Attachment_C_-_Past_Performance_Questionnaire.pdf
PDF 174 KB Posted
- Attached to
- Rehabilitate Buzzard Point Park
- Solicitation number
- 140D0426R0027
About this file
This is a Past Performance Questionnaire (PPQ) template issued by the U.S. Department of the Interior, Interior Business Center, used to evaluate contractor performance on previous federal contracts. The form is designed to be completed by clients or customers who have worked with a contractor under consideration for award and serves as a reference tool for assessing past performance during the evaluation process.
The questionnaire collects firm information including project title, location, description, contract number, start and completion dates, initial and final contract amounts, and evaluator details. It requires respondents to rate the contractor across nine key performance areas using a five-point scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The evaluation criteria address relationship and communication with the client's contract team, corporate management and integrity, quality control, schedule performance, and overall performance. Additional yes/no questions address whether cure notices, show cause letters, or termination actions were issued; whether the evaluator would award another contract; customer satisfaction with final products and services; and whether the contractor was provided opportunity to respond to negative comments. Respondents must provide supporting comments, particularly when ratings are Marginal or Unacceptable. Completed questionnaires should be returned to Ericka Graham, Contracting Officer, at ericka_graham@ibc.doi.gov.
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Text version
Department of Interior Past Performance Questionnaire (PPQ)
U.S. Department of the Interior, Interior Business Center is considering award to the contractor that provided you this document. We appreciate your comments regarding this company’s past performance.
Firm Information Project Title:
Location:
Description:
Company Name: Contract Number:
Start Date: Completion Date:
Initial Amount: Final Amount:
Evaluator Evaluator Name: Company/Agency Name:
Address: POC Email:
Position Held or Function in Relation to Project:
Ratings Overview Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
“O” Outstanding Performance greatly exceeded the contract requirements.
“A” Above Average Performance exceeded the contract requirements.
“S” Satisfactory Performance met the contract requirements.
“M” Marginal Performance met the minimum contract requirements but
Some material aspects of the contractor’s performance were less than satisfactory.
“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.
Questionnaire Please select the appropriate rating and provide supporting information for the following questions.
1. The relationship between the company and client’s/customer’s contract team:
O A S M U
2. Overall corporate management, integrity, reasonableness, and cooperative conduct:
O A S M U
3. Quality control: O A S M U
4. Ability to meet the performance schedule: O A S M U
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain in comments.
Yes No
6. Would you award another contract to the company being evaluated? If no, please explain in comments.
Yes No
7. Was the customer satisfied with the final product and services? If no, please explain in comments.
Yes No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, please include the results in comments.
Yes No
9. Overall Rating: O A S M U
10. Comments (can attach additional pages if needed):
Signature
Please return the signed questionnaire to the person that requested it or to the Contracting Officer, Ericka Graham at ericka_graham@ibc.doi.gov. Please notify the requestor when the form has been submitted.
mailto:ericka_graham@ibc.doi.gov
| Firm Information: |
| Location: |
| Description: |
| Company Name: |
| Contract Number: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
| Evaluator: |
| CompanyAgency Name: |
| Address: |
| POC Email: |
| Position Held or Function in Relation to Project: |
| 10 Comments: |
| Question 1: Off |
| Question 2: Off |
| Question 3: Choice3 |
| Question 4: Off |
| Question 5: Off |
| Question 6: Off |
| Question 7: Off |
| Question 8: Off |
| Question 9: Off |
File details come from the government source that posted it. Updated .