S02 - Past Performance Questionnaire.docx
DOCX document 30 KB Posted
- Solicitation number
- 36C26125R0057
About this file
The document is a Past Performance Questionnaire (PPQ) template for federal contract solicitation 36C26125R0057 for the Department of Veterans Affairs Veterans Health Administration. The PPQ requires offerors to submit completed questionnaires for each prime contractor project, documenting detailed performance feedback from previous clients across multiple evaluation categories including technical performance, quality of work, schedule performance, cost performance, risk management, and overall contractual performance.
The questionnaire is structured in three sections: Project Information, Client Technical Feedback, and Contracting Feedback. It requires offerors to provide reference project details, contact information for technical and contracting points of contact, and obtain ratings in categories such as overall performance, work quality, schedule adherence, and cost management. The evaluation team may independently contact references and consider past performance information from various sources. The PPQ is specifically tied to a utility services contract for the VA Sierra Nevada Health Care System Ioannis A. Lougaris Medical Center, which requires providing new utility services with all necessary labor, materials, equipment, tools, and supervision.
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PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Offeror shall submit a completed Past Performance Questionnaire for each project listed under Factor 1: PRIME CONTRACTOR PROJECT EXPERIENCE. Offerors shall use this questionnaire form (and no other). Offerors shall contact the former clients and complete this form using information gathered from the former clients, and then include the completed form with your proposal (multiple forms are expected).
NOTE: The Evaluation Team may contact the references provided for the projects submitted. The Evaluation Team may consider past performance information from a wide variety of sources from inside and outside the federal government or from any source for the evaluation of past performance.
SECTION 1: Project Information
Name and Location Of Reference Project
Contract/Task Order #
Brief Description of Work
Total Period of Performance (include start & end dates)
Total Cost/Price
SECTION 2: Client Technical Feedback
Name and Title of Client Technical Point of Contact (POC)
Telephone number of Technical POC
Email of Technical POC
Date on which Technical POC was contacted for this PPQ
Inform your client’s Technical POC that a VA representative may contact him/her to discuss the referenced project:
|_| Done |_| Not Done
Select the rating your client’s Technical POC indicated he/she gave your project performance:
1. Overall Technical Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
2. Quality of work
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
3. Schedule Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
4. Cost Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?
|_|Yes |_|No
6. Would your client’s Technical POC use the company again? |_|Yes |_|No
SECTION 3: Contracting Feedback
Name and Title of Contracting Point of Contact (POC)
Telephone number of Contracting POC
Email address of Contracting POC
Date on which Contracting POC was contacted for this PPQ
Inform your client’s Contracting POC that a VA representative may contact him/her to discuss the referenced project:
. |_| Done |_| Not Done
Select the rating your Contracting POC indicated he/she would give your project performance if contacted:
1. Overall Contractual Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
2. Would the Contracting POC use your company again? |_|Yes |_|No
Employee(s) who made contact with above-named client references
Date Form Completed
File details come from the government source that posted it. Updated .