At11_PastPerformanceQuestionnaire.docx
DOCX document 46 KB Posted
- Solicitation number
- 140L0626R0009
About this file
This is a Department of Interior Past Performance Questionnaire (PPQ) template used to collect references and evaluations of contractor performance on previous projects. The questionnaire is designed as a two-part process where offerors initially complete Section A with project and company information, then submit the form to project owners or evaluators who complete Section B with their assessment. Completed questionnaires must be received by the contracting point of contact by the deadline specified in the solicitation, with late submissions not accepted. Each offeror may submit only one past performance record per project, and all referenced projects must have been completed within five years preceding the solicitation date unless otherwise specified.
Section B of the questionnaire requires evaluators to rate contractor performance across five assessment areas using a six-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable). The evaluation areas include: Quality (workmanship, quality control, and technical submittals); Schedule and Time Management (milestone adherence, responsiveness, and timely submissions); Pricing and Payments (cost management, modification pricing, invoicing accuracy, and subcontractor payments); Management (oversight, subcontractor coordination, safety, remote location capability, owner relations, and problem-solving); and Regulatory Compliance (building codes, life safety codes, and labor standards). Evaluators must provide supporting comments for all ratings, with particular emphasis on explaining exceptional, marginal, and unsatisfactory ratings. The form concludes with an overall recommendation regarding the contractor's suitability for similar future contracts and requires evaluator signature from the client or owner.
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Text version
Department of Interior Past Performance Questionnaire (PPQ)
The company listed below in Section A is required to submit past performance references 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 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) The offeror may submit only one (1) past performance record or questionnaire for each project. Each past performance project must have been completed within the five (5) years preceding the date of this solicitation, unless otherwise specified in the solicitation or by amendment.
5) The Government reserves the right to contact the evaluator to verify the evaluation.
Section A
Project Title:
| Contract #: |
| Contract type: |
Location:
Description:
Company Name:
Unique Entity ID:
Owner/Project Manager Name:
Email Address:
Start Date:
Completion Date:
Initial Amount:
Final Amount:
Section B
Evaluator
| Evaluator Name: |
| POC Email: |
| Company/Agency Name: |
| POC Phone: |
Position Held or Function in Relation to Project:
| Rating |
| Definition |
| Exceptional (EX) |
| Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good (VG) |
| Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory (S) |
| Performance met contractual requirements. The element being assessed contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal (M) |
| Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective action. |
| Unsatisfactory (U) |
| Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions were ineffective. |
| Not Applicable (NA) |
| The element does not pertain to the subject project as a result of specific contract and/or project requirements. |
| Evaluation Area |
| Rating |
Please select the appropriate rating and provide supporting information for the following questions.
Quality
Quality of workmanship (including subcontractors)?
Quality of and adherence to quality control plan?
Quality of informational and technical submittals?
Overall Quality Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Schedule & Time Management
Met project schedule milestones and/or deadlines?
Responded to owner requests in a timely manner?
Informational and technical submittals submitted timely?
Promptly addressed scheduling issues?
Overall Schedule & Time Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Pricing and Payments
Minimized additional costs when addressing differing & unforeseen site conditions?
Provided fair and reasonable pricing for contract modifications?
Submitted accurate and complete invoices?
Promptly paid subcontractors and suppliers?
Overall Pricing and Payment Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Management
General oversight by project manager and superintendent?
Coordination with and control of subcontractors?
Avoidance of accidents & safety violations?
Addressed location factors (especially remote locations)?
Maintained good working relationship with owner representatives?
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?
Overall Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Regulatory Compliance
Met building and life safety codes?
Met regulatory and contractual labor standards?
Overall Regulatory Compliance Rating
Overall Recommendation:
Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:
Overall Comments:
Evaluator Signature
MUST BE SIGNED BY CLIENT/OWNER or will not be considered
Name
Date:
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