Attachment 3 - Past Performance Questionnaire -PPQ.docx

DOCX document 23 KB Posted

Attached to
Y1FD--Project: 508-22-102, Renovate Nutrition and Food Service and Freezers
Solicitation number
36C24725R0015
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template for solicitation 36C24725R0015, which is related to a Department of Veterans Affairs project to renovate nutrition, food service, and freezers. The questionnaire requires offerors to submit evaluations from previous clients, who must return completed forms directly to joyce.powers1@va.gov and ryan.crispin@va.gov.

The PPQ uses a 5-point rating scale (5-Superior to 1-Unacceptable) to evaluate 13 performance areas, including contract compliance, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor management, customer relations, problem-solving ability, financial management, responsiveness to concerns, warranty handling, and overall performance. The form also asks evaluators if they would work with the contractor again and provides space for additional comments, particularly to explain low ratings. Evaluators must provide their contact information, including signature, title, phone number, and email address.

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PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Solicitation: 36C24725R0015

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 joyce.powers1@va.gov , cc’ ryan.crispin@va.gov It is the offeror’s responsibility to ensure correct and verifiable point of contact information.

(Offeror Fill-In Below)

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)

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:_______________________________________________________________________

Please use the following space to provide any additional comments regarding the contractor’s performance on this project (Explain low ratings).

File details come from the government source that posted it. Updated .