Attachment 3 - Past Performance Questionnaire -PPQ.pdf

PDF 663 KB Posted

Attached to
508-26-152 | Bus Duct Replacement Federal contract opportunity
Solicitation number
36C24726R0058
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

About this file

This document is a Past Performance Questionnaire (PPQ) template for RFP 36C24726R0058, Bus Duct Replacement, to be completed by previous clients of prospective contractors.

Section I requires the offeror to provide basic contract information including the offeror's name, the reference organization providing the evaluation, that organization's address, contract number, project description, contract/task order amount, performance period, and the contractor's role (prime or subcontractor). Section II contains 14 evaluation questions to be rated on a scale of 1-5 (Unacceptable to Superior Performance) or N/A, covering critical performance areas such as contract compliance, on-site management, personnel qualifications, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer relations, problem-solving ability, financial management, responsiveness to concerns and cure notices, warranty response, and overall project performance. Question 14 requires a yes/no recommendation on future engagement. Section III provides space for evaluator comments, particularly to explain any low ratings. The cover sheet instructions direct offerors to forward the completed questionnaire directly to ryan.crispin@va.gov and emphasize that offerors are responsible for ensuring accurate and verifiable point of contact information from their references. The evaluator must provide signature, title, phone number, and email address.

View the file

Other files for this federal contract opportunity

Other files attached to 508-26-152 | Bus Duct Replacement, newest first.
File Type Posted
2nd Site Visit Attendance Sheet 508-26-152.docx DOCX document
36C24726R0058 0002.docx DOCX document
RFI Responses Round 2 508-26-152.docx DOCX document
Attachment 1 - Atlanta VAMC PRCS SOP_JUL2024.pdf PDF
Attachment 3 - Crawl Space Asbestos Compliance Program_SEP2025.pdf PDF
Attachment 5 - External Bus Duct pictures.docx DOCX document
Attachment 7 - Internal Duct Illustration drawing.jpg JPG image
Attachment 2 - Chapter 1.9 Confined Space Entry Attachment A.docx DOCX document
Attachment 9 - Atlanta VAMC Crawl Space ACM Survey Report.pdf PDF
Attachment 6 - Internal Bus Duct pictures.docx DOCX document
Attachment 8 - Site walkthrough attendance sheet.pdf PDF
36C24726R0058 0001.docx DOCX document
Attachment 4 - Detailed Safety Requirements.docx DOCX document
Attachment 10 - As-Builts full - Raceways details.pdf PDF
Attachment 4 - Itemized Cost Breakdown.xlsx XLSX spreadsheet
Attachment 6 - INVOICING.pdf PDF
Attachment 5 - DBA Wage Determination GA20260305 01-23-2026.pdf PDF
Attachment 8 - Drawing - Normal Power Riser Diagram Phase E.pdf PDF
Attachment 1 - Experience Modification Rate Form.pdf PDF
Attachment 9 - Drawing - ESU CD 12-10-2007.pdf PDF
Attachment 11 - Specs.pdf PDF
36C24726R0058.docx DOCX document
Attachment 7 - Drawing - Normal Power Riser Diagram Phase D.pdf PDF
Attachment 2 - VAAR 852.219-75 VA Notice of Limitations on Subcontracting Jan 2023 Deviation.pdf PDF
Show all 24

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Solicitation: RFP 36C24726R0058 | Bus Duct Replacement

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 ryan.crispin@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) mailto:gregory.snyder@va.gov

Solicitation: 36C24726R0058 | Bus Duct Replacement

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:_______________________________________________________________________

Solicitation: 36C24726R0058 | Bus Duct Replacement

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 .