C04d_PAST PERFORMANCE QUESTIONNAIRE.pdf
PDF 194 KB Posted
- Attached to
- Grade 2 wastewater operator
- Solicitation number
- 12444026Q0230
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Past Performance Questionnaire (PPQ) template used to collect and evaluate contractor performance history during the federal solicitation process.
The questionnaire comprises three sections designed to gather comprehensive performance data. Section I requires the responding contractor to provide company name, address, phone/fax number, and point of contact information, along with authorization signature from an authorized representative to release performance information. Section II requests reference information from clients or previous contract customers, including the reference contact name and address, phone/fax details, and specific contract information such as contract number, project title, contract value/type, period of performance, duration of the working relationship, and detailed work description. Section III contains the performance evaluation criteria organized into three categories: Contract Performance (eight evaluation questions covering workforce experience, regulatory compliance, equipment maintenance, personnel management, safety/environmental compliance, subcontractor control, and overall performance); Quality of Service/Control (four questions addressing quality standards achievement, quality control procedures, deficiency identification and correction, and overall workmanship); and Timeliness of Performance (three questions evaluating schedule compliance, timely submission of records and 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 document includes a remarks section requiring detailed explanations for any unacceptable ratings. Completed questionnaires are to be returned to Marian Feist at marian.feist@usda.gov, indicating this is a USDA procurement document.
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| File | Type | Posted |
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| C02_12444026Q0230_S.pdf |
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Attachment 3 - Page 1 of 2
ATTACHMENT 3 – 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
Attachment 3 - Page 2 of 2
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 .