A10_-_Past_Performance_Questionnaire.docx
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- Attached to
- CANE - REHABILITATE THE EXTERIOR OF THE
- Solicitation number
- 140P5326R0011
About this file
This is a Department of the Interior Past Performance Questionnaire (PPQ) template for evaluating contractor performance on federal construction projects. The form is designed to be completed in two sections: Section A, which the offeror completes with project details including title, location, company name, CAGE code, key personnel, and contract dates and amounts; and Section B, which the evaluator (project owner or reference) completes with detailed performance ratings and commentary. Past performance questionnaires must be submitted to Ashley Warcewicz at ashley_warcewicz@ios.doi.gov by the deadline specified in the solicitation, with offerors permitted to submit between 2-5 questionnaires covering projects completed within five years of the evaluated contract's completion date.
The questionnaire uses a five-point rating scale (Outstanding, Above Average, Satisfactory, Marginal, or Unacceptable) to evaluate nine key performance areas including contractor-client relationship, corporate management and integrity, quality control, schedule performance, and overall satisfaction with final deliverables. The evaluator must also address whether cure notices, terminations, or other corrective actions were issued; whether they would award future contracts; and provide an overall performance rating with supporting comments. The information collected is designated as source selection sensitive and cannot be used for promotional purposes or to imply government endorsement. This template is directly associated with solicitation 140P5326R0011 for the rehabilitation of Fee Memorial Church exterior in Nicholasville, Kentucky, a 100% small business set-aside valued at $45 million with a firm-fixed-price construction contract and 180-day performance period.
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Text version
Department of Interior Past Performance Questionnaire (PPQ)
U.S. Department of the Interior, National Park Service is considering the company listed below in Section A for a project opportunity - Your comments would be appreciated regarding this company’s past performance.
Instructions:
1) The offeror is to complete only the information in Section A, then send the entire past performance questionnaire to project owner/evaluator for completion.
2) The project owner/evaluator (or reference) is to complete Section B, then send the entire past performance questionnaire back to the offeror to be provided with their complete proposal package, which will then be reviewed for evaluation.
3) The past performance questionnaire must be received by the contracting point of contact ashley_warcewicz@ios.doi.gov by the date and time specified in the solicitation (or any amendments). Please note that for electronic submissions, offerors should consider and account for potential delays in transmissions between when an electronic submission is submitted and when an electronic submission is received. Late past performance questionnaires will not be accepted.
4) One past performance questionnaire is to be used for each past performance project submitted. The offeror may submit between 2-5 past performance questionnaires for this solicitation. Past performance projects must have been completed within five years of the completion of performance of the evaluated contract or order.
Notice to Contractor Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.
This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.
The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.
Section A
Project Title:
Location:
Description:
| Company Name: |
| Unique Entity ID/Cage Code: |
| Owner/Project Manager Name: |
| Email Address: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
Section B
Evaluator
| Evaluator Name: |
| Company/Agency Name: |
| Address: |
| POC Email: |
Position Held or Function in Relation to Project:
Ratings Overview
Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| Performance greatly exceeded the contract requirements. |
| “A” |
| Above Average |
| Performance exceeded the contract requirements. |
| “S” |
| Satisfactory |
| Performance met the contract requirements. |
| “M” |
| Marginal |
| Performance met the minimum contract requirements but |
Some material aspects of the contractor’s performance were less than satisfactory.
| “U” |
| Unacceptable |
| Performance was poor and/or did not satisfy contract requirements. |
Questionnaire
Please select the appropriate rating and provide supporting information for the following questions.
| 1. The relationship between the company and client’s/customer’s contract team: |
| O |
A S M U
2. Overall corporate management, integrity, reasonableness, and cooperative conduct:
O A S M U
3. Quality control:
O
A S M U
4. Ability to meet the performance schedule:
O
A S M U
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes
No
6. Would you award another contract to the company being evaluated? If no, please explain:
No
7. Was the customer satisfied with the final product and services? If no, please explain:
No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
No
9. Overall Rating
O
A S M U
10. Comments
Evaluator Signature
Name
Date:
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