Attachment 5_Past Performance Questionnaire.pdf
PDF 265 KB Posted
- Solicitation number
- 12444026Q0061
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Past Performance Questionnaire (PPQ) template used by the United States Department of Agriculture (USDA) to collect and evaluate contractor past performance information during the solicitation process.
The form consists of three sections. Section I requires the bidding contractor to provide company information including name, address, phone/fax number, and point of contact with email, along with authorization for the government to request references. Section II requests that the contractor identify a reference client and provide details about a specific past contract, including the client name and contact information, contract number, project title, contract value, period of performance, duration of the working relationship, and a description of work performed. Section III contains a structured performance evaluation with 11 specific rating criteria organized into three categories: Contract Performance (8 items covering workforce qualifications, regulatory compliance, equipment maintenance, personnel management, environmental/safety/labor law compliance, subcontractor coordination, and overall performance), Quality of Service/Control (4 items addressing quality standards, quality control procedures, deficiency correction, and overall workmanship), and Timeliness of Performance (3 items evaluating schedule compliance, timely reporting, and delay resolution). Each evaluation item requires a rating of either Acceptable or Unacceptable, with Acceptable indicating 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 explanation of any unacceptable ratings. Completed questionnaires should be returned to Melody Flores at melody.flores@usda.gov.
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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 .