Attachment 9 Past Performance Questionnaire.docx
DOCX document 112 KB Posted
- Solicitation number
- 36C26026R0081_0001
About this file
This is a Past Performance Questionnaire (PPQ) template designed for evaluating contractor performance on federal contracts under the Veterans Health Administration (VHA) Network Contracting Office 20 (NCO 20).
The form is structured in two sections: Section 1 requires the contractor being evaluated to provide contract information including company details, point of contact information, contract specifics (title, number, type, location, award date, and acceptance dates), original and final contract pricing with explanations of any variances, and a description of the project scope and its relevance to the current solicitation. Section 2 is completed by the client evaluator and requests assessment of the contractor's performance across seven key evaluation criteria: quality of design and construction standards, schedule and timeliness of performance (including any liquidated damages), communication and cooperation, management and personnel continuity, cost and financial management, subcontract management capability, and an overall summary rating with a recommendation for future work. The questionnaire uses standardized adjectival rating scales—Outstanding, Above Average, Satisfactory, Unsatisfactory, and Not Applicable—with specific definitions provided to ensure consistent evaluation. This PPQ is being used to evaluate offerors for solicitation 36C26026R0081 (Project #668-24-103) for replacement of roofing systems on Buildings 1, 2, 3, and 31 at the Mann-Grandstaff VA Medical Center in Spokane, Washington, with pricing structured as a base job item and four deduct items for individual buildings, each to be evaluated separately depending on available funding.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26026R0081 0004.docx | DOCX document | |
| 36C26026R0081 0003.docx | DOCX document | |
| 36C26026R0081 0002.docx | DOCX document | |
| 36C26026R0081 0001.docx | DOCX document | |
| Attachment 8 Limitations on Subcontracting-Construction.pdf | ||
| Attachment 5 668-24-103 HAZ B2.pdf | ||
| Attachment 1 SOW.docx | DOCX document | |
| Attachment 11 Wage Determination WA20260114.pdf | ||
| Attachment 6 668-24-103 HAZ B3.pdf | ||
| 36C26026R0081_1.docx | DOCX document | |
| Attachment 2 Specifications.pdf | ||
| Attachment 10 Division Cost Breakout.xls | XLS spreadsheet | |
| Attachment 7 668-24-103 HAZ B31.pdf | ||
| Attachment 4 668-24-103 HAZ B1.pdf | ||
| Attachment 3 Drawings.pdf |
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Text version
VHA NETWORK CONTRACTING OFFICE 20 ● 1601 E. FOURTH PLAIN BLVD BLDG. 17, SUITE B428 ● VANCOUVER, WA
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
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 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
Veterans Health Administration (VHA) Regional Procurement Office-West (RPOW) Network Contracting Office 20 (NCO 20) is considering the Offeror identified above for award of Project # 668-24-103, Replace Buildings 1, 2, 3, and 31 Roofing Systems at the Mann-Grandstaff VA Medical Center, Spokane, WA 99205.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to determine the company’s ability to responsibly perform the work as described in the solicitation. Please verify the accuracy of the information in Section 1 and complete the questionnaire as thoroughly as possible. NCO 20 may contact you in order to obtain any additional information regarding a contract award.
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. COMMUNICATION
| Contractor was reasonable and cooperative in dealing with client staff (including the ability to successfully resolve disagreements/disputes and responsiveness to client requests) |
| Choose an item. |
| Comments: |
4. 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. |
| 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: |
5. COST/ FINANCIAL MANGEMENT
| Ability to meet the terms and conditions within the contractually agreed price |
| Choose an item. |
| Comments: |
6. SUBCONTRACT MANAGEMENT
Ability to manage subcontracting effort, including any subcontracting issues, and the contractor’s ability to resolve the problems without extensive customer guidance
Choose an item.
Comments:
7. SUMMARY
| Would you hire or work with this contractor 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 – 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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