B08_Attachment_7_-_Past_Performance_Questionnaire.docx
DOCX document 34 KB Posted
- Attached to
- GLBA REHAB WATERLINE
- Solicitation number
- 140P9726R0002
About this file
This is a Past Performance Questionnaire (PPQ) template designed to collect performance evaluations from government clients or contractors regarding past work completed under federal contracts. The form, associated with solicitation 140P9724R0001, establishes a structured process where the offeror completes Sections A and B with firm and project information, then transmits the questionnaire to a reference who completes Sections C and D with performance ratings and comments before returning it to the Contracting Officer.
The questionnaire evaluates contractors across nine key performance criteria using a five-point rating scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The evaluation areas include relationship with the customer's contract team, corporate management and integrity, quality control, schedule performance, contract administration actions (cure notices, terminations), likelihood of contract renewal, customer satisfaction with deliverables, contractor responsiveness to negative feedback, and an overall performance rating. References provide supporting information explaining marginal or unacceptable ratings and comment on adverse actions, future contract award likelihood, and final product/service satisfaction. The questionnaire serves as source selection sensitive information and explicitly prohibits contractors from using the results for promotional or endorsement purposes.
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Text version
Past Performance Questionnaire (PPQ) 140P9724R0001
INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.
Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.
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.
Firm Information
Project Title:
Location:
Description:
| Company Name: |
| Contract Number: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
Reference
| 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
Signatures
| Name |
| Date: |
Signature
File details come from the government source that posted it. Updated .