ID08200031 Solicitation Attachment 5 - Past Performance Questionnaire.docx
DOCX document 43 KB Posted
- Attached to
- Vulnerability Disclosure Platform (VDP)
- Solicitation number
- ID08200031
About this file
This document contains a past performance questionnaire template for a federal contractor to complete regarding prior contract performance. The questionnaire requests information on a previous contract including the contractor and client details, contract specifics such as type, title, dates, pricing and complexity of work performed. It also contains questions for the client to rate the contractor's performance on quality, schedule, customer satisfaction, management, security and compliance. The ratings are on a scale of exceptional, very good, satisfactory, marginal and unsatisfactory. Space is provided for the client to provide a narrative for any ratings below satisfactory.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFQ ID08200019 ATTACHMENT 5
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
CONTRACT INFORMATION (Contractor to complete Blocks 1-3)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
| Address: | DUNs Number: |
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
3. Project Information:
Complexity of Work |_| High |_| Med |_| Routine Which project submitted for Factor 1 is this PPQ associated with?
CLIENT INFORMATION (Client to complete Blocks 4-7)
4. Client Information Name:
Title:
Phone Number:
Email Address:
5. Describe the client’s role in the project:
6. Date Questionnaire was completed (mm/dd/yy):
7. Client’s Signature:
NOTE: THE CONTRACTING OFFICER REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE GOVERNMENT AT DAVID.SHAMBURGER@GSA.GOV. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
TO BE COMPLETED BY CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
1. QUALITY:
| Quality of technical data/report. |
| E VG S M U N |
| Ability to meet quality standards specified for technical performance. |
| E VG S M U N |
| Effectiveness of contract problem resolution without extensive customer guidance. |
| E VG S M U N |
| Effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance). |
| E VG S M U N |
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
| Compliance with contract delivery schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below) |
| E VG S M U N |
| Rate the contractor’s use of available resources to accomplish tasks identified in the contract. |
| E VG S M U N |
3. CUSTOMER SATISFACTION:
| To what extent were the end users satisfied with the project? |
| E VG S M U N |
| Contractor was reasonable and cooperative in dealing with your staff |
| E VG S M U N |
| To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? |
| E VG S M U N |
| Overall customer satisfaction. |
| E VG S M U N |
4. MANAGEMENT
| Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? |
| E VG S M U N |
| Ability to simultaneously manage multiple projects with multiple disciplines. |
| E VG S M U N |
| Ability to incorporate changes in requirements |
| E VG S M U N |
| Effectiveness of overall management |
| E VG S M U N |
5. SECURITY:
| Contractor complied with all security requirements for the project and personnel security requirements. |
| E VG S M U N |
6. GENERAL:
| Compliance with contractual terms/provisions (explain if specific issues). |
| E VG S M U N |
Key:
E – Exceptional VG – Very Good S – Satisfactory M – Marginal U – Unsatisfactory N – Not Applicable
Please provide a brief narrative addressing the questions above for any rating below Satisfactory. (please attach additional pages if necessary):
File details come from the government source that posted it. Updated .