Attachment_5_-_Past_Performance_Questionnaire.pdf

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Attached to
Pompeys Pillar Vault Toilet
Solicitation number
140L3625Q0002
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template issued by the Department of Interior, Bureau of Land Management for solicitation 140L3625Q0002 regarding the GAOA - Pompeys Pillar Vault Toilet Replacement project.

The PPQ form includes sections for basic firm information (project title, location, contract details) and an evaluation matrix with ratings from Outstanding (O) to Unacceptable (U). The questionnaire evaluates nine key performance areas including: relationship with client, corporate management and integrity, quality control, schedule performance, presence of any cure notices or terminations, likelihood of future award, customer satisfaction, opportunity to respond to negative feedback, and overall rating. The form requires detailed explanations for any Marginal or Unacceptable ratings and includes a comments section and signature block for the evaluator. This is a standard template form that would be completed by past performance references for contractors bidding on this procurement.

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Text version

Solicitation No: 140L3625Q0002 PROJECT DESCRIPTION: GAOA - Pompeys Pillar Vault Toilet Replacement

Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, Bureau of Land Management is considering [Insert Company].

Your comments would be appreciated regarding this company’s past performance.

Firm Information Project Title:

Location:

Description:

Company Name: Contract Number:

Start Date: Completion Date:

Initial Amount: Final Amount:

Evaluator Evaluator Name: Company/Agency Name:

Address: POC Email:

Position Held or Function in Relation to Project:

Ratings Overview 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.

Solicitation No: 140L3625Q0002 PROJECT DESCRIPTION: GAOA - Pompeys Pillar Vault Toilet Replacement

Questionnaire

Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:

O

A

S

M

U

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

3. Quality control:

4. Ability to meet the performance schedule:

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 company being evaluated? If no, please explain:

7. Was the customer satisfied with the final product and services? If no, please explain:

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. Overall Rating

10. Comments

Signatures

Name Date:

File details come from the government source that posted it. Updated .