Attachment X PPQ .docx
DOCX document 104 KB Posted
- Attached to
- Z2NE--544-22-115 Replace Water and Fire Piping Loop Federal contract opportunity
- Solicitation number
- 36C24726R0074
About this file
This is a Past Performance Questionnaire (PPQ) template designed to evaluate contractor performance on federal contract opportunities, specifically for use by the Department of Veterans Affairs Veterans Health Administration.
The form is divided into two main sections: Section 1 requires the contractor being evaluated to provide contract information including offeror details, point of contact information, contract specifics (title, number, type, location, award date, acceptance dates), pricing information (original implementation price, original contract price, and final contract price with modifications), and project description and relevance. Section 2 is completed by the client evaluator and requests verification of Section 1 information, the evaluator's role in the project, and detailed performance ratings across seven criteria: Quality (design and construction standards), Schedule/Timeliness of Performance (delivery and completion schedules), Communication (contractor cooperation and responsiveness), Management/Personnel/Labor (effectiveness of management and personnel continuity), Cost/Financial Management (ability to meet contractually agreed pricing), Subcontract Management (subcontracting oversight and issue resolution), and a Summary section asking whether the evaluator would hire the firm again and requesting an overall performance rating. The form uses a standardized four-point adjectival rating scale (Outstanding, Above Average, Satisfactory, Unsatisfactory) plus a Not Applicable option, with detailed definitions provided to guide evaluators in assessing the contractor's past performance capability to execute the work described in the solicitation.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24726R0074 0004.pdf | ||
| Copy of 544-22-115 - Bid Sheet.xlsx | XLSX spreadsheet | |
| 36C24726R0074 0003.pdf | ||
| Attachment I - WD Building.pdf | ||
| 36C24726R0074 0002 Amendment.pdf | ||
| 36C24726R0074 0001 Amendment.pdf | ||
| 36C24726R0074_1 Final Rev.pdf | ||
| Attachment I - WD.pdf | ||
| Attachment VIII - Compliance with Executive order 13899.pdf | ||
| Attachment VI - SF24-23a Bid Bond.pdf | ||
| Attachment VII - Class Deviation from the Federal Acquisition Regulation.pdf | ||
| Attachment V - 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING.pdf | ||
| Attachment VIIII - EMR.docx | DOCX document | |
| Attachment II - Bid Docs Drawings.pdf | ||
| Attachment IV - Bid Docs Spec Vol 2.pdf | ||
| Attachment III - Bid Docs Spec Vol 1.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
SECTION 1
CONTRACT INFORMATION – Contractor to complete #1-3
1. CONTRACTOR INFORMATION
NAME OF OFFEROR BEING EVALUATED: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
POINT OF CONTACT: Click or tap here to enter text.
CONTACT PHONE NUMBER: Click or tap here to enter text.
CONTACT EMAIL ADDRESS: Click or tap here to enter text.
WORK PERFOMED AS: Click or tap here to enter text.
PERCENT OF PROJECT WORK PERFORMED: Click or tap here to enter text.
IF SUBCONTRACTOR, WHO WAS THE PRIME? Click or tap here to enter text.
2. CONTRACT INFORMATION
CONTRACT TITLE: Click or tap here to enter text.
CONTRACT NUMBER AND DO/TO NUMBER: Click or tap here to enter text.
CONTRACT TYPE: Choose an item.
if other:
CONTRACT LOCATION: Click or tap here to enter text.
AWARD DATE: Click or tap to enter a date.
ORIGINAL CONTRACT ACCCEPTANCE (construction accepted) Date: Click or tap to enter a date.
ACTUAL CONTRACT ACCEPTANCE: Click or tap to enter a date.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
ORIGINAL IMPLEMENTATION PRICE: Click or tap here to enter text.
ORIGINAL CONTRACT PRICE (all costs - design/installation/financing): Click or tap here to enter text.
FINAL CONTRACT PRICE (including modifications, if applicable): Click or tap here to enter text.
EXPLAIN DIFFERENCES: Click or tap here to enter text.
3. PROJECT DESCRIPTION
SCOPE INCLUDED IN PROJECT: Click or tap here to enter text.
HOW IS THIS PROJECT RELEVANT TO PROJECT OF SUBMISSION? Click or tap here to enter text.
SECTION 2
EVALUATOR INFORMATION – Client to complete
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please verify the accuracy of the information in Section 1 and complete the questionnaire as thoroughly as possible. VHA-NCO-7 may contact you to obtain any additional information regarding a contract award.
PPQs should not be submitted directly to VHA NCO-7 by the client. Refer to the solicitation for RFQ submission due date.
EVALUATOR INFORMATION
NAME OF EVALUATOR: Click or tap here to enter text.
POSITION: Click or tap here to enter text.
ADDRESS: Click or tap here to enter text.
PHONE: Click or tap here to enter text.
EMAIL: Click or tap here to enter text.
DESCRIBE YOUR ROLE IN THE PROJECT: Click or tap here to enter text.
*Please see Page 4 for Adjectival Ratings for the following:
1. QUALITY
| Ability to meet quality design and/or construction standards specified for technical performance |
| Choose an item. |
| Comments: |
2. SCHEDULE/ TIMELINESS OF PERFORMANCE
| Compliance with contract delivery/completion schedules including timely submission of data deliverables (If liquidated damages were assessed or the schedule was not met, please address below.) |
| Choose an item. |
| Comments: |
3. COMMUNICATION
| Contractor was reasonable and cooperative in dealing with client staff (including the ability to successfully resolve disagreements/disputes and responsiveness to client requests) |
| Choose an item. |
| Comments: |
4. MANAGEMENT/ PERSONNEL/ LABOR
| Effectiveness of management, including suppliers, materials, and/or labor force (including the ability to effectively lead, manage, and control the project) |
| Choose an item. |
| Continuity in the contractor’s personnel during execution of the contract (e.g., one person or team that stayed with the project throughout the contract) |
| Choose an item. |
| Comments: |
5. COST/ FINANCIAL MANGEMENT
| Ability to meet the terms and conditions within the contractually agreed price |
| Choose an item. |
| Comments: |
6. SUBCONTRACT MANAGEMENT
Ability to manage subcontracting effort, including any subcontracting issues, and the contractor’s ability to resolve the problems without extensive customer guidance
Choose an item.
Comments:
7. SUMMARY
| Would you hire or work with this firm again? If no, please explain below. |
| Choose an item. |
| Provide an overall rating for the work performed by this contractor. |
| Choose an item. |
ADDITIONAL COMMENTS:
| EVALUATOR SIGNATURE: |
| DATE: |
ADJECTIVAL RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE
*THIS PAGE WILL BE REMOVED FOR EVALUATION PURPOSES AND NOT BE COUNTED TOWARD THE SF 330 PAGE COUNT – IT IS FOR PPQ COMPLETION PURPOSES ONLY*
| Rating |
| Definition |
| Outstanding |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the Offeror were highly effective. |
| Above Average |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the Offeror were effective. |
| Satisfactory |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Offeror were satisfactory. |
| Unsatisfactory |
| Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the Offeror has yet to identify corrective actions or the Offeror’s proposed actions appear only marginally effective or were not fully implemented. |
| Not Applicable |
| No information or did not apply to your contract. |
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