Attachment_L_-_PPQ.docx
DOCX document 2 MB Posted
- Solicitation number
- 140G0126Q0153
About this file
This is a Past Performance Questionnaire (PPQ) template used by the U.S. Department of the Interior, U.S. Geological Survey to evaluate contractor performance on past projects. The form is designed to be completed by government evaluators or project stakeholders who have direct experience with a contractor's work and can provide objective assessments of their capabilities and conduct.
The questionnaire requests evaluator information including name, agency affiliation, address, email, and position held in relation to the project being evaluated. It then requires ratings across nine key performance areas using a five-point scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The rated criteria include the contractor's relationship with the client team, corporate management and integrity, quality control, schedule adherence, and overall performance. The form also includes yes/no questions regarding whether cure notices or terminations were issued, whether the evaluator would award future contracts to the firm, customer satisfaction with deliverables, and whether the contractor was given opportunity to respond to negative ratings. A final section provides space for overall rating and supporting comments. This template serves as Attachment L to RFQ 140G0126Q0153 for EROS Mail Room, Copy Center, and Warehouse Logistics services and will be used to assess past performance of bidders competing for this women-owned small business set-aside contract.
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Text version
Competition Sensitive – For Official Use Only RFQ 140G0126Q0153 Attachment L – Past Performance Questionnaire Department of Interior Past Performance Questionnaire (PPQ)
U.S. Department of the Interior, U.S. Geological Survey is considering [Insert Company].
Your comments would be appreciated 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:
Yes
No
6. Would you award another contract to the company being evaluated? If no, please explain:
No
7. Was the customer satisfied with the final product and services? If no, please explain:
No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
No
9. Overall Rating
O
A S M U
10. Comments
Signatures
| Name |
| Date: |
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