Appendix A-1 - Past Performance Questionnaire - 2026-R-041.pdf
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- Solicitation number
- 2026-R-041
- Issued by
-
United States Senate
About this file
This is a Past Performance Questionnaire (PPQ) template used by the U.S. Senate Sergeant at Arms for source selection evaluation.
The questionnaire is designed to gather past performance references for Request for Proposal 2026-R-041 entitled Motorola Radio System Maintenance Support Services. Offerors must submit completed questionnaires within five (5) days of receipt to acquisitions@saa.senate.gov, attention Nicole A. Barnes, Procurement and Contracting Specialist. The document functions as a template rather than a specific solicitation; it collects information from past customers or contracting officers who have directly managed contracts with the responding contractor. Section A requires offerors to identify the specific contract, task order, or project for which they are providing a reference, including the contract number, type, project name, period of performance, and work description. Section B requires the reference to provide company/agency name, contact information, role in contract management, and involvement timeframe. The questionnaire uses a standardized six-point rating scale (EX, VG, S, MG, US, N/A) to evaluate eight core performance areas: fulfillment of contract requirements and specifications, schedule adherence, problem identification and corrective actions, contractor personnel expertise and quality, key personnel selection and retention, overall program management effectiveness, cost forecasting and management, and overall assessment. The template also includes binary questions regarding future contracting intent and space for additional narrative comments on contractor performance. All completed information is classified as source selection information and protected as procurement sensitive.
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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 2026-R-041 entitled Motorola Radio System Maintenance Support Services. 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: Nicole A. Barnes
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:
EX Exceptional -- Performance meets contractual requirements and exceeds many to the
Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
VG Very Good -- Performance meets contractual requirements and exceeds some to the
Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
S Satisfactory -- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
MG Marginal -- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
US 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-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N/A Not Applicable or Not Observed
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
PAST PERFORMANCE QUESTIONNAIRE Solicitation 2026-R-041
1. Assess the contractor’s performance fulfilling contract requirements and specifications.
EX VG S MG US N/A
Comments:
2. Assess the ability of the contractor to deliver goods and services according to contract schedules.
EX VG S MG US N/A
Comments:
3. Assess the contractor’s performance in identifying problems and taking corrective actions.
EX VG S MG US N/A
Comments:
4. Assess the overall expertise, knowledge, and quality of assigned contractor personnel.
EX VG S MG US N/A
Comments:
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
5. Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.
EX VG S MG US N/A
Comments:
6. Assess the effectiveness of the contractor’s overall program management.
EX VG S MG US N/A
Comments:
7. Assess the contractor’s effectiveness in forecasting and managing contractual costs.
EX VG S MG US N/A
Comments:
8. Overall assessment. EX VG S MG US N/A
Comments:
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
9. Would you contract with this contractor again? ( ) Yes ( ) No
If no, why not?
10. Please provide any further comments that are pertinent to the contractor’s performance.
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