Attachment 4- Personnel PPQ - FMCS Audit.pdf
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- Solicitation number
- 93310026Q0007
About this file
This is a Past Performance Questionnaire template used to evaluate contractor performance on completed federal contracts or projects. The form is designed to be completed by Government clients or contracting officers to document and assess contractor capabilities for use in future source selection decisions.
The questionnaire collects contract and project information including the contractor name, client organization details, contract/project name, contract number, period of performance, and a brief description of work performed. Evaluators rate the contractor across eight performance dimensions using adjective-based ratings: quality of work, timeliness of work, resourcefulness, interpersonal skills, job knowledge, dependability, flexibility, and overall rating. Additionally, evaluators must indicate whether they would select the contractor again and may provide supplementary comments regarding contractor performance. The form requires signature, name/title, and date from the person completing the evaluation. Per FAR 3.104-4(k)(1)(x) and 42.1503(b), the completed report is treated as source selection information and may only be released to Government personnel and the evaluated contractor during the period the information supports source selection decisions.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
CONTRACT/PROJECT INFORMATION (To Be Completed by Contractor)
1. Contractor Being Rated:
2. Client Name:
Point of Contact:
Phone Number:
Email:
3. Contract/Project Name:
Contract Number (if applicable):
Period of Performance:
Brief Description:
PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR
EVALUATION OF THE CONTRACTOR’S PERFORMANCE
1. Quality of work
2. Timeliness of work
3. Resourcefulness
4. Interpersonal skills
5. Job knowledge
6. Dependability
7. Flexibility
8. Overall Rating
9. Would you select this contractor again?
Any additional comments related to the contractor’s performance:
Name/Title of Person Completing the Form Signature Date
Release of Information: This Contractor Performance Report may be used to support future award decisions, and will be treated as source selection information in accordance with FAR 3.104-4(k)(1)(x) and 42.1503(b). The completed report shall not be released to other than Government personnel and the contractor whose performance is being evaluated during the period the information is being used to provide source selection information.
| Date: |
| Contractor Being Rated: |
| Additional Comments: |
| Person Completing the Form: |
| Client Name: |
| Point of Contact: |
| Phone Number: |
| Email: |
| Brief Description: |
| Period of Performance: |
| Contract Number: |
| Contract Name: |
| Dropdown1: [Select Rating] |
| Dropdown2: [Select Rating] |
| Dropdown3: [Select Rating] |
| Dropdown4: [Select Rating] |
| Dropdown5: [Select Rating] |
| Dropdown6: [Select Rating] |
| Dropdown7: [Select Rating] |
| Dropdown8: [Select Rating] |
| Dropdown9: [Select One] |
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