Attachment 0011 - Past Performance Questionaire_06 December 2021.pdf

CCAP-CCC (WHI) XX XXX 2021

SUBJECT: Offeror Past Performance Assessment in Support of Solicitation Number

W56KGY-22-R-0004.

Dear Sir/Ma’am;

The U.S. Army Contracting Command- Aberdeen Proving Ground is currently conducting a competitive source selection to evaluate Offerors on subject solicitation.

As part of this evaluation, we have requested that the Offerors provide information on recent and relevant Federal, State, and local Government contracts performed under North American Industry Classification System code 511210. You have been identified as the point of contact cited on the enclosure.

Your assessment of its performance is extremely valuable to our evaluation.

Please complete the enclosure and submit electronically to nicholas.m.mitrocsak.civ@army.mil and meghan.c.whitmore.civ@mail.mil no later than 15 days after receipt of request.

Your cooperation is greatly appreciated. Questions may be directed to POC or the undersigned at 443-861-5390.

Sincerely, Meghan C. Whitmore

Procuring Contracting Officer mailto:nicholas.m.mitrocsak.civ@army.mil

Past Performance Evaluation Questionnaire (PPQ) Form

Contractor: ____________________ Contract No.:____________________________ Subcontract No. (If applicable):_________________________________ POC: ________________________ Title: ________________________ (Name) (E.G. PCO/ACO/TM) (Agency, Telephone No., E-mail Address & Fax Number)

The following questions pertain to the contractor’s record of past (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Outstanding: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable: Performance meets contractual requirements. Work was accomplished with some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective.

Unacceptable: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

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

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

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

Outstanding (Explanation must be provided in Comments field below) Good Acceptable Marginal (Explanation must be provided in Comments field below) Unsatisfactory (Explanation must be provided in Comments field below)

Comments:

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

Acceptable

C. Timeliness of Performance for Services and Product Deliverables.

Acceptable

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

Acceptable

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

Acceptable

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

G. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

H. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number

E-mail Address: