Attachment 4: Past Performance Questionaire

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE (PPQ)

GENERAL INFORMATION: (Please correct any inaccurate information) Contractor’s Name:
Address:
Point of Contact:
Phone Number:
Email:
Project Title:
Description of Work:

Relevancy to Breathing Air Systems
Services:

AWARD INFORMATION:

Award Number:
Dollar Amount:
Period of Performance:

Contractor performed as:

Prime Contractor

Sub-Contractor

RESPONDENT INFORMATION:

Name:
Title:
Address:
Email:

EMAIL COMPLETED QUESTIONAIRE TO:

Alexia Del Real
Contract Specialist
[email protected]

Christopher Barnes
Contracting Officer
[email protected]

PERFORMANCE INFORMATION:

In the tables below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Please provide additional comments as necessary to support your rating. Attach additional pages if more space is needed.

The performance rating scale is defined as follows:
During the award period, contractor performance is meeting (or met) all award requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action. Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires for Breathing Air Systems Services. During the award period, contractor is meeting (or met) all award requirements and consistently exceeding (or exceeded) some. Some minor problems encountered. Contractor took timely corrective action. Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires for Breathing Air Systems Services.

E

EXCEPTIONAL

V

VERY GOOD

S

SATISFACTORY

M

MARGINAL

During the award period, contractor performance is not meeting (or did not meet) some award requirements. For problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required. Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires for Breathing Air Systems Services.

U

UNSATISFACTORY

During the award period, contractor performance is failing/fail to meet most award requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required. Based on the offeror’s recent/relevant