B12_Misc_Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than provided, attach additional pages or write on the back. Responses will be treated as source selection sensitive information.

A. Contractor Information (Company you are evaluating):

Name: Address:

Telephone Number:

Point of Contact:

Project Title or Brief Description of Work:

Contract Number Provided by Offeror: Dollar Amount:

Contract Period or Dates of Performance Provided by Offeror:

Note: If the offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the: Prime Contractor Sub-Contractor Key Personnel.

B. Respondent Information (Your information):

Name: Address:

Title:

Company:

Telephone Number:

Email Address:

C. E-mail (preferred) or Fax completed survey form not later than to:

(Date/Time)

Email:

Fax:

Please place the following in the subject line of your e-mail or fax cover sheet:

Past Performance for response to:

(Name of Company you’re evaluating) (Solicitation Number)

D. Performance Information: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. Please provide a narrative explanation for any ratings of 1 OR 2.

1 2 3 4 5 6 Unacceptable Marginal Good Very Good Excellent Unknown

Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the requirements.

Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the requirements.

Based on the offeror’s performance record, there is confidence the offeror will successfully perform the requirements.

Normal contractor emphasis should preclude any problems.

Based on the offeror’s performance record, there is significant confidence the offeror will successfully perform the requirements.

Based on the offeror’s performance record, there is high confidence the offeror will successfully perform the requirements.

No performance record is identifiable.

E. Based on the contractor’s performance select the appropriate number for each item on that best describes the confidence rating from the table in paragraph D. Your rating should be based on how well the contractor performed on your contract. Please provide any additional comments in the space provided.

(1) Provided experienced managers/supervisors with the technical and administrative abilities needed to meet contract requirements.

Rating Comments

(2) Provided qualified/trained professional personnel to perform the contractual services.

(3) Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

(4) Reasonableness in solving significant local problems.

(5) Followed the proposed plan or statement of work.

(6) Provided timely resolution of contract discrepancies.

(7) Met all performance standards tasks specified in the Statement of Work/Specifications?

(8) Contractor was timely and accurate when submitting invoices and change proposals.

(9) Meet the completion schedule without time extensions? If no, please provide reasons for extensions.

(10) Overall confidence rating you would assign to the contractor's performance.

(11) Identify the contractor's overall strengths and weaknesses.

(12) Given the choice, would you award to this contractor again? Why?

(13) Are you aware of any other contracted efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.

(14) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.

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