PAST PERFORMANCE QUESTIONNAIRE (PPQ).docx

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Attached to
USCG Station (STA) Ponce De Leon (45772) FY 2021 Dry
Solicitation number
70Z04021SP3001000
Issued by

About this file

This document contains a Past Performance Questionnaire template to evaluate a contractor's performance on a previous contract. The template requests information including the contractor's name and address, contract number, initiation and completion dates, contract value, description of requirements, and evaluator's contact details. It provides a rating system to assess the contractor's quality of products and services, performance, schedule adherence, technical requirements fulfillment, cost control, customer satisfaction, and overall performance. Space is also allotted for additional comments.

The related federal contract opportunity is a solicitation from the U.S. Coast Guard for station maintenance and repair services at STA Ponce De Leon in Florida. All quotes are due by March 9, 2021, with any drawing requests or questions due in writing by February 26, 2021. The solicitation is issued by the Department of Homeland Security U.S. Coast Guard.

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PAST PERFORMANCE QUESTIONNAIRE

1. CONTRACTOR NAME & ADDRESS: 2. CONTRACT NO:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options):

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

8. EVALUATION: EVALUATOR’S NAME, POSITION, PHONE NUMBER AND ORGANIZATION:

Rating System for Past Performance Evaluation Factors

RATING
DESCRIPTION
Exceptional
Performance meets contractual requirements and exceeds many to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to your organization’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal
Performance does not meet some contractual requirements. The contractual performance of the evaluation area being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented
Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the evaluation area being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Neutral
No relevant performance record is identifiable upon which to base a meaningful performance rating. A search was unable to identify any relevant past performance information on the Offeror, key personnel, or subcontractors. This is neither a negative or positive assessment.

Please rate the contractor’s performance per the factors above:

A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards):

B. Performance – Assess the contractor’s performance as the Technician for the project:

C. Schedule – Assess the timeliness of contractor against the schedule of activities and the initiative displayed in solving unexpected problems:

D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract:

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs:

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”:

G. Overall Assessment:

H. Additional Comments:

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