Attachment 3 - Past Performance Questionnaire -PPQ 36C24726R0078.pdf
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- Solicitation number
- 36C24726R0078
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP 36C24726R0078 (Project 508-26-102) and RFP 36C24726R0038 (Site Modifications for Symbia EVO), issued by the Department of Veterans Affairs. The document is designed to be completed by previous clients of offerors to evaluate contractor performance.
Section I requires offerors to provide organizational information including the offeror name, reference organization name and address, contract number, project description, contract/task order amount, performance period, and contractor role (prime or subcontractor). This completed cover sheet must be included with the proposal submission, and clients must return the entire questionnaire directly to Margaret.yeaton@va.gov. Section II contains 14 evaluation questions rated on a five-point scale (5 = Superior Performance, 4 = Very Good, 3 = Satisfactory, 2 = Marginal, 1 = Unacceptable, N/A = Not Applicable). Questions assess compliance with contract requirements, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer relations, problem-solving cooperativeness, financial capability, responsiveness to concern letters and cure notices, warranty response, overall performance, and whether the evaluator would recommend the contractor for future work. Section III provides space for evaluators to provide narrative comments, particularly explanations for low ratings. Evaluator contact information including signature, title, phone number, and email address is required on the form.
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ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Solicitation: RFP 36C24726R0078|Project 508-26-102
PAST PERFORMANCE QUESTIONNAIRE COVER SHEET
Offerors submitting PPQs need to include this cover sheet with their proposal submission. The entire questionnaire should be forwarded to your previous clients. Clients shall directly return the cover sheet and questionnaire to e-mail address Margaret.yeaton@va.gov.
It is the offeror’s responsibility to ensure correct and verifiable point of contact information.
Offeror Fill-In Section I Only Below
SECTION I.
1. Offeror Name (Name of Organization/Firm being Evaluated):
2. Name of Organization/Firm Providing Reference:
3. Address of Organization/Firm Providing Reference:
4. Contract Number:
5. Project Description:
6. Contract/Task Order Amount:
7. Performance Period:
8. Role of contractor (Prime or sub-contractor)
Solicitation: RFP 36C24726R0038 |Site Modifications for Symbia EVO
SECTION II, EVALUATOR: PLEASE ENTER THE NUMERICAL RATING WHICH BEST REFLECTS YOUR EVALUATION OF
THE CONTRACTOR’S PERFORMANCE
5 – Represents Superior Performance 4 – Represents Very Good Performance 3- Represents Satisfactory Performance 2 – Represents Marginal Performance 1 – Represents Unacceptable Performance - N/A – Not Applicable
QUESTION ENTER NUMERICAL RATING
1. Compliance with the contract requirements?
2. Effectiveness of on-site management?
3. Use of appropriate personnel for contract requirements
4. Timeliness in submission of required documentation (i.e. schedule, reports, submittals, and payrolls)
5. Adherence to the construction schedule?
6. Responsiveness towards safety issues?
7. Coordination and control of subcontractors?
8. Ability to effectively deal with the customer(s) and other Government personnel?
9. Cooperativeness in solving problems and negotiating changes?
10. Ability to address financial difficulties? (i.e. payment of subcontractors, and/or vendors, labor disputes, etc.)
11. Responsiveness to letters of concern and cure notices?
12. Response to warranty notifications?
13. Overall performance on this project?
14. Would you recommend or work this contractor again? Enter Yes or No
Evaluator’s Point of Contact Information:
Signature and Title:____________________________________________________________________
Phone Number:_______________________________________________________________________
E-Mail Address:_______________________________________________________________________
Solicitation: RFP 36C24726R0038 |Site Modifications for Symbia EVO
SECTION III, EVALUATOR: Please use the following space to provide any additional comments regarding the contractor’s performance on this project (Explain low ratings).
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