Appendix A-1 - Past Performance Questionnaire - ITSC V (RFP).pdf
PDF 218 KB Posted
- Attached to
- U. S. Senate Information Technology Support Contract (ITSC) V Federal contract opportunity
- Solicitation number
- 2025-R-001
- Issued by
- United States Senate
About this file
This is a Past Performance Questionnaire (PPQ) template, version 3 dated May 2022, for the U.S. Senate Sergeant at Arms' Information Technology Support Contract V (Solicitation 2025-R-001). The questionnaire is designed to gather source selection information from previous clients regarding an offeror's past performance.
The PPQ consists of 10 questions evaluating contractor performance across key areas including contract fulfillment, delivery schedules, problem identification/resolution, personnel expertise, program management, and cost management. Each performance area is rated on a scale from Exceptional (EX) to Unsatisfactory (US), with detailed rating definitions provided. The form requires basic contract information from both the offeror and reference, including contract numbers, period of performance, and points of contact. Completed questionnaires must be submitted within 5 days to the Senate's acquisitions office. The document is marked as source selection information and procurement sensitive throughout its 5 pages.
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Text version
Appendix A-1
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
PAST PERFORMANCE QUESTIONNAIRE
The U.S. Senate Sergeant at Arms requests information in support of a source selection of Request for Proposal 2025-R-001 entitled Information Technology Support Contract V. 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
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 2025-R-001
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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