B09_SA_Attachment_4_-_Past_Performance_Questionnaire_Amd_4_0004.docx
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- Solicitation number
- 140D0425R0014
About this file
This is a Past Performance Questionnaire (PPQ) template for solicitation #140D0425R0014, "Professional Environmental, Historic, Sustainability and Related Support Services IDIQ" issued by the Department of Interior Business Center on behalf of the Department of Veterans Affairs Office of Construction and Facilities Management.
The PPQ template consists of two main sections: contract information to be completed by the contractor and past performance review to be completed by the client. The evaluation criteria include quality of deliverables, schedule/timeliness, customer service, management effectiveness, cost/financial management, and safety/security compliance. Performance ratings range from Exceptional to Unsatisfactory on each element. The completed questionnaires are to be submitted directly by the client to Clements_proposal_submissions@ibc.doi.gov. Contractors are instructed to return only Page 1 of up to five PPQ forms as Volume V of their proposal package.
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Text version
Attachment 4
PAST PERFORMANCE QUESTIONNAIRE
Offeror: Return only Page 1 of up to Five PPQ Forms as Volume V.
Forward the entire form to each client for their direct submission to the Government.
| Current Solicitation Number: 140D0425R0014 |
| Contract Title: PROFESSIONAL ENVIRONMENTAL, HISTORIC, SUSTAINABILITY AND RELATED SUPPORT SERVICES IDIQ |
SECTION 1: CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
Address:
DUNs Number:
Phone Number: Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: ☐ Prime Contractor ☐ Sub Contractor ☐ Joint Venture ☐ Other Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Number: Delivery/Task Order Number (if applicable):
Contract Type: ☐ Firm Fixed Price ☐ Cost Reimbursement ☐ Other (Please specify):
Contract Title:
Contract Location:
Award Date:
Original Completion Date:
Actual Completion Date:
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (including any modifications):
4. Project Description, Complexity, and Relevance:
Brief description of technical scope:
Complexity of Work ☐ High ☐ Medium/Routine ☐ Low
How is this project relevant to current scope of work?
SECTION 2: CLIENT INFORMATION and PAST PERFORMANCE REVIEW (Client to complete and return Blocks 5-7 to Clements_proposal_submissions@ibc.doi.gov)
| 5. Client Information | |
| Name: | Title: |
Agency/firm:
Telephone number: Email address:
Signature:
Date:
6. Describe the role of the contractor named above in this project:
7. Past Performance Information:
Please choose the letter on the scale that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY UNSATISFACTORY OR MARGINAL RATINGS.
| E |
| VG |
| S |
| M |
| U |
| NA |
Exceptional (Outstanding) Very Good (Above Average)
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Not Applicable |
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with no problems for which corrective actions were required.
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with only minor problems for which corrective actions taken by the Contractor were highly effective.
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear, or were, satisfactory. |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the Contractor did not or has not yet identified corrective actions. The Contractor’s proposed corrective actions appear only marginally effective, or were not fully implemented |
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.
This factor is not applicable to this contract.
A. QUALITY:
| a) Quality of deliverables, technical data developed, and conclusions/recommendations |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| b) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| c) Effectiveness of contract problem recognition and resolution without extensive customer guidance |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| d) Knowledge/expertise demonstrated by contractor personnel |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
B. SCHEDULE/TIMELINESS OF PERFORMANCE:
| a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below) |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
C. CUSTOMER SERVICE:
| a) Satisfaction of end users with the project outcome. |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| b) Quality of working relationships with your staff including successfully resolving disagreements/disputes, demonstrating responsiveness to administrative reports, maintaining businesslike and professional communications, and demonstrating concern with the interests of the customer |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| c) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution, and response to client changes |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
D. MANAGEMENT
| a) Effectiveness of project management including ability to effectively lead, manage, and control the project activities; ongoing communication with client; and clarity of invoices and progress reports |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| b) Effectiveness of personnel management, including ability to hire, retain, and apply a qualified workforce to this effort |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| c) Effectiveness of management and coordination of activities undertaken by subcontractor/vendors/consultants |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
E. COST/FINANCIAL/CONTRACT MANAGEMENT
| a) Compliance with contractual terms/provisions (explain if specific issues) |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| b) Ability to meet the requirements within the contractually agreed price(s) |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation and monthly status reports/budget variance reports |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| d) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below. |
| Yes☐ No☐ |
Comments:
| e) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. |
| Yes☐ No☐ |
Comments:
F. SAFETY/SECURITY
| a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved health and safety plan, and respond to safety issues? |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
| b) Contractor complied with all security requirements for the project and personnel security requirements. |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Comments:
G. OVERALL
| a) Would you hire or work with this firm again? (If no, please explain below) |
| Yes☐ No☐ |
Comments:
| b) In summary, provide an overall rating for the work performed by this contractor. |
| E ☐ VG ☐ S ☐ M ☐ U ☐ NA ☐ |
Please provide brief comments addressing specific strengths, weaknesses, deficiencies, or other comments that may assist our office in evaluating performance risk:
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