Attachment 6.pdf
PDF 264 KB Posted
- Attached to
- NC3 Alert Campus, Offutt AFB, NE Federal contract opportunity
- Solicitation number
- W9128F21R0062
About this file
This document contains a past performance questionnaire template for a federal contractor to provide to a previous client for feedback, as well as details of a solicitation by the U.S. Army Corps of Engineers seeking design and construction services.
The past performance questionnaire asks the previous client to evaluate the contractor's quality, schedule, customer satisfaction, management, cost and financial management, safety, and overall performance on a previous contract. It requests ratings in these categories along with comments on strengths, weaknesses and other feedback. The related solicitation is for design and construction of an alert facility campus, family visitation facility, and aircraft maintenance building at Offutt Air Force Base in Nebraska. Services required include design, construction, paving, utilities, security fencing and recreational areas. The estimated building sizes total over 15,000 square meters. The issuing agency is the U.S. Army Corps of Engineers Omaha District. A response is required by the date listed in the solicitation number.
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Text version
ATTACHMENT 6
NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
1. Contractor Information CAGE Code:
Firm Name: DUNs Number:
Address:
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
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:
4. Project Description:
Complexity of Work High Med Routine 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: NAVFAC/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
TO BE COMPLETED BY CLIENT
PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY
a) Quality of technical data/report preparation efforts VG S M U N
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 E VG S M U N performance)
2. SCHEDULE/TIMELINESS OF PERFORMANCE
a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or E VG S M U N the schedule was not met, please address below)
b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract
3. CUSTOMER SATISFACTION
a) To what extent were the end users satisfied with the project? E VG S M U N
b) Contractor was reasonable and cooperative in dealing with your staff
(including the ability to successfully resolve disagreements/disputes; E VG S M U N responsiveness to administrative reports, businesslike and communication)
c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?
d) Overall customer satisfaction 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?
b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N
c) Government Property Control E VG S M U N
d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N
e) Utilization of Small Business concerns E VG S M U N
f) Ability to simultaneously manage multiple projects with multiple disciplines E 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
h) Effectiveness of overall management (including ability to effectively lead, manage and control the program)
5. COST/FINANCIAL MANAGEMENT
a) Ability to meet the terms and conditions within the contractually agreed price(s)?
ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client
E
VG
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)
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.
o
f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.
No
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 users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)
b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N
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).
b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N
c) Would you hire or work with this firm again? (If no, please explain below) Yes No
d) In summary, provide an overall rating for the work performed by this contractor.
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).
File details come from the government source that posted it. Updated .