Attachment 4- Past Performance Questionnaire.doc
DOC document 120 KB Posted
- Attached to
- Investment Consulting Services Federal contract opportunity
- Solicitation number
- 89303023NEE00022
- Issued by
- Department of Energy Headquarters
About this file
This document contains a past performance questionnaire for a contractor responding to solicitation number 89303023NEE00022 for investment consulting services from the Department of Energy Headquarters. The questionnaire requests information on previous contracts including contract details, descriptions of work performed, ratings for quality, schedule, customer satisfaction, management, cost and financial management, safety, and an overall rating. Responses are due by February 20, 2023.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2 - Terms and Conditions.pdf | ||
| RFQ COVER LETTER-..pdf | ||
| Attachment 3 - Position Descriptions.pdf | ||
| Attachment 1 - Performance Work Statement_2022.pdf |
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Text version
89303023NEE00022-
Attachment 4
DOE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ)
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
1. Contractor Information
Firm Name:
CAGE Code:
Address:
DUNs Number:
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)
Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
4. Project Description:
Complexity of Work Routine Med High How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)
CLIENT INFORMATION (Client to complete Blocks 5-8)
5. Client Information
Name:
Title:
Phone Number:
Email Address:
6. Describe the client’s role in the project:
7. Date Questionnaire was completed (mm/dd/yy):
8. Client’s Signature:
A. NOTE: THE VENDOR SHALL ENSURE THAT ALL SUBMISSIONS OF THE PAST PERFORMANCE QUESTIONNAIRES HAVE BEEN PROVIDED TO THE APPROPRIATE RESPONDING OFFICIALS. THE VENDOR SHALL REQUEST THAT THE REFERENCES RETURN THE PAST PERFORMANCE QUESTIONNAIRES DIRECTLY TO THE GOVERNMENT VIA EMAIL, TO ogochukwu.nwankwo@HQ.DOE.GOV. PLEASE REFERENCE 89303023NEE00022 SOLICITATION IN THE EMAIL SUBJECT LINE.ALL PARTIES SHALL REQUEST THAT THE REFERENCES RETURN THE PAST PERFORMANCE QUESTIONNAIRE. VENDORS SHOULD ALLOW ADEQUATE TIME FOR THE COMPLETED FORMS TO BE RETURNED TO THE DOE BY Feb 20, 2023.
ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
RATING
DEFINITION
NOTE
| (E) Exceptional |
| Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective. |
| Record of past performance is highly favorable, with little or no unfavorable data. The offeror’s record of past performance supports the Government’s expectation of outstanding performance and customer satisfaction with very limited risk. |
| (VG) Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Record of past performance is more favorable than unfavorable. The offeror’s record of past performance supports the Government’s expectation of good performance and customer satisfaction with limited risk. |
| (S) Satisfactory |
| Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Record of past performance is either average, unavailable, or the offeror has no record of relevant past performance (FAR 15.305(a)(2)(iv). The offeror’s record of past performance supports the Government’s expectation of satisfactory performance and customer satisfaction with some risk. |
| (M) Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented. |
| Record of past performance is more unfavorable than favorable. The offeror’s record of past performance creates significant risk that performance and customer satisfaction will not be satisfactory. |
| (U) Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective. |
| Record of past performance is highly unfavorable. The offeror’s record of past performance creates a high level risk of unsatisfactory performance and customer satisfaction. |
| (N) Not Applicable |
| No information or did not apply to your contract. |
| Rating will be neither positive nor negative. |
Contractor Information (Firm Name): ________________________________________________
Client Information (Name): ________________________________________________________
TO BE COMPLETED BY CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY:
| a) Quality of technical data/report preparation efforts |
| E VG S M U N |
| b) Ability to meet quality standards specified for technical performance |
| E VG S M U N |
| c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance |
| E VG S M U N |
| d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance) |
| E VG S M U N |
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
| a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below) |
| E VG S M U N |
| b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract |
| E VG S M U N |
3. CUSTOMER SATISFACTION:
| a) To what extent were the end users satisfied with the project? |
| E VG S M U N |
| b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication) |
| E VG S M U N |
| c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? |
| E VG S M U N |
| d) Overall customer satisfaction |
| E VG S M U N |
4. MANAGEMENT/ PERSONNEL/LABOR
| a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? |
| E VG S M U N |
| b) Ability to hire, apply, and retain a qualified workforce to this effort |
| E VG S M U N |
| c) Knowledge/expertise demonstrated by contractor personnel |
| E VG S M U N |
| d) Utilization of Small Business concerns |
| E VG S M U N |
| e) Ability to simultaneously manage multiple projects with multiple disciplines |
| E VG S M U N |
| f) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes |
| E VG S M U N |
| g) Effectiveness of overall management (including ability to effectively lead, manage and control the program) |
| E VG S M U N |
5. COST/FINANCIAL MANAGEMENT
| a) Ability to meet the terms and conditions within the contractually agreed price(s)? |
| E VG S M U N |
Contractor Information (Firm Name): ________________________________________________
Client Information (Name): ________________________________________________________
| b) Please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns) |
| E VG S M U N |
| c) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below. |
| Yes No |
| d) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. |
| Yes No |
6. SAFETY/SECURITY
| a) Contractor complied with all security requirements for the project and personnel security requirements. |
| E VG S M U N |
7. GENERAL
| a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues). |
| E VG S M U N |
| b) Compliance with contractual terms/provisions (explain if specific issues) |
| E VG S M U N |
| c) Would you hire or work with this firm again? (If no, please explain below) |
| Yes No |
| d) In summary, provide an overall rating for the work performed by this contractor. |
| E VG S M U N |
Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):
Revised April 2011
PAGE
89303023NEE00022
Attachment 4
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
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