B08-Attachment_6-Past_Performance_Questionnaire.doc

DOC document 99 KB Posted

Attached to
ACAD - REPLACE GREAT MEADOW CULVERT Federal contract opportunity
Solicitation number
140P4325R0001
Issued by
Department of the Interior National Park Service Northeast Region

About this file

This is a Past Performance Questionnaire (PPQ) template from the Department of Interior for evaluating contractor performance. The template is designed to gather feedback on contractors' previous work, with ratings from Outstanding to Unacceptable across multiple performance areas. The questionnaire evaluates nine key areas including client relationships, corporate management, quality control, schedule adherence, and overall performance. It also includes specific yes/no questions about cure notices, contract award recommendations, customer satisfaction, and contractor response opportunities.

The PPQ appears to be associated with the Acadia National Park Great Meadow Culvert Replacement project (Solicitation #140P4325R0001) under the Department of Interior National Park Service Northeast Region. The template includes provisions restricting contractors from using the questionnaire responses for advertising or promotional purposes, as specified under DIAR 1452.203-70.

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Text version

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.

DIAR 1452.203-70

Restriction on Endorsements - Department of the interior (JUL 1996) The Contractor shall not refer to contracts awarded by the Department of the Interior in commercial advertising, as defined in FAR 31.205-1, in a manner which states or implies that the product or service provided is approved or endorsed by the Government or is considered by the Government to be superior to other products or services. This restriction is intended to avoid the appearance of preference by the Government toward any product or service. The Contractor may request the Contracting Officer to make a determination as to the propriety of promotional material.

(End of clause)

U.S. Department of the Interior, [Insert Bureau] 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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