B08_140P1226Q0015_Attachment_5_Past_Performance_Questionnaire.docx

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Attached to
Solid Waste Sanitation Services DC Palisades Federal contract opportunity
Solicitation number
140P1226Q0015
Issued by
Department of the Interior National Park Service Intermountain Region

About this file

This is a Past Performance Questionnaire (PPQ) template issued by the U.S. Department of the Interior, National Park Service for evaluating contractor performance on Solid Waste Sanitation Services projects. The questionnaire is designed to be completed in two sections: Section A is completed by the offeror to provide project details (project title, location, description, company information, dates, and contract amounts), while Section B is completed by the project owner/evaluator or reference to assess the contractor's past performance. Offerors may submit up to three completed past performance questionnaires for this solicitation, with projects required to have been completed within five years of contract completion.

Section B contains a structured evaluation framework with nine rating categories assessed on a five-point scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). Evaluators rate the contractor's relationship with the client team, corporate management and integrity, quality control, schedule performance, and provide yes/no responses regarding cure notices, willingness to award future contracts, customer satisfaction, and opportunities for the contractor to address negative comments. An overall rating and comments section complete the questionnaire. All completed questionnaires must be received by the contracting point of contact by the deadline specified in the solicitation, with late submissions not accepted.

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Text version

Department of Interior Past Performance Questionnaire (PPQ) for Solid Waste Sanitation projects

U.S. Department of the Interior, National Park Service is considering the company listed below in Section A for a project opportunity - Your comments would be appreciated regarding this company’s past performance.

Instructions:

1) The offeror is to complete only the information in Section A, then send the entire past performance questionnaire to project owner/evaluator for completion.

2) The project owner/evaluator (or reference) is to complete Section B, then send the entire past performance questionnaire back to the offeror to be provided with their complete proposal package, which will then be reviewed for evaluation.

3) The past performance questionnaire must be received by the contracting point of contact by the date and time specified in the solicitation (or any amendments). Please note that for electronic submissions, offerors should consider and account for potential delays in transmissions between when an electronic submission is submitted and when an electronic submission is received. Late past performance questionnaires will not be accepted.

4) One past performance questionnaire is to be used for each past performance solid waste sanitation project submitted. The offeror may submit 3 past performance questionnaires for this solicitation. Past performance projects must have been completed within five years of the completion of performance of the evaluated contract or order.

Section A

Project Title:

Location:

Description:

Company Name:
Unique Entity ID/Cage Code:
Owner/Project Manager Name:
Email Address:
Start Date:
Completion Date:
Initial Amount:
Final Amount:

Section B

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

Evaluator Signature

Name

Date:

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