Attachment_6_Past_Performance_Questionnaire.docx

W900KK-18-R-0004 Afghan Special Mission Wing UH-60 FTD Attachment 6

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Offeror shall send this PPQ to each identified Customer Government Representative (CGR) for each of its four detailed, recent, and relevant performance examples (two from the Prime and one from no more than two major subcontractors). The PPQs shall be completed to verify performance of the past performance examples claimed. The Offeror shall complete a PPQ for each performance example submitted. Section L.6.5 of the Solicitation should be read in its entirety before completing these PPQs.

PART A INSTRUCTIONS

The Offeror shall complete only Part A of the PPQs, which include the identification of government representative(s). Notes may be included to explain the government representative’s relationship to the Offeror during the effort to assist in establishing communications with the representative(s) on the past performance. One hard copy of the PPQ (with Part A completed and Part B left blank) shall be submitted with the proposal. The Offeror shall email the same PPQ (with Part A completed and Part B left blank) to the government representative(s) identified within each PPQ.

- SAMPLE OF DESIRED SUBMISSION: ABC Corp, ATTN: Mr. Alpha Rho, X-ray Division, 456 Other Road, Towncorp, DM, 54321-9876. Phone: 456-789-0123. Cell: 456-789-3210. Email: Alpharho@xdivABC.com.

PART B INSTRUCTIONS

The Offeror shall request that each government representative electronically complete Part B of the PPQ. The Offeror shall request that the government representative e-mail the complete PPQ to the Government points of contact specified in Section L.1.4 of the solicitation and at the end of the PPQ, not later than the formal submission date of the Final RFP, as stated in Section L.1.2 of the solicitation. Any PPQ(s) received after the Government has begun Past Performance proposal evaluation will not be reviewed or considered. The Offeror shall advise the government representative that the completed PPQ is to be considered source selection sensitive IAW FAR 3.104. Any PPQ(s) submitted by anyone other than the identified government representative(s) specified in Part A of the PPQ submitted in the proposal will not be considered.

PAST PERFORMANCE QUESTIONNAIRE

PART A (To be completed by the Offeror and reviewed by the Government Representative)

Date of Request:

Contractor Name:

Contract Name:

Contract Number:

DO/TO or Subcontract Number:

Offeror’s Representative

Government Representative Organization:

Name:

Title:

Role on Contract: ___ Product Manager; ___ PCO; ___ COR; ___ Technical Lead (please specify) Telephone Number Address:

Email Address:

Notes regarding government representatives relationship to Offeror during the effort (optional):

To the Government representative:

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). Please include this page in your reply.

PART B (To be completed by the Government Representative for the performance example cited)

For the purpose of this questionnaire, please utilize the following rating structure to simplify response and evaluation:

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 acceptable.

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.

1. COMPLIANCE OF SERVICES AND RELATED DELIVERABLES TO CUSTOMER REQUIREMENTS AND STANDARDS OF GOOD WORKMANSHIP:

· Outstanding

· Good

· Acceptable

· Marginal

· Unacceptable (Explanation must be provided in Comments field below)

Comments:

2. EFFECTIVENESS OF MANAGEMENT (TO INCLUDE USE, EFFICIENCY, AND MANAGEMENT OF SUBCONTRACTORS):

· Acceptable

· Marginal

· Unacceptable

3. TIMELINESS OF DELIVERY/FIELDING OF PRODUCT INTO A CONTINGENCY ENVIRONMENT AND TIMELINESS AND ASSOCIATED PROGRAM DELIVERABLES:

· Acceptable

· Marginal

· Unacceptable

4. UNDERSTANDING OF AND ADHERANCE TO CONTINGENCY RELATED LAWS, POLICIES AND AGREEMENTS:

· Acceptable

· Marginal

· Unacceptable

5. COMMITMENT TO U.S. AND FOREIGN CUSTOMER SATISFACTION AND PRIORITIES:

· Acceptable

· Marginal

· Unacceptable

6. HOW DID THE CONTRACTOR HANDLE ISSUES RELATED TO COST/SCHEDULE OR PERFORMANCE?

7. GENERAL COMMENTS. PROVIDE ANY OTHER RELEVANT PERFORMANCE INFORMATION:

8. 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 and any information you wish to provide regarding the relevancy:

9. RESPONDENT VALIDATION. PLEASE PROVIDE THE FOLLOWING INFORMATION:

(Digital signature preferred)

Upon completion, please email this completed questionnaire to:

Primary Marjorie Saurel Cook, Contract Specialist Army Contracting Command - Orlando 12211 Science Drive Orlando, FL 32826-3224 Telephone number: 407-208-3398 E-mail: marjorie.saurelcook.civ@mail.mil

SOURCE SELECTION SENSITIVE INFORMATION – PROTECT IAW FAR 2.101 & 3.104