Attachment 3 - Past Performance Questionnaire -PPQ.pdf
PDF 674 KB Posted
- Attached to
- Cancelled | 508-22-104 | Upgrade PACS System
- Solicitation number
- 36C24726R0096
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP 36C24726R0096 regarding an Upgrade PACS System solicitation. The document serves as a standardized evaluation form to be completed by previous clients of offerors responding to this VA contract opportunity.
Section I requires offerors to provide basic information about themselves and identify reference organizations, including the contract number, project description, contract amount, performance period, and contractor role (prime or subcontractor). Previous clients receiving the questionnaire must return completed responses directly to ryan.crispin@va.gov. Section II contains 14 numbered evaluation questions requiring numerical ratings on a five-point scale (5=Superior Performance, 4=Very Good, 3=Satisfactory, 2=Marginal, 1=Unacceptable, N/A=Not Applicable). These questions assess contractor performance across compliance with contract requirements, on-site management effectiveness, personnel appropriateness, documentation timeliness, schedule adherence, safety responsiveness, subcontractor coordination, customer relations, problem-solving cooperation, financial capability, responsiveness to concerns and warranty notifications, and overall project performance. Question 14 requests a yes/no recommendation for future work. Section III provides space for evaluators to submit additional narrative comments, particularly explanations for any low ratings. The evaluator must provide signature, title, phone number, and email address for verification purposes.
View the file
Other files
Show all 26
On GovTribe
Work with this file
- 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 36C24726R0096 | 508-22-104 | Upgrade PACS System
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
System
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:_______________________________________________________________________
System
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 .