Past_Performance_Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Contractor shall complete the company specific information on this form, contact their clients, forward this form to their clients and request that their clients complete it (verify/concur and score) and send it via email to at vernessa.hampton.civ@mail.mil and susanne.h.johnson.civ@mail.mil (Phone: 706-545-4360). This will expedite the response from each referenced source.

Name of client organization:

Project name and contract/task order number:

Brief description of support provided:

Total period of performance, dates, and total cost/price:

Number of contractor personnel assigned to the project, by skill category:

SECTION 1:

Name and Title of Contracting Officer Representative (COR):

Address of COR:

Telephone number of COR:

Date the COR was contacted for this PPQ:

Did you inform your client that a past performance questionnaire must be completed and returned to MICC Fort Benning by February 22, 2019 and that a MICC Fort Benning representative may contact him/her sometime after that date?

FORMCHECKBOX

Yes FORMCHECKBOX No

Please BOLD the rating you for the above contract/task order:

1. Overall Technical Performance

2.

Quality of work

3.

Schedule Performance

4.

Cost Performance

5.

Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? FORMCHECKBOX Yes FORMCHECKBOX No

6.

Would you use this contractor again? FORMCHECKBOX Yes FORMCHECKBOX No

SECTION 2:

Name and Title of Contracting Point of Contact (POC):

Address of Contracting POC:

Telephone number of Contracting POC:

Date the Contracting POC was contacted for this PPQ: