D2 - ATTACHMENT B - PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 27 KB Posted
- Attached to
- Waste and Recycling Pick-Up Services Federal contract opportunity
- Solicitation number
- 36C10X26Q0069
About this file
This is a Past Performance Questionnaire (PPQ) template for RFQ No. 36C10X26Q0069, issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick for Waste and Recycling Pick-Up Services. The questionnaire is designed to be completed by past clients or contracting officers who have worked with a contractor to assess their performance record. Responses should be submitted to Riley Bender, Contracting Specialist (Riley.Bender@va.gov) and Michael Silva, Contracting Officer (michael.silva3@va.gov).
The questionnaire uses a five-point rating scale (with N/A option) to evaluate contractors across six key performance categories: overall quality and satisfaction, delivery performance, quality of service delivered, problem resolution, and quality of contractor personnel. Additionally, the form requests yes/no responses regarding cure notices, termination for default, contract award recommendations, discussions of adverse performance, past performance database filing, exercise of contract options, and contract period and dollar value information. Respondents are instructed to provide detailed descriptions of services performed and to attach relevant past performance database reports or other materials supporting the evaluation. The form is applicable to both prime contractors and subcontractors and requires identification of the person completing the evaluation along with their contact information.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C10X26Q0069 0001.pdf | ||
| D3 - Attachment C Price Schedule.xlsx | XLSX spreadsheet | |
| D1 - ATTACHMENT A - PAST PERFORMANCE REFERENCES.pdf | ||
| 36C10X26Q0069.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Request for Quote (RFQ) No.: 36C10X26Q0069 Title: Waste and Recycling Pick-Up Services
TO: Riley Bender, Contracting Specialist AGENCY: VA, SAC-F E-MAIL: Riley.Bender@va.gov
INFORMATION REQUEST: PAST PERFORMANCE
The Department of Veterans Affairs is currently in the process of awarding a competitive service contract. [CONTRACTOR NAME] has provided this Questionnaire to you for a reference regarding [CONTRACTOR NAME]’s record of past performance under Contract No. [CONTRACT #].
Send completed questionnaires to: riley.bender@va.gov, Contract Specialist AND michael.silva3@va.gov, Contracting Officer
NOTE TO QUOTERS: If the Questionnaire is provided for subcontractor’s reference, the quoter’s name below must include both the prime and subcontractor names (e.g. contractor X, who is a subcontractor to quoter Y for this solicitation).
Contractor’s Name:
Name of Person Completing the Evaluation:
Telephone: E-mail:
Title:
Company/Organization:
Please rate the contractor in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. Overall quality/satisfaction |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Overall satisfaction with the Contractor’s performance.
| 2. Delivery performance |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.
| 3. Satisfaction with the quality of service delivered |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 4. Satisfaction with problem resolution |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
This includes the contractor’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions.
| 5. Satisfaction with the quality of contractor personnel |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the quality of the contractor’s staff in executing the project work scope.
6. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years?
|_| Yes |_| No If Yes, please explain.
7. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
8. Based on the contractor’s overall performance, would you award them another contract?
|_| Yes |_| No If No, please explain.
9. Have you discussed any adverse past performance problems with the Contractor and given them an opportunity to comment? |_| Yes |_| No Please explain.
10. Do you file past performance information in a database that the Contracting Officer may search?|_| Yes |_| No Please explain.
11. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.
12. What was the contract period of performance (i.e., when were services provided)?
13. What was the dollar value of the contract performed by the contractor?
14. Provide a brief description of the services provided by the contractor for this contract.
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Contractor’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.
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