Attachment 3 - Past Performance Questionnaire -PPQ.docx

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Attached to
Replace Sewer Lift Pump in Building 12 | Project No. 619A4-23-111.
Solicitation number
36C24725R0023
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template for solicitation 36C24725R0023, which is related to a sewer lift pump replacement project at Building 12 for the Department of Veterans Affairs. The PPQ requires offerors to provide details about previous contracts, including contract number, project description, contract amount, and performance period.

The questionnaire uses a 5-point rating scale (5-Superior to 1-Unacceptable) to evaluate 13 performance areas, including compliance with contract requirements, effectiveness of on-site management, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor management, customer relations, problem-solving ability, financial management, responsiveness to concerns, and warranty handling. Completed PPQs must be returned directly by previous clients to kimberly.devlin@va.gov and joseph.osborn@va.gov, and evaluators must provide their contact information and any additional comments explaining low ratings.

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PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Solicitation: ___36C24725R0023________________

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 kimberly.devlin@va.gov and joseph.osborn@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 .