Attachment 3 - Past Performance Questionnaire -PPQ.pdf

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Attached to
Y1DZ--619-CSI-904 Site Modification for Symbia EVO (VA-26-00017774)
Solicitation number
36C24726R0038
Issued by

About this file

This document is a Past Performance Questionnaire (PPQ) for RFP 36C24726R0038, a solicitation for Site Modifications for Symbia EVO. The three-page form is designed for previous clients to evaluate a contractor's performance across 14 key performance areas, using a rating scale from 1 (Unacceptable) to 5 (Superior). The questionnaire requires clients to rate the contractor's compliance with contract requirements, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer interaction, problem-solving skills, financial management, and overall project performance. The form also includes a section for additional comments and asks whether the client would recommend or work with the contractor again. Clients are instructed to return the completed questionnaire directly to Christopher.Harper3@va.gov, with the offeror responsible for ensuring accurate contact information.

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ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Solicitation: RFP 36C24726R0038 |Site Modifications for Symbia EVO

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 Christopher.Harper3@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)

Symbia EVO

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:_______________________________________________________________________

Symbia EVO

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 .