Attachment_2 AE PPQ.pdf

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

*PPQs should be provided back to the requestor to incorporate into their SF330, all PPQs should be included in the SF330 submission by the A-E and it will not count towards the page limitation listed

Request for SF 330sin the .

SECTION 1

CONTRACT INFORMATION – Contractor to complete #1-3

1. CONTRACTOR INFORMATION

NAME OF OFFEROR BEING EVALUATED:

ADDRESS: __________________________________________________________________________

POINT OF CONTACT:

CONTACT PHONE NUMBER:

CONTACT EMAIL ADDRESS:

WORK PERFOMED AS:

PERCENT OF PROJECT WORK PERFORMED:

IF SUBCONTRACTOR, WHO WAS THE PRIME?

2. CONTRACT INFORMATION

CONTRACT TITLE:

CONTRACT NUMBER AND DO/TO NUMBER:

CONTRACT TYPE: __________________________________________________________

CONTRACT LOCATION:

AWARD DATE: ______________________________________________________________

ORIGINAL CONTRACT ACCCEPTANCE (construction accepted) Date: ______________

ACTUAL CONTRACT ACCEPTANCE: __________________________________________

EXPLAIN DIFFERENCES:

ORIGINAL IMPLEMENTATION PRICE:

ORIGINAL CONTRACT PRICE (all costs - design/installation/financing):

V ISN 7 CONSTRUCTOIN TEAM

FINAL CONTRACT PRICE (including modifications, if applicable):

EXPLAIN DIFFERENCES:

3. PROJECT DESCRIPTION

SCOPE INCLUDED IN PROJECT:

HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION?

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 information in Section 1 is accurate and complete the enclosed questionnaire as thoroughly as possible. In addition to submitting this questionnaire, VHA-PCAC may contact you in order to obtain any additional information regarding a contract award.

Please email your completed questionnaire back to the firm requesting prior to the date listed in the SF330 Request as they will need these completed documents to incorporate into their SF330 for submission.

*Submissions made after this date and time will not be accepted or evaluated.

SECTION 2

EVALUATOR INFORMATION – Client to complete

EVALUATOR INFORMATION

NAME OF EVALUATOR:

POSITION: _____________________________________________________________________________

ADDRESS: _____________________________________________________________________________

PHONE: _______________________________________________________________________________

EMAIL: ________________________________________________________________________________

DESCRIBE YOUR ROLE IN THE PROJECT:

*Please see Page 4 for Adjectival Ratings for the following:

1. QUALITY

Ability to meet quality design and/or construction standards specified for technical performance

Insert Rating – refer to last page

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.)

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)

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) _______________

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) _______________

Comments:

5. COST/ FINANCIAL MANGEMENT

Ability to meet the terms and conditions within the contractually agreed price? _______________.

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.

Comments:

7. SUMMARY

Would you hire or work with this firm again? If no, please explain below. _______________.

Provide an overall rating for the work performed by this contractor. _______________.

ADDITIONAL COMMENTS:

EVALUATOR SIGNATURE: DATE:

ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR

EVALUATION OF THE CONTRACTOR’S PERFORMANCE

*THIS PAGE WILL BE REMOVED FOR EVALUATION PURPOSES AND NOT BE COUNTED

TOWARD THE SF 330 PAGE COUNT – IT IS FOR PPQ COMPLETION PURPOSES ONLY*

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.

Unsatisfactory 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.