Past Performance Questionnaire.docx

DOCX document 34 KB Posted

Attached to
Z2AA--Commercial Floor Replacement - Boise (347) RO Federal contract opportunity
Solicitation number
36C10D26Q0077
Issued by
Department of Veterans Affairs

About this file

Written by GovTribe AI ·

This is a Past Performance Questionnaire (PPQ) for evaluating contractor performance on federal contracts, specifically for solicitation number 36C10D26Q0073 related to VBA Boise Regional Office flooring replacement work. The PPQ must be completed and submitted to tamara.feist-hatfield@va.gov no later than 9:00 AM MT on Tuesday, April 21, 2026.

The questionnaire requires evaluators to assess contractor performance across seven key performance elements using a five-point rating scale (Exceptional, Good, Acceptable, Marginal, Unsatisfactory): Quality of Service, Timeliness of Service, Business Relations, Management of Key Personnel, Compliance with Environmental/Safety/Health/Security Requirements, and Contractual Considerations. Evaluators must provide factual and detailed responses regarding the contractor's ability to meet quality standards, comply with contractual terms, meet delivery schedules, manage subcontractors, maintain regulatory compliance, and overall customer satisfaction. The questionnaire also includes yes/no questions regarding environmental violations, contract discrepancy reports, cure notices, terminations, and whether the evaluator would rehire the contractor. The evaluator completing the form must be knowledgeable of the contractor's day-to-day operations and may supplement personal knowledge with input from others within the organization. Handwritten responses are acceptable if legible, and additional pages may be attached for extended remarks when necessary.

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Other files for this federal contract opportunity

Other files attached to Z2AA--Commercial Floor Replacement - Boise (347) RO, newest first.
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36C10D26Q0077 0003.pdf PDF
SOW 4-23-26 - Boise 347 - Flooring replacement.docx DOCX document
36C10D26Q0077 0002.pdf PDF
36C10D26Q0077 0001.docx DOCX document
SOW 4-14-26 - Boise 347 - Flooring replacement.docx DOCX document
Davis Bacon Wage Determination ID20260101 dated 1-23-2026.pdf PDF
36C10D26Q0077.docx DOCX document
Material Submittal Form.pdf PDF

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PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Subject: Solicitation Number 36C10D26Q0073 VBA Boise Regional Office Flooring Replacement

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.

Please send completed surveys directly to tamara.feist-hatfield@va.gov NLT 9am MT, Tuesday, April 21, 2026.

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:

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

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.

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
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
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/COR.

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
6.
Contractor’s effectiveness in interfacing with the Contracting Officer, quality assurance personnel, and customers.
E
G
A
M
U
8.
Extent to which the Contractor provided prompt responsiveness

and follow-up to inquiries or concerns.

E
G
A
M
U
9.
Contractor’s ability to coordinate, integrate, and provide for effective subcontractor management, if applicable.
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 qualified cooperative

and effective personnel.

E
G
A
M
U
2.
Extent personnel were knowledgeable about contractual requirements.
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) CONTRACTUAL CONSIDERATIONS

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:

Thank you for your assistance.

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