Past_Performance_Questionnaire.pdf

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Attached to
Bradbury Dam Outlet Valve Replacement
Solicitation number
140R2026R0018
Issued by

About this file

This file is a Past Performance Questionnaire (PPQ) template used by the Bureau of Reclamation – Interior Region 10 (California – Great Basin) for Solicitation 140R2026R0018 as part of a contractor source selection process.

The questionnaire is designed to collect candid assessments from references with direct experience with a contractor being evaluated. It requests contractor information including name, contract number, project title, period of performance, and dollar value, along with contact information for the reference providing the evaluation. The form evaluates contractors across nine key performance areas: scope similarity to the current requirement (very similar, somewhat similar, not similar, or unable to determine); quality of product or service using a five-level rating scale from exceptional to unsatisfactory; schedule and timeliness performance against deadlines and milestones; cost control and expense management; management and business relations covering communication, responsiveness, and problem-solving; regulatory compliance with contract terms and safety/environmental/security requirements; small business utilization and good faith efforts toward subcontracting goals where applicable; and an overall performance rating with a recommendation on whether the government would award to the contractor again. Each section includes space for detailed comments. Completed questionnaires should be returned to Charlesetta Seibure, Contract Specialist/Contracting Officer, at cseibure@usbr.gov.

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Text version

Attachment 6

Solicitation 140R2026R0018

BUREAU OF RECLAMATION – INTERIOR REGION 10

CALIFORNIA – GREAT BASIN

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Instructions to Evaluator:

The Bureau of Reclamation is conducting a past performance evaluation for the contractor identified below. Your candid assessment is important and will be used as part of a source selection process. Please base your responses on your direct experience with this contractor. If a question does not apply, mark N/A.

1. Contractor Information

• Contractor Name: ____________________________________

• Contract Number: ____________________________________

• Project Title/Description: ______________________________

• Period of Performance: _________________________________

• Dollar Value of Contract: _______________________________

• Your Name/Title: _____________________________________

• Your Organization: ____________________________________

• Phone/Email: _________________________________________

2. Scope Similarity

How similar was this contract to the current requirement in terms of size, scope, and complexity?

☐ Very Similar ☐ Somewhat Similar ☐Not Similar ☐Unable to Determine

Solicitation 140R2026R0010

Comments:

3. Quality of Product or Service

Rate the contractor’s quality of work.

☐ Exceptional – Far exceeds requirements ☐ Very Good – Exceeds requirements ☐ Satisfactory – Meets requirements ☐ Marginal – Does not consistently meet requirements ☐ Unsatisfactory – Fails to meet requirements

Comments (accuracy, technical competence, deliverables, rework required, etc.):

4. Schedule/Timeliness

Rate the contractor’s ability to meet deadlines and milestones.

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Comments (delays, recovery efforts, schedule management):

5. Cost Control

Rate the contractor’s ability to manage costs and control expenses.

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

☐ Unsatisfactory ☐ Not Applicable (Firm-Fixed-Price with no changes)

Comments (cost growth, change orders, estimates, financial management):

6. Management & Business Relations

Rate effectiveness in communication, responsiveness, and problem-solving.

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Comments (cooperation, staffing, subcontractor management, issue resolution):

7. Regulatory Compliance

Did the contractor comply with contract terms, safety, environmental, and security requirements?

☐ Yes ☐ No ☐ N/A

If no, explain:

8. Small Business Utilization (if applicable)

Did the contractor make a good faith effort to meet subcontracting goals?

☐ Exceptional ☐ Very Good ☐ Satisfactory

☐ Marginal ☐ Unsatisfactory ☐ N/A

Comments:

9. Overall Performance Rating

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Would you award to this contractor again?

☐ Yes ☐ No ☐ With Reservations

Explain:

10. Additional Comments

Return Instructions: Please return the completed questionnaire to the office below.

Return To:

Contract Specialist / Contracting Officer: Charlesetta Seibure Office: Bureau of Reclamation – Interior Region 10, California – Great Basin Email: cseibure@usbr.gov

BUREAU OF RECLAMATION – INTERIOR REGION 10 CALIFORNIA – GREAT BASIN
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
1. Contractor Information
2. Scope Similarity
3. Quality of Product or Service
4. Schedule/Timeliness
5. Cost Control
6. Management & Business Relations
7. Regulatory Compliance
8. Small Business Utilization (if applicable)
9. Overall Performance Rating
10. Additional Comments

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