Past_Performance_Questionnaire.pdf

PDF 117 KB Posted

Attached to
REPLACE ROOFING AND SIDING ON OCRACOKE MAINTENANCE Federal contract opportunity
Solicitation number
140P5426R0012
Issued by
Department of the Interior National Park Service Southeast Region

About this file

This is a Past Performance Questionnaire (PPQ) template issued by the U.S. Department of the Interior, National Park Service for evaluating contractor performance on completed or ongoing contracts.

The questionnaire collects firm information including project title, location, description, company name, contract number, start and completion dates, initial and final contract amounts, and evaluator details. Evaluators assess performance using a five-point rating scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The form requires ratings on nine specific performance criteria: relationship with client/customer contract team, corporate management and integrity, quality control, ability to meet performance schedules, issuance of cure notices or termination letters, willingness to award future contracts, customer satisfaction with final deliverables, opportunity provided to the firm to respond to negative comments, and an overall rating. Yes/No questions address whether corrective actions were issued and whether customers would engage the contractor again. The questionnaire includes a comments section for narrative supporting information, particularly for Marginal or Unacceptable ratings, and requires the evaluator's signature and date. This template is designed to gather objective feedback from government officials or contracting officers who have direct experience with a contractor's performance to inform future contract award decisions.

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Text version

Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, National Park Service is considering [Insert Company].

Your comments would be appreciated regarding this company’s past performance.

Firm Information Project Title:

Location:

Description:

Company Name: Contract Number:

Start Date: Completion Date:

Initial Amount: Final Amount:

Evaluator Evaluator Name: Company/Agency Name:

Address: POC Email:

Position Held or Function in Relation to Project:

Ratings Overview Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O” Outstanding Performance greatly exceeded the contract requirements.

“A” Above Average Performance exceeded the contract requirements.

“S” Satisfactory Performance met the contract requirements.

“M” Marginal Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.

Questionnaire Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:

O

A

S

M

U

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

3. Quality control:

4. Ability to meet the performance schedule:

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

No

6. Would you award another contract to the company being evaluated? If not, please explain:

7. Was the customer satisfied with the final product and services? If not, please explain:

8. Has the firm been provided with an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

9. Overall Rating

10. Comments

Signatures

Name Date:

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