B08_40622956_Attachment_5_Past_Performance_Questionnaire_Aug_2021.doc

DOC document 100 KB Posted

Attached to
ELMA-CREATE UNIVESALLY ACCESSIBLE TRAIL Federal contract opportunity
Solicitation number
140P1324R0004
Issued by
Department of the Interior National Park Service Intermountain Region

About this file

This document is a Past Performance Questionnaire (PPQ) from the Department of the Interior's National Park Service Intermountain Region regarding a company's past performance. The questionnaire covers various performance categories such as relationship with the client, corporate management, quality control, schedule adherence, and customer satisfaction. Evaluators are asked to provide ratings and comments for each category. The questionnaire also inquires about any contractual issues, the evaluator's willingness to award another contract to the company, and whether the company was given an opportunity to discuss any negative comments or ratings. An overall rating is requested at the end. This PPQ is related to the federal contract opportunity "ELMA-CREATE UNIVESALLY ACCESSIBLE TRAIL" solicited by the Department of the Interior National Park Service Intermountain Region.

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Department of Interior

Past Performance Questionnaire (PPQ)

NOTICE TO CONTRACTOR

Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.

This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.

The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.

U.S. Department of the Interior, ConOps Central – Santa Fe MABO 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

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

FORMCHECKBOX

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

3. Quality control:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

4. Ability to meet the performance schedule:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

FORMCHECKBOX

No

6. Would you award another contract to the company being evaluated? If no, please explain:

Yes

No

7. Was the customer satisfied with the final product and services? If no, please explain:
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, what were the results?

Yes

FORMCHECKBOX

No

9. Overall Rating

O

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

10. Comments

Signatures

Name
Date:

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