Attachment 9-PPQ-ESS.pdf

Past Performance Questionnaire

Instructions for the Offeror: Please complete Part I-A below. Forward this entire questionnaire to the client (point of contact) for each of the projects you wish to submit for evaluation (maximum of 5 projects within the last 3 years).

Instructions for the Respondent (Client/Evaluator): We kindly request your objective evaluation of the contractor's performance on the project referenced below. Your candid feedback is crucial for our source selection process. Please complete all sections and return this form to the Contracting Specialist (jazmin.burns.mil@army.mil) prior to the following date _____________.

Your responses will be kept confidential.

PART I: GENERAL INFORMATION

A. Contractor Information (To be completed by the contractor being evaluated)

| Contractor Name:

| Address:

| Point of Contact:

| Phone Number:

| Email:

B. Respondent/Evaluator Information (To be completed by the client)

| Evaluator Name:

| Title/Position:

| Agency/Company:

| Phone Number:

| Email:

PART II: PROJECT INFORMATION

(Please complete one questionnaire for each project) - PROJECT TITLE BELOW

Contract Number:

Project Title & Description of Services:

Period of Performance (Start/End Dates):

mailto:robert.m.parvin.civ@army.mil

Contract Type (e.g., FFP, T&M, etc.):

Initial Contract Value: $

Final Contract Value: $

Was the contractor the Prime or a Subcontractor? ☐ Prime ☐ Subcontractor

PART III: PERFORMANCE EVALUATION

A. RATING DEFINITIONS

Rating Description

Excellent (E) No doubt exists that the offeror successfully performed the required effort.

Good (G) Little doubt exists that the offeror successfully performed the required effort.

Adequate (A) Some doubt exists that the offeror successfully performed the required effort.

Marginal (M) Significant doubt exists that the offeror successfully performed the required effort.

Poor (P) It is extremely doubtful that the offeror successfully performed the required effort.

Neutral (N) No relevant past performance upon which to base a meaningful prediction.

B. EVALUATION QUESTIONS

For each question, please select the rating that best describes the contractor's performance.

1. Quality of Work | Question | Rating |

| Demonstrated quality workmanship and adherence to contract specifications. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Provided an adequate quality control plan and implemented it successfully. | ☐ E ☐ G ☐ A ☐

M ☐ P ☐ N | | Submitted required documentation correctly and in a timely manner. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Corrected any identified deficiencies in a timely manner. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N |

2. Timely Performance | Question | Rating | | Adhered to the approved project schedule. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Resolved any delays in a timely and effective manner. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Completed punch list items and project closeout activities promptly. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N |

3. Management Effectiveness

| Provided experienced and effective on-site supervision and management. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Maintained a professional and cooperative working relationship. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Effectively managed subcontractors and project resources. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Complied with all applicable laws and regulations. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Maintained adequate site clean-up and safety. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N |

4. Compliance & Safety

| Complied with all applicable labor laws and standards. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Implemented the safety plan satisfactorily. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Corrected any identified labor or safety deficiencies in a timely manner. | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N |

PART IV: OVERALL ASSESSMENT & COMMENTS

1. General Questions | Question | Response |

| How would you rate the contractor's overall performance on this project? | ☐ E ☐ G ☐ A ☐ M ☐ P ☐ N | | Was the customer satisfied with the final product/service? | ☐ Yes ☐ No | | Would you award another contract to this contractor? | ☐ Yes ☐ No |

If you answered "No" to any of the questions above, please explain in the comments section.

2. Narrative Comments (Please provide any additional comments that would be helpful in evaluating this contractor's past performance. Attach additional pages if necessary.)

3. Certification

I certify that the information provided is accurate and complete to the best of my knowledge.

Signature of Evaluator

Date