B08_Attachment_9_Past_Performance_Questionnaire_Aug_2021.doc

DOC document 94 KB Posted

Attached to
Replace HVAC at Maintenance & Curatorial Bldgs - S Federal contract opportunity
Solicitation number
140P9724R0010
Issued by
Department of the Interior National Park Service Alaska Region

About this file

This document is a Past Performance Questionnaire (PPQ) that is part of the solicitation for a federal contract opportunity to replace the HVAC system at the Maintenance & Curatorial Buildings in Skagway, Alaska. The solicitation number is 140P9724R0010 and the contracting agency is the Department of the Interior National Park Service Alaska Region.

The PPQ asks the reference to provide information on the contractor's performance on a previous contract, including ratings on factors such as relationship with the client, quality control, ability to meet the performance schedule, and overall satisfaction. The reference is asked whether they would award another contract to the contractor and whether the customer was satisfied with the final product and services. The PPQ also inquires about any cure notices, show cause letters, or terminations related to the contractor's performance. An overall rating is requested, as well as any additional comments.

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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

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:

Signature

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