ATTACHMENT 2 - Past Performance Questionnaire-REVISED.docx
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- Attached to
- ARCHITECT & ENGINEERING - BOUNDARY SURVEY SERVICES - USDA FARM SERVICE AGENCY, PUERTO RICO
- Solicitation number
- 12FPC322R0017
About this file
This solicitation requests qualifications from firms for a single award task order contract to provide boundary survey services for the USDA Farm Service Agency in Puerto Rico. Firms must be HUBZone small businesses and registered in SAM. The base period is one year with four option years. Services include performing legal boundary surveys, measurements, drawings and descriptions to certify farm acreage for CRIM. Evaluations will consider experience, qualifications, capacity, knowledge of locality, and past performance on similar projects. Responses are due by July 15, 2022. The awardee will receive task orders on a firm-fixed price basis to provide services throughout Puerto Rico for the base period and any exercised options.
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ATTACHMENT 2: PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Instructions:
| - | The Offeror will complete Section I and II. |
| - | The Assessor will complete Sections III-VII. |
Message to the Assessor: Your assistance is requested by the agency to assist with providing feedback regarding the past performance of the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Officer respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: [insert email address] or fax to [insert fax number] by [insert date and time that questionnaire must be returned]. Please sign and date the last page.
I. Solicitation Information
| Solicitation Number |
| [Insert solicitation number] |
| Project/Requirement |
| [Enter Project Name/Requirement Title] |
| Agency |
| [Insert name of agency being supported] |
| Project/Requirement Description |
| [Enter brief project/requirement description] |
II. Contract Information for Past Performance Reference
CONTRACTOR NAME
[insert contractor name]
| Contract No |
| [Fill-in] |
| Period of Performance/Delivery Schedule |
| [Fill-in] |
| [Fill-in] |
Project/Requirement Description
[Fill-in]
Please select from the following as it applies to this contract:
Contracting Role
|_| PRIME |_| SUBCONTRACTOR
III. Assessor Information Assessor Name, Title
Company
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| Role |
| Period of Involvement |
Contracting Officer
Contract Specialist
Contracting Officer’s Representative (COR)
Other (please note)
IV. Evaluation Definitions The following definitions must be used in your assessment of Contractor performance.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NEUTRAL |
| No past performance. This is neither a negative nor positive assessment. |
V. Performance Evaluation
| Performance Elements |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unacceptable |
| N/A |
Technical Quality
Subcontract & team management
Cost control & savings
Customer satisfaction & responsiveness
Performance schedules
Adapting to changed conditions
Timeliness of reports
VI. Overall Rating of Contractor’s Performance
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
VII. General Comments Any comments are appreciated; however, at a minimum please provide rationale for ratings of marginal or unsatisfactory for both the individual element and overall ratings.
| _________________________________ | ______________ | |
| Assessor’s Signature | Date |
Assessor’s Name
SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND FAR 3.104 21
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