Attachment 5_Past Performance Questionnaire.pdf
PDF 265 KB Posted
- Solicitation number
- 12444026Q0039
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of Agriculture (USDA) to collect contractor performance references and evaluations. The form is designed to be completed by both the contracting company and its clients/references to assess a contractor's ability to successfully perform on federal contracts.
Section I requires the contractor to provide company information including name, address, phone/fax, point of contact, and email, along with authorization for information disclosure. Section II requests detailed respondent information from a client reference, including the reference's name, address, contact details, reference contract number, project title, contract value/type, period of performance, duration of the working relationship, and a description of work performed. The completed form should be returned to Melody Flores at melody.flores@usda.gov. Section III contains a comprehensive performance evaluation matrix covering three main categories: Contract Performance (8 items including staffing, regulatory compliance, equipment maintenance, personnel management, safety compliance, subcontractor control, and overall performance); Quality of Service/Control (4 items addressing quality standards, quality control procedures, deficiency correction, and workmanship); and Timeliness of Performance (3 items evaluating schedule compliance, record submission accuracy, and delay resolution). Each evaluation item uses an "Acceptable" (A) or "Unacceptable" (U) rating scale, with "Acceptable" defined as providing reasonable expectation of successful performance or unknown performance record, and "Unacceptable" indicating no reasonable expectation of successful performance. The form includes a remarks section requiring detailed explanations for any unacceptable ratings.
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Attachment 3 - Page 1 of 2
ATTACHMENT 4 – PAST PERFORMANCE QUESTIONNAIRE (PPQ)
SECTION I: CONTRACTOR INFORMATION Please fill out sections I and II with good email
A. Your Company Name and Address: _____________________________________________________
B. Phone /Fax #: _____________________________________________________________________
C. Point of Contact/email address: ________________________________________________________
D. Authorization is hereby granted to provide the information requested in SECTION II and III of this questionnaire.
Signature of Authorized Contractor Representative Date
Printed Name and Title of Authorized Contractor Representative
SECTION II: RESPONDENT INFORMATION: Request a reference from respondent by completing Section II and III and return to Melody Flores at melody.flores@usda.gov.
A. Client/Reference Name and Address: ___________________________________________________
B. Phone/Fax #: ______________________________________________________________________
C. Point of Contact/email address: ________________________________________________________
D. Reference Contract Number: __________________________________________________________ Project Title _______________________________________________________________________ Contract Value/Type: ________________________________________________________________ Period of Performance: _______________________________________________________________ How long have you worked with the contractor: ___________________________________________ More detailed description of the work performed____________________________________________
E. Date completed: ___________________________________________________________________
Past Performance Evaluation Ratings Rating Description
Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown
Unacceptable Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.
mailto:paula.reinhard@usda.gov mflores02 Highlight
Attachment 3 - Page 2 of 2
SECTION III: PERFORMANCE EVALUATION
A. CONTRACT PERFORMANCE
1. Working relationship with your Company?
2. How well did the contractor provide experienced workers, managers and supervisors with the technical and administrative abilities needed?
A U
3. Did the contractor exhibit knowledge of and compliance with government (or other) regulations and industry standards?
A U
4. How well did the contractor provide and properly maintain operational equipment throughout the term of the contract?
A U
5. Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract?
A U
6. How well did the contractor comply with Environmental, health, labor laws, safety and security requirements?
A U
7. How well did the contractor coordinate and control subcontractors, if any? A U
8. Contractor’s Overall Performance A U
B. QUALITY OF SERVICE/CONTROL
1. Contractor’s accomplishment in meeting the quality standards A U
2. The contractor provided an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain.
A U
3. Contractor identified and corrected deficient Work A U
4. Contractor’s Overall Quality of Workmanship A U
C. TIMELINESS OF PERFORMANCE
1. How well did the contractor comply with the contract schedule? A U
2. Did the contractor provide timely and accurate records, submittals, and/or reports? A U
3. How well did the contractor resolve any delays? A U
REMARKS: For ratings of unacceptable, please provide remarks to describe the reasons for the rating. If additional remarks are necessary, please attach an additional sheet.
ATTACHMENT 4 – Past Performance Questionnaire (PPQ)
File details come from the government source that posted it. Updated .