________________________________

c. EMAIL ADDRESS:_____________________________________________________

PART 2

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE RATINGS TO BE USED TO BEST REFLECT YOUR EVALUATION

OF THE CONTRATOR’S PERFORMANCE

Past Performance Relevancy Ratings

Rating Definition

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 has no reasonable expectation that the offeror will be able to successfully perform the required effort.

N/A Not Applicable

Unknown No record of relevant past performance or information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned.

PAST PERFORMANCE QUESTIONNAIRE – CIRCLE THE ADJECTIVAL RATING WHICH

BEST REFLECTS THE EVALUATION OF CONTRACTORS PERFORMANCE

CIRCLE THE ASSESSMENT WHICH BEST REFLECTS YOUR EVALUATION OF THE

CONTRACTOR’S PERFORMANCE

1. Was this a competitive contract? YES NO

2. Role of the Contractor? PRIME SUB

3. Ability to meet quality standards specified for technical performance or materials delivered?

Acceptable Unacceptable N/A Unknown

4. Compliance with contractual terms and conditions.

Acceptable Unacceptable N/A Unknown

5. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

Comments:

Please return this completed questionnaire to: nancy.b.debo.civ@mail.mil

6. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports).

7. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

8. Ability to successfully respond to emergency and/or surge situations.

9. Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

10. Ability to hire/apply a qualified workforce to this effort.

11. Ability to retain a qualified workforce on this effort.

12. If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if a show cause or cure notices were issued or any default action in comment section below.

13. Have there been any indications that the contractor has had any financial problems?

14. In summary, provide an overall rating for the work performed by this contractor.

mailto:nancy.b.debo.civ@mail.mil