Attachment_9_-_Past_Performance_Questionnaire.pdf

PDF 165 KB Posted

Attached to
Defense Threat Reduction Agency (DTRA) White Sands
Solicitation number
140D0426R0019
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of Interior, Interior Business Center for Solicitation 140D0426R0019. The form is provided to clients and customers of contractors under consideration for award to solicit objective feedback regarding contractor performance on previous projects.

The questionnaire collects firm information including project title, location, description, company name, contract number, start and completion dates, initial and final contract amounts, and evaluator details. Evaluators rate contractor performance across four core competency areas using a five-point scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The four rated categories are relationship with the client/customer contract team; overall corporate management, integrity, reasonableness, and cooperative conduct; quality control; and ability to meet performance schedule. The form also includes yes/no questions regarding issuance of cure notices, show cause letters, reprimands, payment suspensions, or terminations; willingness to award future contracts; customer satisfaction with final products and services; and whether the firm was provided opportunity to respond to negative comments. An overall rating is required, along with space for supporting comments. Completed questionnaires must be signed and returned to the Contracting Officer, Stephanie McCullough, at Stephanie_McCullough@ibc.doi.gov.

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Attachment 9 – Past Performance Questionnaire Solicitation 140D0426R0019

Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, Interior Business Center is considering award to the contractor that provided you this document. We appreciate your comments regarding this company’s past performance.

Firm Information Project Title:

Location:

Description:

Company Name: Contract Number:

Start Date: Completion Date:

Initial Amount: Final Amount:

Evaluator Evaluator Name: Company/Agency Name:

Address: POC Email:

Position Held or Function in Relation to Project:

Ratings Overview Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O” Outstanding Performance greatly exceeded the contract requirements.

“A” Above Average Performance exceeded the contract requirements.

“S” Satisfactory Performance met the contract requirements.

“M” Marginal Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.

Questionnaire Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:

O

A

S

M

U

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

3. Quality control:

4. Ability to meet the performance schedule:

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

No

6. Would you award another contract to the company being evaluated? If no, please explain:

Attachment 9 – Past Performance Questionnaire Solicitation 140D0426R0019

7. Was the customer satisfied with the final product and services? If no, please explain:

8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

9. Overall Rating:

10. Comments:

Signature

Please return the signed questionnaire to the person that requested it or to the Contracting Officer, Stephanie McCulloguh at Stephanie_McCullough@ibc.doi.gov. Please notify the requestor when the form has been submitted.

mailto:Stephanie_McCullough@ibc.doi.gov

File details come from the government source that posted it. Updated .