C04_Attachment 9- Past Performance Questionnaire.pdf
PDF 165 KB Posted
- Attached to
- North Mills River Campground
- Solicitation number
- 12445226Q0042
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Past Performance Questionnaire (PPQ) template used by the United States Department of Agriculture (USDA) to collect and evaluate contractor past performance information during the federal procurement process.
The form is divided into three sections. Section I requests contractor information including company name, address, phone/fax number, and point of contact email, along with authorization signature from a contractor representative. Section II collects respondent (reference) information from clients or previous contract holders, including the client organization name and address, contact details, reference contract number, project title, contract value/type, period of performance, duration of working relationship, and detailed description of work performed. Section III contains a comprehensive performance evaluation framework organized into three categories: Contract Performance (8 questions covering workforce experience, regulatory compliance, equipment maintenance, personnel management, environmental/safety compliance, subcontractor management, and overall performance); Quality of Service/Control (4 questions addressing quality standards achievement, quality control plan effectiveness, deficiency correction, and workmanship); and Timeliness of Performance (3 questions evaluating schedule compliance, timeliness of records/submittals/reports, and delay resolution). Each evaluation item uses a binary rating system of "Acceptable" (indicating reasonable expectation of successful performance or unknown performance record) or "Unacceptable" (indicating no reasonable expectation of successful performance). The form includes space for remarks required when unacceptable ratings are assigned. Completed questionnaires should be returned to Marian Feist at marian.feist@usda.gov.
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PAST PERFORMANCE QUESTIONNAIRE (PPQ)
SECTION I: CONTRACTOR INFORMATION
A. Your Company Name and Address:
B. Phone /Fax #: _____________________________________________________________________
C. Point of Contact/email address: ________________________________________________________
D. Authorization is hereby granted to provide the information requested in SECTION II and III of this questionnaire.
Signature of Authorized Contractor Representative Date
Printed Name and Title of Authorized Contractor Representative
SECTION II: RESPONDENT INFORMATION: Request a reference from respondent by completing Section II and III and return to Marian Feist at marian.feist@usda.gov.
A. Client/Reference Name and Address: ___________________________________________________
B. Phone/Fax #: ______________________________________________________________________
C. Point of Contact/email address: ________________________________________________________
D. Reference Contract Number: __________________________________________________________ Project Title _______________________________________________________________________ Contract Value/Type: ________________________________________________________________ Period of Performance: _______________________________________________________________ How long have you worked with the contractor: ___________________________________________ More detailed description of the work performed____________________________________________
E. Date completed: ___________________________________________________________________
Past Performance Evaluation Ratings Rating Description
Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown
Unacceptable Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.
mailto:paula.reinhard@usda.gov
SECTION III: PERFORMANCE EVALUATION
A. CONTRACT PERFORMANCE
1. Working relationship with your Company?
2. How well did the contractor provide experienced workers, managers and supervisors with the technical and administrative abilities needed?
A U
3. Did the contractor exhibit knowledge of and compliance with government (or other) regulations and industry standards?
A U
4. How well did the contractor provide and properly maintain operational equipment throughout the term of the contract?
A U
5. Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract?
A U
6. How well did the contractor comply with Environmental, health, labor laws, safety and security requirements?
A U
7. How well did the contractor coordinate and control subcontractors, if any? A U
8. Contractor’s Overall Performance A U
B. QUALITY OF SERVICE/CONTROL
1. Contractor’s accomplishment in meeting the quality standards A U
2. The contractor provided an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain.
A U
3. Contractor identified and corrected deficient Work A U
4. Contractor’s Overall Quality of Workmanship A U
C. TIMELINESS OF PERFORMANCE
1. How well did the contractor comply with the contract schedule? A U
2. Did the contractor provide timely and accurate records, submittals, and/or reports? A U
3. How well did the contractor resolve any delays? A U
REMARKS: For ratings of unacceptable, please provide remarks to describe the reasons for the rating. If additional remarks are necessary, please attach an additional sheet.
ATTACHMENT 4 – Past Performance Questionnaire (PPQ)
File details come from the government source that posted it. Updated .