Past_Performance_Questionnaire.pdf
PDF 118 KB Posted
- Solicitation number
- 140P5426R0022
About this file
This is a Department of Interior Past Performance Questionnaire (PPQ) template used by the National Park Service to evaluate contractor performance on the North Shore Road Striping project at Virgin Islands National Park.
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 contractor performance across nine categories using a five-point rating scale: Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), and Unacceptable (U). The evaluation areas include relationship with the client's contract team, corporate management and integrity, quality control, and ability to meet performance schedules. The form also requires yes/no responses regarding issuance of cure notices or termination actions, willingness to award future contracts, customer satisfaction with final deliverables, and whether the firm received opportunity to respond to negative ratings. An overall rating must be assigned, with space provided for supporting comments. The questionnaire concludes with signature and date blocks for the evaluator and requires identification of the evaluator's name, company/agency affiliation, address, point of contact email, and position held relative to the project.
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Text version
Department of Interior Past Performance Questionnaire (PPQ)
NORTH SHORE ROAD STRIPING AT VIRGIN ISLANDS NATIONAL PARK
U.S. Department of the Interior, National Park Service is considering ______________________.
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 .