Attachment_C_-_Past_Performance_Questionnaire.pdf
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- Attached to
- OSHA A/E Renovation Design and Phasing
- Solicitation number
- 140D0426R0111
About this file
This is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of the Interior's Interior Business Center to evaluate contractor performance on completed projects. The form is distributed to references or past clients to gather feedback on a contractor under consideration for contract award.
The questionnaire collects firm information including project title, location, description, company name, contract number, start and completion dates, and initial and final contract amounts. It requests evaluator details such as name, company/agency affiliation, address, email, and position held during the project. The evaluation employs a five-point rating scale: "O" for Outstanding (greatly exceeded requirements), "A" for Above Average (exceeded requirements), "S" for Satisfactory (met requirements), "M" for Marginal (met minimum requirements with some unsatisfactory aspects), and "U" for Unacceptable (poor performance failing to meet requirements). Respondents rate the contractor across nine areas: relationship with client team, corporate management and integrity, quality control, ability to meet performance schedules, and overall rating. Yes/no questions address whether cure notices, show cause letters, or terminations were issued; whether the evaluator would award another contract; customer satisfaction with final deliverables; and whether the contractor was provided opportunity to respond to negative comments. The form includes a comments section for supporting information and requires the evaluator's signature before submission to the Contracting Officer, Ericka Graham, 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 .