Attachment 3 Past Performance Questionnaire -PPQ.docx
DOCX document 23 KB Posted
- Attached to
- Y1DA--521-21-106 | Medical Gas Systems
- Solicitation number
- 36C24725R0020
About this file
This is a Past Performance Questionnaire (PPQ) template attached to solicitation RFP 36C24725R0020 for a Medical Gas Project Construction contract with the Department of Veterans Affairs. The PPQ requires offerors to provide details about previous contracts, including contract number, project description, contract amount, performance period, and their role as prime or subcontractor.
The evaluation section uses a 5-point rating scale (5-Superior to 1-Unacceptable) to assess 13 performance areas including contract compliance, on-site management, personnel qualifications, documentation timeliness, schedule adherence, safety responsiveness, subcontractor control, customer relations, problem-solving ability, financial management, responsiveness to concerns, warranty handling, and overall performance. The form must be completed by previous clients and returned directly to gregory.snyder@va.gov, with evaluators required to provide their contact information and indicate whether they would work with the contractor again.
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Text version
ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Solicitation: RFP 36C24725R0020 | Medical Gas Project Construction
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 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)
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:_______________________________________________________________________
SECTION III, EVALUATOR: 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 .