Attch_6_-_Past_Performance_Questionnaire.pdf
PDF 162 KB Posted
- Attached to
- HVAC Replacement for SH PP and SC PP
- Solicitation number
- 140R2026R0011
About this file
This is a Past Performance Questionnaire (PPQ) template issued by the Bureau of Reclamation, Interior Region 10, California–Great Basin for Solicitation 140R2026R0011. The PPQ is designed to be completed by evaluators with direct experience with contractors to assess their past performance as part of a source selection process.
The questionnaire contains ten evaluation sections requesting detailed ratings and commentary. Section 1 collects contractor information including contractor name, contract number, project title, period of performance, dollar value, evaluator name/title, organization, and contact information. Sections 2 through 8 request ratings on scope similarity, quality of product or service, schedule/timeliness, cost control, management and business relations, regulatory compliance, and small business utilization (if applicable). Each section provides a five-point scale ranging from Exceptional to Unsatisfactory, with options for N/A where applicable, and includes space for detailed comments. Section 9 requests an overall performance rating and asks whether the evaluator would award to the contractor again, with options for Yes, No, or With Reservations. Section 10 provides space for additional comments. Completed questionnaires should be returned to Contract Specialist/Contracting Officer Charlesetta Seibure at cseibure@usbr.gov.
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Text version
Attachment 6
Solicitation 140R2026R0011
BUREAU OF RECLAMATION – INTERIOR REGION 10
CALIFORNIA – GREAT BASIN
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Instructions to Evaluator:
The Bureau of Reclamation is conducting a past performance evaluation for the contractor identified below. Your candid assessment is important and will be used as part of a source selection process. Please base your responses on your direct experience with this contractor. If a question does not apply, mark N/A.
1. Contractor Information
• Contractor Name: ____________________________________
• Contract Number: ____________________________________
• Project Title/Description: ______________________________
• Period of Performance: _________________________________
• Dollar Value of Contract: _______________________________
• Your Name/Title: _____________________________________
• Your Organization: ____________________________________
• Phone/Email: _________________________________________
2. Scope Similarity
How similar was this contract to the current requirement in terms of size, scope, and complexity?
☐ Very Similar ☐ Somewhat Similar ☐Not Similar ☐Unable to Determine
Attachment 5
Comments:
3. Quality of Product or Service
Rate the contractor’s quality of work.
☐ Exceptional – Far exceeds requirements ☐ Very Good – Exceeds requirements ☐ Satisfactory – Meets requirements ☐ Marginal – Does not consistently meet requirements ☐ Unsatisfactory – Fails to meet requirements
Comments (accuracy, technical competence, deliverables, rework required, etc.):
4. Schedule/Timeliness
Rate the contractor’s ability to meet deadlines and milestones.
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
Comments (delays, recovery efforts, schedule management):
5. Cost Control
Rate the contractor’s ability to manage costs and control expenses.
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal
☐ Unsatisfactory ☐ Not Applicable (Firm-Fixed-Price with no changes)
Comments (cost growth, change orders, estimates, financial management):
6. Management & Business Relations
Rate effectiveness in communication, responsiveness, and problem-solving.
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
Comments (cooperation, staffing, subcontractor management, issue resolution):
7. Regulatory Compliance
Did the contractor comply with contract terms, safety, environmental, and security requirements?
☐ Yes ☐ No ☐ N/A
If no, explain:
8. Small Business Utilization (if applicable)
Did the contractor make a good faith effort to meet subcontracting goals?
☐ Exceptional ☐ Very Good ☐ Satisfactory
☐ Marginal ☐ Unsatisfactory ☐ N/A
Comments:
9. Overall Performance Rating
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
Would you award to this contractor again?
☐ Yes ☐ No ☐ With Reservations
Explain:
10. Additional Comments
Return Instructions: Please return the completed questionnaire to the office below.
Return To:
Contract Specialist / Contracting Officer: Charlesetta Seibure Office: Bureau of Reclamation – Interior Region 10, California – Great Basin Email: cseibure@usbr.gov
| BUREAU OF RECLAMATION – INTERIOR REGION 10 CALIFORNIA – GREAT BASIN |
| PAST PERFORMANCE QUESTIONNAIRE (PPQ) |
| 1. Contractor Information |
| 2. Scope Similarity |
| 3. Quality of Product or Service |
| 4. Schedule/Timeliness |
| 5. Cost Control |
| 6. Management & Business Relations |
| 7. Regulatory Compliance |
| 8. Small Business Utilization (if applicable) |
| 9. Overall Performance Rating |
| 10. Additional Comments |
File details come from the government source that posted it. Updated .