AMD_2_-_ATT_3__Past_Performance_Questionnaire_0002.pdf

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Attached to
D-B North Fume Replacement, Sacramento NWR
Solicitation number
140FGA26R0001
Issued by

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Written by GovTribe AI ·

This is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of the Interior, U.S. Fish and Wildlife Service (USFWS) to evaluate contractor past performance on federal contracts.

The PPQ requests evaluator information regarding a specific project, including project title, location, description, company name, contract number, start and completion dates, initial and final contract amounts, and evaluator details such as name, organization, address, email, and position. The questionnaire employs a five-point rating scale: "O" (Outstanding) for performance greatly exceeding requirements, "A" (Above Average) for performance exceeding requirements, "S" (Satisfactory) for meeting requirements, "M" (Marginal) for meeting minimum requirements with some unsatisfactory aspects, and "U" (Unacceptable) for poor performance failing to satisfy requirements. Evaluators must rate the company on nine criteria: relationship with the client's contract team, overall corporate management and integrity, quality control, ability to meet performance schedules, issuance of cure notices or termination actions, likelihood of awarding another contract, customer satisfaction with final products and services, opportunity provided to the firm to respond to negative comments, and an overall performance rating. The form includes a comments section for narrative feedback and requires evaluator signature and date. Marginal or Unacceptable ratings require additional explanatory information.

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Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, USFWS is considering [Insert Company].

Your comments would be appreciated 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:

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

Signatures

Name Date:

Project Title:
Location:
Description:
Company Name:
Contract Number:
Start Date:
Completion Date:
Initial Amount:
Final Amount:
Evaluator Name:
CompanyAgency Name:
Address:
POC Email:
Position Held or Function in Relation to Project:
undefined:
undefined_2:
undefined_3:
undefined_4:
undefined_5:
O_2:
A_2:
S_2:
M_2:
U_2:
2 Overall corporate management integrity reasonableness and cooperative conduct:
O_3:
undefined_6:
A_3:
undefined_7:
S_3:
undefined_8:
M_3:
undefined_9:
U_3:
undefined_10:
3 Quality control:
O_4:
undefined_11:
A_4:
undefined_12:
S_4:
undefined_13:
M_4:
undefined_14:
U_4:
undefined_15:
4 Ability to meet the performance schedule:
O_5:
undefined_16:
A_5:
undefined_17:
S_5:
undefined_18:
M_5:
undefined_19:
U_5:
undefined_20:
Yes:
No:
6 Would you award another contract to the company being evaluated If no please explain:
Yes_2:
No_2:
7 Was the customer satisfied with the final product and services If no please explain:
Yes_3:
No_3:
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:
Yes_4:
No_4:
9 Overall Rating:
O_6:
undefined_21:
A_6:
undefined_22:
S_6:
undefined_23:
M_6:
undefined_24:
U_6:
undefined_25:
10 Comments:
Date:

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