Attachment 3 - Past Performance Questionnaire -PPQ.docx
DOCX document 23 KB Posted
- Attached to
- Y1DA--679-21-102 | Correct Failing Sanitary Sewer, Water Main, and Fire Protection Deficiencies
- Solicitation number
- 36C24725R0044
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP 36C24725R0044, related to a Department of Veterans Affairs project to correct failing sanitary sewer, water main, and fire protection deficiencies. The questionnaire consists of three sections: Section I requires offerors to provide basic information about the reference contract, including contractor name, reference organization details, contract number, project description, contract amount, performance period, and role (prime or subcontractor).
Section II contains 14 evaluation questions rated on a 5-point scale (5=Superior to 1=Unacceptable) covering areas such as contract compliance, management effectiveness, personnel, documentation timeliness, schedule adherence, safety, subcontractor control, customer relations, problem-solving, financial management, responsiveness to concerns, and warranty support. The form must be completed by the reference and sent directly to gregory.snyder@va.gov. Section III provides space for additional comments, particularly to explain low ratings.
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PAST PERFORMANCE QUESTIONNAIRE (PPQ)
RFP 36C24725R0044 | Correct Failing Sanitary Sewer, Water Main, and Fire Protection Deficiencies
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 .