Attachment B_PPQ.docx

Attachment B Past Performance Questionnaire

1. The USACE Form PPQ shall be utilized for all evaluations that require a Past Performance Questionnaire and only if a CPARS Evaluation is not available.

As provided in the solicitation:

4.3.1 Contractor Performance Assessment Reports System (CPARS). For projects constructed for other Government or commercial entities, submit the performance appraisal sheets used by the respective Government or commercial entity. For each project that may be private industry work or other Government entity not covered in the CPARS database, submit a Past Performance Questionnaire (PPQ), Attachment B, completed by an owner or owner’s representative not affiliated with the Offeror’s firm. Offerors are advised to ensure correct phone numbers and email addresses are provided for the Client point of contact. (Do not submit a PPQ when a completed CPARS evaluation is available). Offeror should explain any past performance resulting in significant cost and/or time growth.

If the client requests, questionnaires may be submitted directly to the Government points of contact:

Mr. Andrew Sprys at andrew.j.sprys@usace.army.mil Ms. Alicia Evans at alicia.g.evans@usace.army.mil

4.3.2 Offerors shall instruct the clients to refer to the solicitation number in the subject line. PPQs are source selection materials. All successfully submitted PPQs will receive an email confirmation upon receipt. If the offeror does not receive the confirmation, it is the offeror’s responsibility to follow up to ensure the government has received the information. Offerors shall not incorporate by reference into their proposal PPQs or CPARS previously submitted for other procurements. However, this does not preclude the Government from utilizing previously submitted past performance information in the past performance evaluation.

USACE Form PPQ will be made accessible on SAM.gov as a separate attachment.

NAVFAC/USACE Past Performance Questionnaire (Form PPQ-0)

Contract Information (Contractor to complete Blocks 1-4)

1. Contractor Information

Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Subcontractor Joint Venture (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

Other

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify): Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable): Explain Differences:

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information

Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

Note: USACE requests that the client completes this questionnaire and submits directly back to the offeror. The offeror will submit the completed questionnaire to USACE with their proposal and may duplicate this questionnaire for future submission on USACE solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to USACE. Please contact the offeror for USACE POC information. The government reserves the right to verify any and all information on this form.

SOURCE SELECTION INFORMATION (SEE FAR 2.101 and 3.104)

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

SOURCE SELECTION INFORMATION (SEE FAR 2.101 and 3.104)

Contractor Information (Firm Name):

Client Information (Name):

To Be Completed by Client Please Circle the Adjective Rating which best reflects your evaluation of the Contractor’s performance.

1. QUALITY:

b. Ability to meet quality standards specified for technical performance

E

VG

S

M

U

N

c. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E

VG

S

M

U

N

d. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E

VG

S

M

U

N

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a. Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E

VG

S

M

U

N

b. Rate the contractor’s use of available resources to accomplish tasks identified in the contract

E

VG

S

M

U

3. CUSTOMER SATISFACTION:

b. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication)

E

VG

S

M

U

N

c. To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

E

VG

S

M

U

N

4. MANAGEMENT/ PERSONNEL/LABOR

a. Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

VG

S

M

U

N

g. Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes

VG

S

M

U

N

h. Effectiveness of overall management (including ability to effectively lead, manage and control the program)

E

VG

S

M

U

N

Contractor Information (Firm Name):

Client Information (Name):

To Be Completed by Client Please Circle the Adjective Rating which best reflects your evaluation of the Contractor’s performance.

5. COST/FINANCIAL MANAGEMENT

a. Ability to meet the terms and conditions within the contractually agreed price(s)?

VG

S

M

U

N

b. Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG

S

M

U

c. If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back- up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

E VG

S

M

U

d. Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.

Yes

No

e. If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

f. Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

6. SAFETY/SECURITY

a. To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the user’s rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG

S

M

b. Contractor complied with all security requirements for the project and personnel security requirements.

E VG

S

M

U

7. GENERAL

a. Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG

S

M

U

N

d. In summary, provide an overall rating for the work performed by this contractor.

E VG

S

M

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary).