W912LA19R7003_Temporary_Facilities_Combo_Atch-5_PPQ.docx

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Temporary Facilities for the 129th Rescue Wing
Solicitation number
W912LA-19-R-7003
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Attachment 5, Past Performance Questionnaire (PPQ)

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Past Performance Questionnaire Solicitation W912LA-19-R-7003 Temporary Facilities for the 129th Rescue Wing Past Performance Questionnaire Temporary Facilities for the 129th Rescue Wing Solicitation W912LA-19-R-7003

The Firm identified on the attached questionnaire is pursuing a federal contract and has identified an effort with your agency as being relevant to this requirement. In order to complete its source selection, the Government requests your feedback on the Firm’s performance under this effort. The Government will use the information that you provide to inform its source selection decision. It is therefore important that you provide your candid response to the questions contained in the questionnaire. It is also important that your information be as factual, accurate, and complete as possible to preclude the need for follow-up by the Government’s evaluators. If you do not have knowledge of, or have not had experience with the company in question, please forward this questionnaire to the person within your organization who does.

Please return the completed Questionnaire directly to the Contracting Officer, SMSgt Paul (Nick) Ochs via email at paul.n.ochs.mil@mail.mil. When submitting your response, please reference the solicitation number above.

Please note: The Government will not accept questionnaires submitted by the Firm subject to this evaluation—it is important that the evaluating agency submit this directly to the Contracting Officer. Please contact the Contracting Officer if you have any questions or concerns.

In order to provide your response, please use the adjectival rating definitions below:

Adjective
Description
Outstanding
The Firm’s performance meets contractual requirements and exceeds many requirements that ultimately benefit the end user. The Firm accomplished the work with few (if any) minor problems for which the corrective actions taken by the Firm were highly effective.
Good
The Firm’s performance meets contractual requirements and exceeds some requirements that benefit the end user. The Firm accomplished the work with some minor problems for which corrective actions taken by the firm were effective.
Acceptable
The Firm’s performance meets contractual requirements. The Firm accomplished work with some minor problems for which corrective actions taken by the contractor were satisfactory.
Marginal
The Firm’s performance does not meet some contractual requirements. The Firm has had serious problems in accomplishing the work, and the Firm has not yet identified corrective actions, or the corrective actions taken by the Firm appear to be only marginally effective.
Unacceptable
The Firm’s performance does not meet contractual requirements. The Firm has had serious problems in accomplishing the work, and the Firm’s corrective actions were ineffective.

Past Performance Questionnaire Solicitation W912LA-19-R-7003 Temporary Facilities for the 129th Rescue Wing

Part 1 – Identification of the Firm and Previous Effort This part is to be completed by the Firm prior to being submitted the rating agency.

Firm’s NameClick here to enter the Firm’s business name
Firm’s Point of ContactClick here to enter the Firm’s POC

Click here to enter the POC’s title Click here to enter POC’s telephone number Click here to enter POC’s email address Firm’s Address Click here to enter the Firm’s mailing address City, State Zip Code

Project TitleClick here to enter the project title
Contract NumberClick here to enter the contract number
Contract TypeChoose the contract type
Award DateClick here to enter the contract award date
Total Contract ValueClick here to enter the total contract value
Completion DateClick here to enter the actual (or estimated) completion date
Prime ContractorIf you were a subcontractor, enter the name of the prime contractor
Description of the EffortClick here to enter a description of the overall requirement

Part 2 – Identification of the Evaluating Agency This part is to be completed by the evaluating agency.

Agency’s NameClick here to enter the Agency’s name
Agency Point of ContactClick here to enter the Agency’s POC

Click here to enter POC’s title Click here to enter POC’s telephone number Click here to enter POC’s email address Agency’s Address Click here to enter the Agency’s mailing address City, State Zip Code Past Performance Questionnaire

Evaluation Area
Outstanding
Good
Acceptable
Marginal
Unacceptable
Firm’s compliance of the products, services, documents, and related deliverables to the contract’s requirements and standards of good workmanship.
☐
☐
☐
☐
☐

Please provide any additional comments, especially to substantiate ratings of “Outstanding” or “Unsatisfactory”.

Firm’s compliance of the firm’s products, services, documents, and related deliverables to the contract’s requirements and standards of good workmanship.
☐
☐
☐
☐
☐

Please provide any additional comments, especially to substantiate ratings of “Outstanding” or “Unsatisfactory”.

Timeliness of Performance for Services and Product Deliverables.
☐
☐
☐
☐
☐

Please provide any additional comments, especially to substantiate ratings of “Outstanding” or “Unsatisfactory”.

Cost Type Contracts Only: Effectiveness of the Firm in Forecasting and Controlling Estimated Costs.
☐
☐
☐
☐
☐

Please provide any additional comments, especially to substantiate ratings of “Outstanding” or “Unsatisfactory”.

Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest
☐
☐
☐
☐
☐

Please provide any additional comments, especially to substantiate ratings of “Outstanding” or “Unsatisfactory”.

Overall Rating of the Firm’s performance
☐
☐
☐
☐
☐

Please provide any additional comments about the Firm’s overall performance under this effort.

Are you aware of other relevant past efforts by this Fim?
☐ Yes
☐ No

If yes, please provide the name and telephone number of a point of contact:

If you’re aware of any other relevant past efforts by this Firm, please provide contact information here.

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