Past_Performance_Questionnaire.pdf
PDF 939 KB Posted
- Attached to
- NCMD SECTION 110 CULTURAL INVENTORIES
- Solicitation number
- 140L3626Q0041
About this file
Past Performance Questionnaire Summary
This is a Past Performance Questionnaire (PPQ) form used by the U.S. Department of the Interior, Bureau of Land Management for Solicitation No. 140L3626Q0041 (Downer Musselman CRI project). The template is designed to collect evaluations of contractor past performance from government clients and project stakeholders. Respondents provide firm information including project title, location, description, company name, contract number, start and completion dates, initial and final contract amounts, and evaluator details.
The questionnaire requires evaluators to rate contractor performance across nine numbered assessment areas using a five-point scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). Rating categories include relationship with the client's contract team, corporate management and integrity, quality control, schedule performance, and overall rating. The form also includes yes/no questions addressing whether cure notices or terminations were issued, willingness to award future contracts, customer satisfaction with final products and services, and whether the contractor was provided opportunity to respond to negative performance comments. A comments section allows detailed supporting information, particularly for Marginal or Unacceptable ratings. The form concludes with signature and date lines for the evaluator.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Downer_Musselman_Project_Location.pdf | ||
| Downer_Musselman_Roads.pdf | ||
| Downer_Musselman_1to24k_Topo.pdf | ||
| Downer_Musselman_1to24k_Aerial.pdf | ||
| Sol_140L3626Q0041.pdf | ||
| SOW_Musselman_and_Downer_Coulee_Sec_110_Contract.docx | DOCX document | |
| WD_2015-5397_rev__28.pdf |
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Text version
Solicitation No: 140L3626Q0041
PROJECT DESCRIPTION: DOWNER MUSSELMAN CRI
Department of Interior Past Performance Questionnaire (PPQ)
U.S. Department of the Interior, Bureau of Land Management 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:
O A S M U
3. Quality control: O A S M U
4. Ability to meet the performance schedule: O A S M U
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 no, please explain: Yes No
7. Was the customer satisfied with the final product and services? If no, please explain: Yes No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
Yes No
9. Overall Rating O A S M U
10. Comments
Signatures Name Date:
| Project Title: |
| Location: |
| Description: |
| Company Name: |
| Contract Number: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
| Evaluator Name: |
| CompanyAgency Name: |
| Address: |
| POC Email: |
| Position Held or Function in Relation to Project: |
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| Yes: |
| No: |
| 6 Would you award another contract to the company being evaluated If no please explain: |
| Yes_2: |
| No_2: |
| 7 Was the customer satisfied with the final product and services If no please explain: |
| Yes_3: |
| No_3: |
| 8 Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings If so what were the results: |
| Yes_4: |
| No_4: |
| 9 Overall Rating: |
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| 10 Comments: |
| Date: |
| [Insert Company}: |
| 5: |
| Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:: |
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