ATTACHMENT A PAST PERFORMANCE QUESTIONAIRE (PPQ).docx

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U008--FY26 VHA OMH Web Based Self-Help Courses for Vets -
Solicitation number
36C10X26Q0124
Issued by

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This is a Past Performance Questionnaire (PPQ) template designed to evaluate contractor experience and qualifications for the VHA OMH Web Based Self-Help Courses for Veterans solicitation. The questionnaire requests detailed information about the offeror's relevant past performance on similar projects, including project descriptions, contract values, completion dates, and client references. Contractors are required to provide specific examples demonstrating their experience with web-based course development, implementation, and delivery for veteran populations or similar government agencies. The template emphasizes the importance of documenting similar scope, complexity, and relevance to the current requirement.

The PPQ requires offerors to identify key personnel and subcontractors involved in previous similar projects, provide performance metrics and outcomes achieved, and supply contact information for government or commercial references who can verify the quality and timeliness of work performed. Responses should demonstrate the contractor's capability to manage schedules, budgets, and technical requirements comparable to those specified in the main solicitation. This questionnaire serves as a critical evaluation tool for the Department of Veterans Affairs Strategic Acquisition Center Frederick to assess contractor qualifications and likelihood of successful performance on the web-based self-help courses development and delivery contract.

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D.2 PAST PERFORMANCE QUESTIONAIRRE (PPQ)

Past Performance Questionnaire Department of Veterans Affairs: 36C10X26Q0124

E-MAIL TO: Selena Robinson, Contract Specialist AGENCY: Veterans Affairs (VA) E-MAIL: Selena.Robinson@va.gov

-and-

E-MAIL TO: Jacky Jean-Jacques, Contracting Officer AGENCY: Veterans Affairs (VA) E-MAIL: Jacky.Jean-Jacques@va.gov

INFORMATION REQUEST: PAST PERFORMANCE

This office is currently in the process of awarding a competitive contract. [CONTRACTOR NAME] has provided your name and organization as a reference regarding [CONTRACTOR NAME]’s record of past performance under Contract No. [CONTRACT NO.].

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Offeror’s Name:

Request for Proposal: 36C10X26Q0124, Web-based Self-Help Courses for Veterans

Name of Person Completing the Evaluation:

Telephone:E-mail:
Title:Company/Organization:

Please rate the quoter in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.

· Not Applicable: N/A

· 1: Performance clearly below the contract performance standard or requirement

· 2:Performance occasionally does not meet minimum contract performance standard or requirement
· 3:Performance that meets the minimum contract performance standard or requirement
· 4:Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:Performance that almost always exceeds the contract performance standard or requirement
1. Overall quality/satisfaction
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Overall satisfaction with the quoter’s performance. Would you (the reference) choose to work with this quoter again? (Additional Comments Here)

2. Delivery performance
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions. (Additional Comments Here)

3. Satisfaction with the quality of service delivered
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those. (Additional Comments Here)

4. Satisfaction with problem resolution
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

This includes the quoter’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions. (Additional Comments Here)

5. Satisfaction with the quality of contractor personnel
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Rate the quality of the contractor’s staff in executing the project work scope. (Additional Comments Here)

1. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years? |_| Yes |_| No If Yes, please explain.

1. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.

1. Based on the quoter’s overall performance, would you award them another contract? |_| Yes |_| No If No, please explain.

1. Have you discussed any adverse past performance problems with the quoter and given them an opportunity to comment? |_| Yes |_| No Please explain.

1. Do you file past performance information in a database that the Contracting Officer may search? |_| Yes |_| No Please explain.

1. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.

1. What was the contract period of performance (i.e., when were services provided)?

1. What was the dollar value of the contract performed by the quoter?

1. Provide a brief description of the services provided by the quoter for this contract.

Please attach any past performance database reports or other material you deem appropriate to a full understanding of the quoter’s past performance by the evaluator.

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