Amnd 0001_PPQ Attachment.pdf

PPQ-1

PAST PERFORMANCE QUESTIONNAIRE

To Whom it May Concern:

<<Insert offeror name>> is currently responding to the U. S. Department of Labor RFP No.

1605AE-23-R-00010 for the procurement HVAC and Roof Replacements of Building 1- Dormitory, Building 2-Gymnasium & Building 3-Main Building at the Benjamin L. Hooks Job Corps Center.

The U. S. Department of Labor is placing increased emphasis in their procurements on past performance as a source selection factor. They are asking that clients of entities responding to their solicitations be identified and their participation in the evaluation process be requested.

Therefore, we are requesting that you provide the following information regarding our performance on the contract identified below. Please complete Sections B-F of this Questionnaire and return it directly to the address shown below no later than 2:00 PM ET, July 18, 2023.

ATTN: Emily Giardino (CO) & Barbara Eschels (CS)

DOL/OASAM/OSPE

Job Corps Acquisition Services, A/E & Construction Division E-mail: JCASConstructionProcurement@dol.gov

By my signature below, I authorize you to respond to any additional inquiries by the U. S.

Department of Labor regarding our performance on the referenced contract.

(Offeror Signature) (Date)

(Title)

A. Contract Identifying Information Offeror:

Project Title & Contract Number:

Contracting Officer:

Phone No.:

Project Manager:

Phone No.:

PPQ-2

A. Contract Identifying Information Address:

Fax No.:

Work Performance Period: ____________________ to ______________________

Contract Value: $

Brief Summary of Statement of Work:

B. Outcomes vs. Goals:

1. Were there measurable performance goals or outcomes associated with this contract? If yes, describe:

☐ Yes ☐ No

For the following questions, where applicable, check the adjectival rating which most closely represents your assessment of the contractor's performance: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory

2. How effective was the contractor in achieving those outcomes? (Explain any rating below Satisfactory)

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

C. Cost Control: How well has the contractor:

1. Performed all contracted services within the budget? ☐ Exceptional

☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

2. Submitted complete and accurate financial reports and invoices?

☐ Exceptional ☐ Very Good ☐ Satisfactory

PPQ-3

C. Cost Control: How well has the contractor:

3. Has a draft or final audit report disclosed questioned or disallowed costs? If yes, indicate:

period covered by audit disallowed or recommended for disallowance disallowed costs as a % of audited funds

☐ Yes ☐ No

Comments: (Explain any ratings below Satisfactory)

Summary Adjectival Rating of Cost Control ☐ Exceptional ☐ Very Good ☐ Satisfactory

D. Timeliness of Performance: How well has the contractor:

1. Completed contract requirements and submitted reports and schedules according to specified time frames?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

2. Responded to technical direction and requests in a timely manner?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of Timeliness of Performance

☐ Exceptional ☐ Very Good ☐ Satisfactory

E. Business Relations: To what extent has the contractor:

1. Been pro-active in contract monitoring and review? ☐ Exceptional

☐ Very Good ☐ Satisfactory

PPQ-4

E. Business Relations: To what extent has the contractor:

2. Demonstrated a responsive and cooperative working relationship with the Contracting Officer and Project staff?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

3. Promptly notified the Contracting Officer of potential problems?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

4. Used effective approaches and provided technical expertise and resources to solve contract problems?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of Business Relations

☐ Exceptional ☐ Very Good ☐ Satisfactory

F. Customer Satisfaction: To what extent has the contractor:

1. Been effective in tailoring the program to meet the needs of the customers?

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

2. Shown flexibility in operating the program to meet changing program needs and emphases?

☐ Satisfactory

PPQ-5

F. Customer Satisfaction: To what extent has the contractor:

Comments: (Explain any ratings below Satisfactory) Summary Adjectival Rating of

Customer Satisfaction

☐ Satisfactory ☐ Marginal

Additional Comments:

Name & Title of Individual Completing Information:

Phone No.

PPQ-6

(For Department of Labor Use Only)

SUMMARY PAST EXPERIENCE CONFIRMATION

B. Outcomes vs. Goals

C. Cost Control

D. Timeliness of Performance

E. Business Relations

F. Customer Satisfaction

Verified by:___________________________________________Date:____________________