Attachment 6 Past Performance Questionnaire.pdf
PDF 169 KB Posted
- Solicitation number
- 2026-R-062
- Issued by
-
United States Senate
About this file
This is a Past Performance Questionnaire (PPQ) template used by the U.S. Senate Sergeant at Arms to collect reference information during source selection for a hoteling software replacement solution (RFQ 2026-R-062). The questionnaire is classified as SOURCE SELECTION INFORMATION and must be protected as procurement sensitive information.
The form requires offerors to identify a past performance reference by providing contract/task order details including the offeror/subcontractor name, contract number, contract type, project name, period of performance, and brief description of work. References must complete Section B by providing their company/agency name, contact information (name, phone, email, signature), role in managing the contract, and time period of involvement. References then rate contractor performance on eight evaluation criteria using a six-point scale (EX—Exceptional, VG—Very Good, S—Satisfactory, MG—Marginal, US—Unsatisfactory, N/A—Not Applicable). The criteria assess: fulfillment of contract requirements and specifications; timely delivery of goods and services; problem identification and corrective actions; expertise and quality of personnel; personnel selection, retention, and replacement; overall program management; cost forecasting and management; and overall performance. The questionnaire also includes yes/no questions regarding willingness to contract with the vendor again and space for additional performance comments. Completed questionnaires must be submitted within five business days to acquisitions@saa.senate.gov, Attn: Mashonda Walston, Senior Procurement and Contracting Specialist.
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Text version
Attachment 6
SOURCE SELECTION INFORMATION
PPQ V3 | May 2022
PAST PERFORMANCE QUESTIONNAIRE
The U.S. Senate Sergeant at Arms requests information in support of a source selection of a hoteling software replacement solution (2026-R-062). When complete, the information on this form is SOURCE SELECTION INFORMATION and shall be protected as procurement sensitive information. Please complete this questionnaire and send within five (5) days of receipt by email to:
acquisitions@saa.senate.gov Attn: Mashonda Walston Senior Procurement and Contracting Specialist
A. Contract/Project/Task Order Information. Offeror must complete the information below regarding the contract on which the offeror is seeking a past performance reference:
Name of Offeror/Subcontractor: __________________________________________________
Contract/Task Order Number: _____________________________________________________
Contract Type: _________________________________________________________________
Project Name: _________________________________________________________________
Period of Performance: __________________________________________________________
Brief Description of Work:
mailto:acquisitions@saa.senate.gov
PPQ V3 | May 2022
B. Reference Information. Reference must complete the information below regarding the contract on which the offeror is seeking a past performance reference:
Company/Agency Name: _________________________________________________________
Name of Person Completing Questionnaire: __________________________________________
Signature of Person Completing Questionnaire: _______________________________________
Your Role in Managing this Contract:_______________________________________________
Your Phone Number: ___________________________________________________________
Your Email Address: ____________________________________________________________
Time Period of Your Involvement with Contractor: ____________________________________
For each question posed below, please identify (highlight or underline) the response code which best reflects your experience with the referenced contract:
EX Exceptional -- Performance meets contractual requirements and exceeds many to the Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
VG Very Good -- Performance meets contractual requirements and exceeds some to the Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
S Satisfactory -- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
MG Marginal -- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
US Unsatisfactory -- Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N/A Not Applicable or Not Observed
PPQ V3 | May 2022
PAST PERFORMANCE QUESTIONNAIRE RFQ 2026-R-062
1. Assess the contractor’s performance fulfilling contract requirements and specifications.
EX VG S MG US N/A
Comments:
2. Assess the ability of the contractor to deliver goods and services according to contract schedules.
3. Assess the contractor’s performance in identifying problems and taking corrective actions.
4. Assess the overall expertise, knowledge, and quality of assigned contractor personnel.
PPQ V3 | May 2022
5. Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.
6. Assess the effectiveness of the contractor’s overall program management.
7. Assess the contractor’s effectiveness in forecasting and managing contractual costs.
8. Overall assessment. EX VG S MG US N/A
PPQ V3 | May 2022
9. Would you contract with this contractor again? ( ) Yes ( ) No
If no, why not?
10. Please provide any further comments that are pertinent to the contractor’s performance.
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