Attachment 3 - Past Performance Questionnaire -PPQ.docx
DOCX document 30 KB Posted
- Solicitation number
- 36C24726R0085
About this file
This is a Past Performance Questionnaire (PPQ) template for solicitation 36C24726R0085, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 for roof replacement work on five buildings (19, 20, 50, 51, and 62).
The questionnaire serves as an evaluation tool that offerors must have completed by their previous clients and submitted directly to gregory.snyder@va.gov. The form requests information about the offeror's organization, the reference organization providing feedback, contract details including number and performance period, and the contractor's role (prime or subcontractor). Evaluators rate the contractor's performance across thirteen criteria on a five-point scale: compliance with contract requirements, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer relations, problem-solving cooperativeness, financial management capability, responsiveness to concerns and cure notices, warranty responsiveness, and overall project performance. A yes/no recommendation question asks whether the evaluator would work with the contractor again. The template also includes space for evaluator contact information, signature, and additional comments explaining any low performance ratings. Offerors are responsible for providing accurate and verifiable point of contact information and ensuring timely submission of completed questionnaires from previous clients.
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Text version
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Solicitation: 36C24726R0085 | Replace Roofs on Bldgs. 19, 20, 50, 51, & 62 | 619a4-24-102
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 gregory.snyder@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 .