Attachment_2-PPQ.docx

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Attached to
SATCOM Custodial Services, Camp Roberts, CA
Solicitation number
W9124N-19-Q-0010
Issued by

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Attachment 2 to Solicitation W9124N-19-Q-0010

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ATTACHMENT 2 to Solicitation W9124N-19-Q-0010

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

The purpose of this questionnaire is to obtain past performance information relative to a contract that has been completed or is currently being performed by the below identified contractor at your agency/company.

Please complete the enclosed questionnaire and return it to the MICC-POM contracting office no later than Monday, 19 August 2019, at 1:00 PM PST. Forms are to be returned to the point of contact (POC) listed below directly from the company or person providing the past performance information.

POC:

MICC-Presidio of Monterey 400 Gigling Road, Bldg 4385 Seaside, CA 93955-6771 Attention: Robert Roulusonis EMAIL: Robert.a.roulusonis.civ@mail.mil

SECTION A: CONTRACTOR INFORMATION

1. Contractor’s Name and Address: ________________________________________________

2. Point of Contact: __________________________________________________________________

3. Phone Number: __________________________________________________________________

4. Contract Number: ____________________________________ Contract Type: ________________

5. Project Title: ___________________________________________________________________

6. Period of Performance: ______________________________________________________________

SECTION B: RESPONDENT INFORMATION (To Be Completed By Evaluation Respondent)

1. Respondent’s Company Name and Address: _________________________________________________

2. Respondent’s Name: _________________________________________________________________

3. Phone Number: __________________________________ Fax Number: _______________________

E-mail: ____________________________________________________________________________

4. Contract Number: ____________________________________ Contract Type: __________________

5. Award Amount: __________________________________ Final Amount: _____________________

6. Project Title: _______________________________________________________________________

7. Period of Performance: ________________________________________________________________

SECTION C: PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1
2
3
4
5
6
Unsatisfactory
Marginal
None
Satisfactory
Very Good
Exceptional
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
No record of past performance or the record is inconclusive.
Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Performance met all contract requirements and exceeded some to the Government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.
Performance met all contract requirements and exceeded many to the Government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

1. Developed realistic progress schedules and completed the project within the 1 2 3 4 5 6 N/A established schedule.

COMMENTS/REMARKS: _______________________________________________________________

2. Provided experienced superintendent, managers, and supervisors, with the 1 2 3 4 5 6 N/A technical and administrative abilities to meet requirements.

COMMENTS/REMARKS: _______________________________________________________________

3. Adequately controlled performance of subcontractors. 1 2 3 4 5 6 N/A COMMENTS/REMARKS: _______________________________________________________________

4. Provided effective quality control which resulted in a quality finished product. 1 2 3 4 5 6 N/A COMMENTS/REMARKS: _______________________________________________________________

5. Provided submittals in a timely manner. Submittals were well researched and 1 2 3 4 5 6 N/A clearly identified the proposed item.

COMMENTS/REMARKS: _______________________________________________________________

6. Identified problems as they occurred. Suggested approaches to resolving 1 2 3 4 5 6 N/A problems. Displayed initiative and cooperation in solving problems adequate Information and pricing for change orders and negotiated them in good faith.

COMMENTS/REMARKS: _______________________________________________________________

7. Provided timely resolution of punch list items and closeout documentation. 1 2 3 4 5 6 N/A COMMENTS/REMARKS: _______________________________________________________________

8. Was the contractor assessed liquidated damages? YES NO (If YES, briefly explain the circumstances)

9. Based on the contractor’s overall performance, would you rehire this contractor? YES NO

OVERALL PERFORMANCE RATING _____________________________________________________

Signature of Rater: ________________________________________________Date: _________________

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