15 - PPQ.docx
DOCX document 105 KB Posted
- Solicitation number
- 36C77626R0061
About this file
This is a Past Performance Questionnaire (PPQ) template developed by the Veterans Health Administration (VHA) Program Contracting Activity Central for evaluating contractor performance on past projects relevant to federal contract opportunities. The form is completed by the contractor in Section 1, providing detailed information about the offeror, contract specifics, project description, pricing history, and scope of work performed. Section 2 is completed by the client or project evaluator, who assesses the contractor's performance across seven key criteria: quality of design and construction standards, schedule and timeliness of performance, communication and cooperation, management and personnel effectiveness, cost and financial management, subcontract management, and an overall summary rating on a four-tier adjectival scale (Outstanding, Above Average, Satisfactory, or Unacceptable).
The PPQ is designed to be incorporated into proposal submissions and counts toward the stated page limitations in the Instructions to Offerors. Evaluators must verify contractor information accuracy, provide detailed comments on performance against contractual requirements, and indicate whether they would recommend working with the firm again. The completed questionnaire must be returned to the offeror for inclusion in their proposal by the solicitation deadline; late submissions will not be accepted. This template is applicable to the Garland VA Medical Center elevator replacement project (Project No. 549-24-425, Solicitation No. 36C77626R0061) and other VHA construction and service contracting opportunities.
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Text version
VHA PROGRAM CONTRACTING ACTIVITY CENTRAL ● 6100 OAK TREE BLVD SUITE 490 ● INDEPENDENCE, OH 44131
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
*PPQs should be returned to the requestor to incorporate into their proposal. All PPQs must be included in the proposal submission by the offeror and will count towards the page limitation listed in the Instructions to Offerors.
SECTION 1
CONTRACT INFORMATION – Contractor to complete
1. CONTRACTOR INFORMATION
NAME OF OFFEROR BEING EVALUATED: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
POINT OF CONTACT: Click or tap here to enter text.
CONTACT PHONE NUMBER: Click or tap here to enter text.
CONTACT EMAIL ADDRESS: Click or tap here to enter text.
WORK PERFOMED AS: Click or tap here to enter text.
PERCENT OF PROJECT WORK PERFORMED: Click or tap here to enter text.
IF SUBCONTRACTOR, WHO WAS THE PRIME? Click or tap here to enter text.
2. CONTRACT INFORMATION
CONTRACT TITLE: Click or tap here to enter text.
CONTRACT NUMBER AND DO/TO NUMBER: Click or tap here to enter text.
CONTRACT TYPE: Choose an item.
if other:
CONTRACT LOCATION: Click or tap here to enter text.
AWARD DATE: Click or tap to enter a date.
ORIGINAL CONTRACT ACCEPTANCE (construction accepted) DATE: Click or tap to enter a date.
ACTUAL CONTRACT ACCEPTANCE: Click or tap to enter a date.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
ORIGINAL IMPLEMENTATION PRICE: Click or tap here to enter text.
ORIGINAL CONTRACT PRICE (all costs - design/installation/financing): Click or tap here to enter text.
FINAL CONTRACT PRICE (including modifications, if applicable): Click or tap here to enter text.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
3. PROJECT DESCRIPTION
SCOPE INCLUDED IN PROJECT: Click or tap here to enter text.
HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION? Click or tap here to enter text.
SECTION 2
EVALUATOR INFORMATION – Client to complete
Veterans Health Administration (VHA) Program Contracting Activity Central (PCAC) is considering the offeror identified above for award of the subject project.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please verify the accuracy of the information in Section 1 and complete the questionnaire below as thoroughly as possible. VHA PCAC may contact you in order to obtain any additional information regarding a contract award.
Please return your completed questionnaire to the offeror to be incorporated into their proposal. PPQs should NOT be submitted directly to VHA PCAC by the client. Refer to the solicitation for proposal due date. Late submissions will not be accepted or evaluated.
EVALUATOR INFORMATION
NAME OF EVALUATOR: Click or tap here to enter text.
POSITION: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
PHONE: Click or tap here to enter text.
EMAIL: Click or tap here to enter text.
DESCRIBE YOUR ROLE IN THE PROJECT: Click or tap here to enter text.
*Please see the last page for Adjectival Ratings for the following:
1. QUALITY
| Ability to meet quality design and/or construction standards specified for technical performance |
| Choose an item. |
| Comments: |
2. SCHEDULE/TIMELINESS OF PERFORMANCE
| Compliance with contract delivery/completion schedules including timely submission of data deliverables (If liquidated damages were assessed or the schedule was not met, please address below.) |
| Choose an item. |
| Comments: |
3. COMMUNICATION
| Contractor was reasonable and cooperative in dealing with client staff (including the ability to successfully resolve disagreements/disputes and responsiveness to client requests) |
| Choose an item. |
| Comments: |
4. MANAGEMENT/PERSONNEL/LABOR
| Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage, and control the project) |
| Choose an item. |
| Continuity in the contractor’s personnel during execution of the contract (e.g., one person or team that stayed with the project throughout the contract) |
| Choose an item. |
| Comments: |
5. COST/FINANCIAL MANGEMENT
| Ability to meet the terms and conditions within the contractually agreed price |
| Choose an item. |
| Comments: |
6. SUBCONTRACT MANAGEMENT
| Ability to manage subcontracting effort, including any subcontracting issues, and the contractor’s ability to resolve the problems without extensive customer guidance |
| Choose an item. |
Comments:
7. SUMMARY
| Would you hire or work with this firm again? If no, please explain below. |
| Choose an item. |
| Provide an overall rating for the work performed by this contractor. |
| Choose an item. |
ADDITIONAL COMMENTS:
| EVALUATOR SIGNATURE: |
| DATE: |
ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
| Rating |
| Definition |
| Outstanding |
| The offeror’s performance met contractual requirements and exceeded many requirements to the client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective. |
| Above Average |
| The offeror’s performance met contractual requirements and exceeded some requirements to the client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective. |
| Satisfactory |
| The offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory. |
| Unacceptable |
| The offeror’s performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented. |
| Not Applicable |
| No information or did not apply to your contract. |
*This page will be removed for evaluation purposes and not be counted toward the proposal page count – it is for PPQ completion purposes only* image1.tiff
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