Attachment 3 - Past Performance Questionnaire -PPQ.pdf
PDF 375 KB Posted
- Attached to
- 679-19-101 Correct Critical Access and ADA Deficiencies B61 Federal contract opportunity
- Solicitation number
- 36C24726R0069
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP 36C24726R0069, titled "Correct Critical Access and ADA Deficiencies B61." The document is designed to collect performance evaluations from previous clients of contractors bidding on this solicitation.
The PPQ consists of three sections. Section I requires offerors to provide identification information for the organization being evaluated, including the reference organization name and address, contract number, project description, contract/task order amount, performance period, and contractor role (prime or subcontractor). Section II contains fourteen evaluation criteria that reference clients must rate on a five-point numerical scale: 5 (Superior Performance), 4 (Very Good Performance), 3 (Satisfactory Performance), 2 (Marginal Performance), 1 (Unacceptable Performance), or N/A (Not Applicable). The evaluation criteria address compliance with contract requirements, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer relations, problem-solving cooperativeness, financial capability, responsiveness to concerns and cure notices, warranty notifications, overall performance, and a yes/no recommendation for future work. Section III provides space for evaluators to provide narrative comments explaining any low ratings. Evaluators must provide their signature, title, phone number, and email address. Completed questionnaires are to be submitted directly to Cayley.blommers@va.gov, and offerors are responsible for ensuring accurate and verifiable contact information for their references.
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Text version
ATTACHMENT 3 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Solicitation: RFP 36C24726R0069 Correct Critical Access and ADA Deficiencies B61
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 Cayley.blommers@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
ADA Deficiencies B61
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:_______________________________________________________________________
ADA Deficiencies B61
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 .