PAST PERFORMANCE QUESTIONNAIRE.docx

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DA10--CAREER APTITUDE ASSESSMENTS Federal contract opportunity
Solicitation number
36C10D24Q0214
Issued by
Department of Veterans Affairs

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This document is a Past Performance Questionnaire (PPQ) related to Solicitation Number 36C10D24Q0214 for VR&E Aptitude, Interest, and Ability Assessments. The PPQ evaluates the past performance of a contractor on factors such as quality of service, timeliness, business relations, management of key personnel, compliance with requirements, and cost management. The evaluation is provided by a reference who has knowledge of the contractor's day-to-day operations and overall performance on the referenced contract. The PPQ includes details on the contract, such as the contract number, type, amount, period of performance, and whether the work was with a commercial, federal government, or local/state government entity. The evaluation criteria are clearly defined, and the reference is asked to provide an overall rating of the contractor's performance as well as indicate if they would hire the contractor again.

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PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Subject: Solicitation Number 36C10D24Q0214 — VR&E Aptitude, Interest, and Ability Assessments Please provide candid responses. The information provided will be used in the awarding of a federal contract. Therefore, the information completed below must be as factual, accurate, and complete as possible to preclude the need for follow-up inquiries by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this PPQ to the person with such knowledge or experience.

PART I. (To be completed by the Vendor)

A. CONTRACT IDENTIFICATION

Name of Contractor/Company being evaluated:

Address:

Contract Number:

Contract Type:

Contract Amount:

Prime Contractor Name (if different from the Contractor Name cited above):

Period of Performance:

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Was this work with a: ☐ Commercial ☐ Fed Gov’t ☐ Local/State Gov’t entity.

Contractor’s Information (Name, Phone # and E-mail Address):

Detailed description of services provided and relevance of the referenced contract to the current requirement:

B. IDENTIFICATION OF THE EVALUATOR COMPLETING THIS PPQ FORM

Name of Contractor/Company Name/Division providing the evaluation:

POC Name:

POC Title:

Date:

POC Telephone Number:

POC E-mail Address:

PART II. EVALUATION (TO BE COMPLETED BY EVALUATOR)

For each of the seven (7) performance elements identified below, PPQ evaluators should rate the performance of the company and/or individual identified in Part 1(A) of this PPQ as identified above.

The PPQ evaluator who completes this PPQ must be knowledgeable of the Contractor’s day-to-day operations and overall performance. However, the PPQ evaluator is also encouraged to supplement personal knowledge of the Contractor’s performance with the independent judgment of others within the organization, as applicable.

Where the PPQ evaluator lacks sufficient information to provide an evaluation for a particular performance element, this should be noted accordingly in the Remarks section. Where any deficiency or unfavorable information is identified (Marginal rating or Unsatisfactory rating), the PPQ evaluator should denote any mitigating factors (i.e. problems due to causes outside the Contractor’s control) that may weigh in favor of the Contractor that this reference is provided.

The following table depicts the ratings that will be used to evaluate the Contractor’s performance:

E
G
A
M
U
Exceptional
Good
Acceptable
Marginal
Unsatisfactory

Performance met all contract requirements and/or exceeded many contract requirements.

Problems, if any, were negligible, and were resolved in a timely, highly effective manner.

Performance met all contract requirements and/or exceeded some contractual requirements.

Minor problems, which the Contractor resolved in a timely, effective manner.

Performance met contract requirements.

Some minor problems where corrective actions taken by the Contractor were satisfactory.

Performance did not meet all contract requirements.

Some major problems and some corrective actions taken by the Contractor were not satisfactory.

Performance did not meet contractual requirements.

Serious problems, and the Contractor’s corrective actions were ineffective.

Note: Unknown risk would be the equivalent to the customer providing no response to any of the questions. No response will be presumed as Not Applicable by the evaluator.

When responding to the questions listed below, circle or mark the letter that most accurately describes the Contractor’s performance for that specific inquiry. Please provide an explanatory narrative in the designated Remarks section. The explanatory narrative need not be lengthy, however, detailed as possible. If more space is required for the explanatory narrative, then use the back of the PPQ or attach an additional page. Handwritten responses to this PPQ are acceptable. If responses are handwritten, please print legibly. Illegible handwriting will not be evaluated as part of the PPQ submission.

If a Yes/No answer is circled/marked that is identified with an asterisk (*), please provide a corresponding explanation in the Remarks section.

Your time and effort in providing this vitally important information are greatly appreciated.

PERFORMANCE ELEMENTS:

(A) QUALITY OF SERVICE

1.
Contractor’s ability to meet minimum quality standards

specified for performance.

E
G
A
M
U
2.
Contractor’s ability to effectively control the quality of services provided.
E
G
A
M
U
3.
Contractor’s compliance with contractual terms and conditions.
E
G
A
M
U
4.
Quality of products furnished.
E
G
A
M
U
5.
Overall rating of Contractor’s standard of workmanship.
E
G
A
M
U
6.
Overall rating of Contractor’s quality of service.
E
G
A
M
U

(B) TIMELINESS OF SERVICE

1.
Contractor’s ability to meet specific response times and scheduled time frames for completion of specific tasks.
E
G
A
M
U
2.
Contractor’s responsiveness/timeliness for providing administrative reports/documents required by the contract.
E
G
A
M
U
3.
Contractor’s adherence to delivery schedules.
E
G
A
M
U
4.
Contractor’s timeliness in responding to emergency service requirements.
E
G
A
M
U
5.
Overall rating of Contractor’s responsiveness/timeliness.
E
G
A
M
U

(C) BUSINESS RELATIONS

1.
Contractor’s ability to identify problems, potential problems,

and promptly notifying the Contracting Officer.

E
G
A
M
U
2.
Contractor’s ability to correct problems and prevent or mitigate potential problems in a timely manner.
E
G
A
M
U
3.
Contractor’s willingness to improve and correct noncompliance issues or concerns.
E
G
A
M
U
4.
Contractor’s ability to use effective approaches and provide technical expertise and resources to solve contract problems.
E
G
A
M
U
5.
Extent to which the Contractor has demonstrated reasonable and cooperative behavior.
E
G
A
M
U
6.
Contractor’s effectiveness in interfacing with the Contracting Officer, quality assurance personnel, and customers.
E
G
A
M
U
7.
Contractor’s flexibility in satisfying the requirements of its customers.
E
G
A
M
U
8.
Extent to which the Contractor provided prompt and courteous service when responding to customer complaints.
E
G
A
M
U
9.
Contractor’s ability to coordinate, integrate, and provide for effective subcontractor management
E
G
A
M
U
10.
Overall rating of customer satisfaction.
E
G
A
M
U
11.
Overall rating of business relations.
E
G
A
M
U

(D) MANAGEMENT OF KEY PERSONNEL

1.
Contractor’s ability to select and retain cooperative and

effective key personnel, such as the contract manager and quality control personnel.

E
G
A
M
U
2.
Extent key personnel were knowledgeable about contractual requirements.
E
G
A
M
U
3.
Contractor’s ability to meet appropriate staffing levels with

qualified personnel in order to provide required services.

E
G
A
M
U
4.
Contractor’s ability to provide continuity of key personnel on the contract.
E
G
A
M
U
5.
Contractor’s ability to replace key personnel in a timely fashion.
E
G
A
M
U
6.
Contractor’s ability to effectively manage subcontractors.
E
G
A
M
U
7.
Level of the functional expertise of the Contractor’s staff.
E
G
A
M
U
8.
Overall rating of Contractor’s management of key personnel.
E
G
A
M
U

(E) COMPLIANCE WITH ENVIRONMENTAL, SAFETY, HEALTH, AND SECURITY REQUIREMENTS

1.
Has the Contractor ever received any Notices of Violations for noncompliance with environmental laws or regulations?

YES* NO

2.
Contractor’s compliance with environmental requirements.
E
G
A
M
U
3.
Contractor’s compliance with safety requirements.
E
G
A
M
U
4.
Contractor’s compliance with health requirements.
E
G
A
M
U
5.
Contractor’s compliance with security requirements.
E
G
A
M
U

(F) COST MANAGEMENT (COST CONTRACTS)

1.
Extent to which the Contractor provided reliable, supportable cost estimates or proposals.
E
G
A
M
U
2.
Extent to which the Contractor met the proposed cost estimates.
E
G
A
M
U

(G) CONTRACTUAL CONSIDERATIONS

1.
If a subcontracting plan was required, extent to which Contractor met applicable goals for small disadvantaged business participation.
E
G
A
M
U
2.
Has an election ever been made not to exercise an option or continue relations due to Contractor’s poor performance?
YES* NO
3.
Has a Contract Discrepancy Report ever been issued?
YES* NO
4.
Has a Cure Notice or Show Cause Notice ever been issued?
YES* NO
5.
Has this contract been partially or completely terminated for default or convenience?
YES* NO

☐ Partially ☐ Completely

6.
Are there any pending terminations?
YES* NO
7.
Overall rating of Contractor’s performance under this contract.
E
G
A
M
U
8.
Would you hire this Contractor again?
YES NO*

*REMARKS:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number for the applicable point of contact:

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer, Bertha Leguizamon, at Bertha.Leguizamon@va.gov.

Thank you for your assistance.

File details come from the government source that posted it. Updated .