Appendix A-1 - Past Performance Questionnaire.pdf
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- Attached to
- Senate Document Management System
- Solicitation number
- 2025-R-060
- Issued by
-
United States Senate
About this file
This document is a Past Performance Questionnaire (PPQ) for Solicitation 2025-R-060, the Senate Document Management System procurement by the U.S. Senate Sergeant at Arms. The questionnaire is designed to evaluate a contractor's past performance across eight key performance areas, including contract requirements fulfillment, delivery schedules, problem identification and correction, personnel expertise, key personnel management, program management, cost forecasting, and overall performance.
The form provides a structured evaluation methodology using performance ratings ranging from Exceptional (EX) to Unsatisfactory (US), with options for Not Applicable (N/A). References are requested to complete the questionnaire within five (5) days of receipt and return it via email to acquisitions@saa.senate.gov, specifically addressed to Charles Blalock, Procurement and Contracting Specialist. The document is marked as Source Selection Information and is to be treated as procurement-sensitive, indicating its critical role in the contractor selection process for the Senate Document Management System project.
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Text version
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
Appendix A-1
PAST PERFORMANCE QUESTIONNAIRE
The U.S. Senate Sergeant at Arms requests information in support of a source selection of Request for Proposal 2025-R-060 entitled Senate Document Management System. When complete, the information on this form is SOURCE SELECTION INFORMATION and shall be protected as procurement sensitive information. Please complete this questionnaire and send within five (5) days of receipt by email to:
acquisitions@saa.senate.gov
Attn: Charles Blalock Procurement and Contracting Specialist
A. Contract/Project/Task Order Information. Offeror must complete the information below regarding the contract on which the offeror is seeking a past performance reference:
Name of Offeror/Subcontractor: __________________________________________________
Contract/Task Order Number: _____________________________________________________
Contract Type: _________________________________________________________________
Project Name: _________________________________________________________________
Period of Performance: __________________________________________________________
Brief Description of Work:
mailto:acquisitions@saa.senate.gov
Appendix A-1
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
B. Reference Information. Reference must complete the information below regarding the contract on which the offeror is seeking a past performance reference:
Company/Agency Name: _________________________________________________________
Name of Person Completing Questionnaire: __________________________________________
Signature of Person Completing Questionnaire: _______________________________________
Your Role in Managing this Contract:_______________________________________________
Your Phone Number: ___________________________________________________________
Your Email Address: ____________________________________________________________
Time Period of Your Involvement with Contractor: ____________________________________
For each question posed below, please identify (highlight or underline) the response code which best reflects your experience with the referenced contract:
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022 element contains a serious problem(s) for which the contractor’s corrective actions
Satisfactory --
US
performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
S appear
N/A
VG
actions appear only marginally effective or were not fully implemented.
being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
or were ineffective.
Marginal -- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for
Company/Agency’s benefit. The contractual performance of the element or sub-element
Performance meets contractual requirements. The contractual
Unsatisfactory -- Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-
Very Good -- Performance meets contractual requirements and exceeds some to the which the contractor has not yet identified corrective actions. The contractor’s proposed being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
MG
Not Applicable or Not Observed
EX Exceptional -- Performance meets contractual requirements and exceeds many to the
Company/Agency’s benefit. The contractual performance of the element or sub-element
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
1. N/A
Comments:
EX MG US
fulfilling contract requirements and specifications.
2. Assess the ability of the contractor to deliver goods and services according to contract schedules.
Solicitation 2025-R-
Assess the contractor’s performance VG S
PAST PERFORMANCE QUESTIONNAIRE
Assess the contractor’s performance in
Assess the overall expertise, knowledge, and quality of assigned contractor personnel.
US
EX S
Comments:
Comments:
Comments:
MG US
VG
N/A
MG
3.
EX
VG MG N/A
N/A
VG
S identifying problems and taking corrective actions.
EX
4.
S US
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
EX
6.
Comments:
5.
VG
EX
selecting, retaining, supporting, and replacing, when necessary, key personnel.
VG
Comments:
Assess the effectiveness of the EX N/A contractor’s overall program
US
S US
management.
7. Assess the contractor’s effectiveness in VG S MG US
MG S N/A
MG
Assess the contractor’s performance in
US
forecasting and managing contractual costs.
8. EX VG S Overall assessment. N/A
N/A
Comments:
MG
Comments:
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
9.
10.
Would you contract with this contractor again? ( ) Yes ( ) No
If no, why not?
Please provide any further comments that are pertinent to the contractor’s performance.
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