Attachment_0003_Past_Performance_Questionnaire_7_Feb_2018.docx
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- Operations Center - Iraq (OPSCEN)
- Solicitation number
- W560MY17R0005
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Attachment 0003 - Past Performance Questionnaire (PPQ)
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ATTACHMENT 0003 (SOLICITATION PAST PERFORMANCE QUESTIONNAIRE)
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 ACC-RI contracting office is obtaining past performance information with respect to each Offeror. The PPQ respondent will complete all sections of the Past Performance Evaluation Questionnaire 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, David Fields, Contract Specialist, 309-782-4513, david.s.fields16.civ@mail.mil
The subject line in the submission email shall clearly indicate: ‘[Offeror Name] W560MY-17-R-0005 message shall originate from the PPQ respondent’s Government or corporate email address.
SECTION I GENERAL GUIDANCE
Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):
Exceptional: Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good: Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
Unsatisfactory: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
GENERAL INFORMATION
| SECTION II-A | RESPONDENT IDENTIFICATION / POC |
| 1. | |
| Name & Title: |
| 2. |
| Organization: |
| 3. |
| Address: |
| 4. |
| Phone No: |
| 5. |
| E-mail: |
| 6. |
| Date: |
| SECTION II-B | CONTRACT IDENTIFICATION |
| 1. | |
| Offeror: |
| 2. |
| DoD Entity (CAGE) Code of Evaluated Contractor: |
| 3. |
| Type of Instrument - Contract/Order/Subcontract/Other: |
| 4. |
| If Sub contract identify Prime Contractor: |
| 5. |
| Contract Number: |
| 6. |
| Order Number (if applicable): |
| 7. |
| Project Title Description (add rows if needed, up to 200 words): |
| 8. |
| Contract Type (e.g., Fixed Price, Time and Materials, Cost Reimbursable): |
| 9. |
| Date of Award: |
| 10. |
| Date work effort/contract will end: |
| 11. |
| Initial Total Contract / Subcontract Dollar Value (w/Options): |
| 12. |
| Current/Final Total Contract / Subcontract Dollar Value (w/Options): |
| 13 |
| Period of Performance (including all options) |
| 14. |
| Place(s) of Performance: |
| 15. |
| Contracting Officer Contract information |
| 16 |
| Technical COR Contact information |
SECTION II-C GENERAL INFORMATION
| 1. |
| Respondent’s Role (e.g., COR, Contracting Officer) for evaluated contract 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. |
| If this was an award or incentive fee contract, what percentage of the available fee did the Contractor receive (if applicable, breakout by performance period)? |
| 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 driven): |
Section II-D CONTRACT PERFORMANCE Please Rate This Contractor With Respect To:
A. Quality: Conforming to the contract requirements including specifications, standards of good workmanship, and technical direction:
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
Comment:
B. Schedule: Contractor’s timeliness against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements according to the agreed-to schedule. What were the causes of any schedule variances?
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
C. Management: Contractor’s ability to identify and correct problems and prevent or mitigate potential problems in a timely manner:
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
D. Satisfaction level of work effort performed:
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
E. Comment:
F. Has the contractor demonstrated reasonable and cooperative behavior in dealing with your staff and other contractors (including responsiveness and the ability to successfully resolve disagreements/disputes):
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
G. Contractor’s compliance with security requirements OSHA and EPA:
| Rating |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
Check
IV RETURN INFORMATION
When completed, please send electronically via email to: David Fields, Contract Specialist, 309-782-4513, david.s.fields16.civ@mail.mil
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