Attachment_4_-_PPQ.pdf
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- Attached to
- ADMIN XERI INTERPRETIVE, FAB, & INSTALL
- Solicitation number
- 140R3026Q0083
About this file
This is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of the Interior, Bureau of Reclamation, Lower Colorado Basin, to evaluate contractor past performance during source selection for RFQ 140R3026Q0083.
The questionnaire collects evaluator information and detailed performance data on firms being considered for contract award. Required information includes the firm name and address, contract number, contract type, project title, award and completion dates, project location, initial and final contract amounts, and a project description. Evaluators must provide their name, company/agency, address, phone number, email address, and position held in relation to the project. The form uses a five-point rating scale: "O" for Outstanding (greatly exceeded requirements), "A" for Above Average (exceeded requirements), "S" for Satisfactory (met requirements), "M" for Marginal (met minimum requirements with some unsatisfactory aspects), and "U" for Unacceptable (poor performance). Evaluators rate eight specific performance areas: firm-client relationship, corporate management and integrity, quality control, schedule performance, cure notices or terminations, willingness to award another contract, customer satisfaction with end product and services, and opportunity for the firm to respond to negative comments. The form also includes fields for overall remarks and an overall rating. Completed questionnaires must be submitted via email to larissa_bell@ios.doi.gov. The document is marked as source selection sensitive and not to be released outside government channels.
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Text version
Attachment 4
RFQ 140R3026Q0083
SOURCE SELECTION SENSITIVE WHEN COMPLETED
***NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS***
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
U.S. Department of the Interior, Bureau of Reclamation, Lower Colorado Basin, is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.
Past Performance Information:
Name and Address of Firm Being Evaluated:______________________________________
Contract No.:__________________ Type of Contract: _____________________ Project Title:___________________ Date of Award:_________________ Completion Date: _____________________ Location:______________________ Initial Amount:__________________ Final Amount: ________________________ Description:_________________________________________________________________
Evaluator: (The following information will assist in the analysis of the data.)
Name of Evaluator: ______________________________________
Company/Agency Name: ______________________________________
Address: ______________________________________
Phone Number: ______________________________________
Email Address: ______________________________________
Position Held or Function in Relation to Project: ______________________________________
Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
“O” Outstanding Performance greatly exceeded the contract requirements.
“A” Above Average Performance exceeded the contract requirements.
“S” Satisfactory Performance met the contract requirements.
“M” Marginal Performance met the minimum contract requirements but
Some material aspects of the contractor’s performance were less than satisfactory.
“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.
Attachment 4
RFQ 140R3026Q0083
Please circle the appropriate rating and provide any supporting information/comments for the following:
1. The relationship between the firm and client’s/customer’s contract team: O A S M U
2. Overall corporate management, integrity, reasonableness and cooperative conduct: O A S M U
3. Quality control: O A S M U
4. Ability to meet the performance schedule: O A S M U
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes No
6. Would you award another contract to the firm being evaluated? If no, please explain:
7. Was the customer satisfied with the end product and services? If no, please explain: Yes No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
9. Additional Remarks:
10. Overall rating for this firm: O A S M U
Print Name
Signature of Evaluator Date
The questionnaire should be submitted via email to larissa_bell@ios.doi.gov mailto:larissa_bell@ios.doi.gov
File details come from the government source that posted it. Updated .