Attachment 15: PPI Questionnaire

CUI
Solicitation # SP450026R0015

Attachment # 15

PAST PERFORMANCE INFORMATION (PPI) QUESTIONNAIRE – OFFEROR

The offeror is solely responsible for ensuring references complete and submit this questionnaire to the Government by the required due date.

Section 1

OFFEROR TO COMPLETE THIS SECTION:

Offeror Firm Name:
Offeror Firm Address:
Offeror Firm EIN:
Offeror Firm Email:
Offeror Firm Phone:
Offeror Firm FAX:
We are in the process of preparing our proposal for DLA Disposition Services’ Solicitation No. SP450026R0015
Turkey
As
part of our proposal we have listed you as a reference for work performed by our firm for your firm/Agency. Your input on our performance is therefore requested. Please complete Section 2 of this document and then [email protected]
The Government must receive the completed document no later than the date offers are due. Thank you.

Controlled by: DLA Disposition Services (PH)
CUI Category: SSEL
Distribution/Dissemination Controls: FED ONLY
POC: Hazardous Waste Disposition East

CUI

As of: 12/22/2021

Once this document has been completed, the information contained becomes Source Selection Sensitive. SOURCE SELECTION INFORMATION - SEE FAR 2.101 and 3.104.

CUI

Solicitation # SP450026R0015

Attachment # 15

Section 1

OFFEROR TO COMPLETE THIS SECTION:

Reference Contract Title:
Reference POC Name:
How Long in this Role:
Firm/Agency Reference Works for:
Contract Performance Location:
Performance Start Date:
Total Contract Dollar Value: $
Description of Contract Requirements:

Contract #:
Role/Title for the Contract:
Phone:

Email:

Contract Completion Date:

Hazardous Material/ Waste Streams Involved and Quantities/Volumes Disposed and Recycled: Location of Pickup Point(s) or Other Services:
Frequency of Pickup(s) or Other Services (e.g. once a month): Allowable Response Time after Notification for Performance (e.g., 30 days): Types of Documents Contractor was required to Provide/Process (i.e. manifests, waste profiles, permits, etc.): Significant Risks in Performance of the Contract:

What work was performed by the offeror?

CUI

As of: 12/22/2021

Once this document has been completed, the information contained becomes Source Selection Sensitive. SOURCE SELECTION INFORMATION - SEE FAR 2.101 and 3.104.

Solicitation # SP450026R0015

CUI

Attachment # 15

Section 2

OFFEROR'S REFERENCE TO COMPLETE THIS SECTION:

Based on the following adjectival ratings scale, please evaluate the quality of the offeror’s performance by selecting the