Appendix A-1 RFP 2024-R-065 Past Performance Questionnaire.pdf
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- Solicitation number
- 2024-R-065
- Issued by
-
United States Senate
About this file
This document is a Past Performance Questionnaire to be completed by a reference for a federal contract opportunity, Solicitation 2024-R-065 for IT Equipment Moving, State Office Shredding, and Emergency Biohazard Cleaning Services.
The questionnaire requests information about the offeror's past performance on a specific contract, including their ability to meet schedules, fulfill requirements, identify and resolve problems, provide knowledgeable personnel, manage the overall program, and control costs. The reference is asked to rate the offeror's performance on a scale from Exceptional to Unsatisfactory, and to provide an overall assessment and recommendation on contracting with the offeror again. This information will be used in the source selection process for the federal contract opportunity.
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Text version
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 2024-R-065 entitled IT Equipment Moving, State Office Shredding, Emergency Bio-hazard Cleaning 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:
Very Good -- Performance meets contractual requirements and exceeds some to the
Company/Agency’s benefit. The contractual performance of the element or sub-
Company/Agency’s benefit. The contractual performance of the element or being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly 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.
Exceptional -- Performance meets contractual requirements and exceeds many to the element
EX
being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
VG
sub-element which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
MG
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-appear
N/A Not Applicable or Not Observed or were ineffective.
element contains a serious problem(s) for which the contractor’s corrective actions
Marginal -- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
N/A
Comments:
3.
VG
N/A
Assess the contractor’s performance in EX VG MG US N/A identifying problems and taking corrective actions.
1.
VG MG
S
PAST PERFORMANCE QUESTIONNAIRE Solicitation 2024-R-
MG
2.
US
S
N/A
Assess the ability of the contractor to deliver goods and services according to contract schedules.
EX
S
EX
Comments:
Assess the contractor’s performance fulfilling contract requirements and specifications.
Comments:
US
US EX S MG VG
Comments:
4. Assess the overall expertise, knowledge, and quality of assigned contractor personnel.
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
US
Comments:
N/A 5.
Assess the effectiveness of the
EX S MG
selecting, retaining, supporting, and replacing, when necessary, key personnel.
6.
Assess the contractor’s performance in VG
VG EX MG US
management.
S N/A contractor’s overall program
EX 8. MG
US EX
VG N/A
Assess the contractor’s effectiveness in forecasting and managing contractual costs.
Comments:
MG
Comments:
S 7. N/A
Overall assessment.
Comments:
US
VG
S
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
Please provide any further comments that are 10. pertinent to the contractor’s performance.
Would you contract with this contractor again? ( ) Yes ( ) No
If no, why not?
9.
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