Attachment 8 - PPQ.pdf

PDF 231 KB Posted

Attached to
Y1DA--652-323 Construct Improve Surgical Access - Richmond, VA Federal contract opportunity
Solicitation number
36C77625R0061
Issued by
Department of Veterans Affairs Technology Acquisition Center Austin

About this file

The document is a Past Performance Questionnaire (PPQ) used by the Veterans Health Administration (VHA) Program Contracting Activity Central (PCAC) to evaluate a contractor's performance on a previous contract. The form is designed to be completed by a previous client or project evaluator, providing detailed assessments across five key performance areas: quality, schedule/timeliness, management/personnel/labor, continuity, and cost/financial management.

The PPQ uses an adjectival rating system ranging from Outstanding to Unsatisfactory, with evaluators rating the contractor's performance and providing comments. The form requires detailed contract information, including contract title, number, type, location, award dates, and pricing. The completed questionnaire will be incorporated into the contractor's proposal for the solicitation 36C77625R0061, which involves constructing and improving surgical access at a VA facility in Richmond, VA. The document emphasizes the importance of thorough and timely completion, noting that submissions after the specified date will not be accepted or evaluated.

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Other files for this federal contract opportunity

Other files attached to Y1DA--652-323 Construct Improve Surgical Access - Richmond, VA, newest first.
File Type Posted
Amendment 0003 - ASK-1 Wall Types Pre Bid RFI Q17.pdf PDF
Amendment 0003 - Tech Questions Tracker.pdf PDF
36C77625R0061 0003.pdf PDF
36C77625R0061 0002.pdf PDF
Attachment 01 - Site Visit Sign-in Sheet.pdf PDF
36C77625R0061 0001.pdf PDF
Attachment 7 - Wage Determination Henrico County.pdf PDF
Attachment 2 - Specs Vol I.pdf PDF
Attachment 5 - Drawings.pdf PDF
Attachment 4 - Specs Vol III.pdf PDF
Attachment 1 - SOW.pdf PDF
Attachment 6 - Limitations on Subcontracting - Construction.pdf PDF
Attachment 9 - Division Pricing Template.xlsx XLSX spreadsheet
Attachment 3 - Specs Vol II.pdf PDF
36C77625R0061.pdf PDF
Show all 15

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Text version

VA PROGRAM CONTRACTING ACTIVITY CENTRAL ● 6100 OAK TREE BLVD SUITE 490 ● INDEPENDENCE, OH 44131

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

*PPQs should be provided back to the requestor to incorporate into their proposal, all PPQs should be included in the proposal submission by the offeror and it will count towards the page limitation listed in the

INSTRUCTIONS, CONDITIONS AND OTHER STATEMENTS TO OFFERORS

SECTION 1

CONTRACT INFORMATION – Contractor to complete #1-3

1. CONTRACTOR INFORMATION

NAME OF OFFEROR BEING EVALUATED: Click or tap here to enter text.

ADDRESS: Click or tap here to enter text.

POINT OF CONTACT: Click or tap here to enter text.

CONTACT PHONE NUMBER: Click or tap here to enter text.

CONTACT EMAIL ADDRESS: Click or tap here to enter text.

WORK PERFOMED AS: Click or tap here to enter text.

PERCENT OF PROJECT WORK PERFORMED: Click or tap here to enter text.

IF SUBCONTRACTOR, WHO WAS THE PRIME? Click or tap here to enter text.

2. CONTRACT INFORMATION

CONTRACT TITLE: Click or tap here to enter text.

CONTRACT NUMBER AND DO/TO NUMBER: Click or tap here to enter text.

CONTRACT TYPE: Choose an item.

if other:

CONTRACT LOCATION: Click or tap here to enter text.

AWARD DATE: Click or tap to enter a date.

ORIGINAL CONTRACT ACCCEPTANCE (construction accepted) Date: Click or tap to enter a date.

ACTUAL CONTRACT ACCEPTANCE: Click or tap to enter a date.

EXPLAIN DIFFERENCES: Click or tap here to enter text.

ORIGINAL IMPLEMENTATION PRICE: Click or tap here to enter text.

ORIGINAL CONTRACT PRICE (all costs - design/installation/financing): Click or tap here to enter text.

FINAL CONTRACT PRICE (including modifications, if applicable): Click or tap here to enter text.

EXPLAIN DIFFERENCES: Click or tap here to enter text.

3. PROJECT DESCRIPTION

SCOPE INCLUDED IN PROJECT: Click or tap here to enter text.

HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION? Click or tap here to enter text.

SECTION 2

EVALUATOR INFORMATION – Client to complete

EVALUATOR INFORMATION

NAME OF EVALUATOR: Click or tap here to enter text.

POSITION: Click or tap here to enter text.

ADDRESS: Click or tap here to enter text.

PHONE: Click or tap here to enter text.

EMAIL: Click or tap here to enter text.

DESCRIBE YOUR ROLE IN THE PROJECT: Click or tap here to enter text.

*Please see Page 4 for Adjectival Ratings for the following:

1. QUALITY

Ability to meet quality design and/or construction standards specified for technical performance Choose an item.

Comments:

2. SCHEDULE/ TIMELINESS OF PERFORMANCE

Compliance with contract delivery/completion schedules including timely submission of data deliverables (If liquidated damages were assessed or the schedule was not met, please address below.)

Choose an item.

Comments:

3. MANAGEMENT/ PERSONNEL/ LABOR

Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage, and control the project) Choose an item.

Veterans Health Administration (VHA) Program Contracting Activity Central (PCAC) is considering the Offeror identified above for award of the subject project.

Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation.

Please verify the information in Section 1 is accurate and complete the enclosed questionnaire as thoroughly as possible. In addition to submitting this questionnaire, VHA-PCAC may contact you in order to obtain any additional information regarding a contract award.

Please email your completed questionnaire back to the firm requesting prior to the date listed in the Solicitation as they will need these completed documents to incorporate into their proposal for submission.

*Submissions made after this date and time will not be accepted or evaluated.

Continuity in the contractor’s personnel during execution of the contract (e.g., one person or team that stayed with the project throughout the contract) Choose an item.

Comments:

4. COST/ FINANCIAL MANGEMENT

Ability to meet the terms and conditions within the contractually agreed price? Choose an item.

Comments:

5. SUMMARY

Would you hire or work with this firm again? If no, please explain below. Choose an item.

Provide an overall rating for the work performed by this contractor. Choose an item.

ADDITIONAL COMMENTS:

EVALUATOR SIGNATURE: DATE:

ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR

EVALUATION OF THE CONTRACTOR’S PERFORMANCE

*THIS PAGE WILL BE REMOVED FOR EVALUATION PURPOSES AND NOT BE COUNTED

TOWARD THE PROPOSAL PAGE COUNT – IT IS FOR PPQ COMPLETION PURPOSES ONLY*

Rating Definition

Outstanding The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective

Above Average The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Offeror were effective.

Satisfactory The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Offeror were satisfactory.

Unsatisfactory Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the Offeror has yet to identify corrective actions or the Offeror’s proposed actions appear only marginally effective or were not fully implemented.

Not Applicable No information or did not apply to your contract.

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