06 - Past Performance Questinnaire (PPQ).pdf

PAST PERFORMANCE QUESTIONNAIRE

1. Contractor Name:

Role on Project:

3. Contractor Address:

5. Procuring Agency/Company Name:

7. Period of Performance:

9. Title of Contract:

2. Contract Number:

4. Contract Type:

D Firm Fixed Price

0 T&M/LH

D Cost Reimbursement

D Other (Please Specify):

6. Agency/Company POC:

Phone:

Email:

8. Dollar Amount of Award: $

Annual Amount: $

Total Dollar Value w/ Mods:$

10. Description of Contract Service/Scope of Contract:

11. Complexity of Work:

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor 13. Comments (Mandatory, Attach additional sheets, if necessary.)

a. Quality of Work

b. Personnel

c. CosUBudget Control

d. Customer Satisfaction

e. Timeliness of Performance/Deliverables

f. Business Relations

g. Overall Performance

14. Rating

15. Would you select this contractor again? Please explain. (Attach additional sheet if necessary.)

D Definitely □ Probably □Definitely Not

16. Name: 17. Title:

Date:

PAST PERFORMANCE RATING GUIDELINES

Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.

Ratings Quality of Work/ Cost/Budget Customer Timeliness of Business Personnel/Service Control Satisfaction Services/Deliverab Relations les Customer -Effective Mgmt

-Compliance w/contract Satisfaction is a -Met interim -Business like requirements -Within budget measure of how milestones correspondence -Accuracy of reports -Current, accurate, products and -Reliable -Responsive to -Appropriateness of complete billings services supplied -Responsive to contract reqmnts personnel -Relationship of by a company technical direction -Prompt notification -Technical excellence negotiated costs to meet or surpass -Completed on time of problems actual customer -Reasonable/ -Cost efficiencies expectations. cooperative -Change orders -Flexible issued -Pro-active

Unsatisfactory Non conformances Cost issues are 1 -Very Delays are Response is not are comprising the comprising Unsatisfied compromising effective achievement of contract performance achievement of reqmnts contract reqmts

Marginal Nonconformances Cost issues require 2-Somewhat Delays require Response is require major agency major agency Dissatisfied major agency marginally effective resources to ensure resources to ensure resources to ensure achievement of contract achievement of achievement of reqmnts contract reqmnts contract reqmnts

Satisfactory Non conformances Cost issues 3-Neither Delays do not Response is usually do not impact do not impact Satisfied Nor impact achievement effective achievement of contract achievement of Dissatisfied of contract reqmnts reqmnts contract reqmnts

Very Good There are no quality There are no cost 4-Somewhat There are no delays Response to problems/issues, and the management issues Satisfied inquiries and/or contractor has and the Contractor technical, service, substantially exceeded has exceeded the administrative the contract performance contract issues are effective.

requirements without requirements, commensurate additional achieving cost costs to the Government savings to the

Government.

Exceptional The contractor has The contractor has 5 -Very Satisfied The contractor has The contractor has demonstrated an demonstrated an demonstrated an demonstrated an exceptional performance exceptional exceptional exceptional level that was performance. It is performance level. performance level.

significantly in excess of expected that this It is expected that It is expected that anticipated achievements rating will be used in this rating will be this rating will be and is commendable as those rare used in those rare used in those rare an example for others. It circumstances circumstances circumstances is expected that this where the contractor where contractor where contractor rating will be used in achieved cost performance clearly performance clearly those rare circumstances savings and exceeds the exceeds the where contractor performance clearly performance levels performance levels performance clearly exceeds the described as described as exceeds the performance performance levels "Exceptional". "Exceptional".

levels described as described as "Exceptional". "Exceptional".