Attachment 3 - Past Performance Questionnaire -PPQ.docx
DOCX document 23 KB Posted
- Attached to
- 679-22-106 Replace HVAC Various Buildings Federal contract opportunity
- Solicitation number
- 36C24725R0031
About this file
This is a Past Performance Questionnaire (PPQ) template for solicitation 36C24725R0031, which relates to an HVAC replacement project for Buildings 2 and 46 at a VA facility. The questionnaire requires offerors to submit evaluations from previous clients, who must return completed forms directly to VA contracting officials at specified email addresses.
The evaluation consists of 14 questions rated on a 5-point scale (5=Superior to 1=Unacceptable) covering areas such as contract compliance, on-site management, personnel qualifications, documentation timeliness, schedule adherence, safety responsiveness, subcontractor management, customer relations, problem-solving ability, financial management, responsiveness to concerns, and warranty handling. The form requires evaluators to provide their contact information and includes space for additional comments, particularly to explain any low ratings. The questionnaire serves as a template and does not contain any completed evaluations.
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Text version
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Solicitation: 36C24725R0031
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 and William.Barton2@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 .