PPQ -Request form.docx
DOCX document 597 KB Posted
- Solicitation number
- 36C24827Q0004-1
About this file
This is a Past Performance Questionnaire form used to collect reference information from previous clients or contacts regarding a contractor's performance on past government contracts. The form is to be completed by reference contacts who have direct knowledge of the contractor's work and submitted to the Contracting Officer, David Hernandez at david.hernandez1@va.gov, for evaluation purposes in connection with solicitation 36C24827Q0004-1.
The questionnaire uses a six-point rating scale aligned with FAR 42.1503 Table 42-1 to assess contractor performance across various contractual elements. Ratings range from Unsatisfactory (1) for performance that does not meet most contractual requirements and shows ineffective corrective actions, to Exceptional (5) for performance that meets all requirements while exceeding many to the Government's benefit with few minor issues and highly effective corrective actions. A Not Applicable (N/A) option (6) is available for areas where ratings do not apply. The form requires the reference contact to provide their printed name, title, and signature along with any relevant remarks supporting their performance ratings.
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Text version
PAST PERFORMANCE QUESTIONNAIRE – SOLICITATION #
INSTRUCTIONS TO CONTRACTOR: Complete the CONTRACTOR INFORMATION section below and send to the point of contact listed requesting they please complete the form and submit it according to the instructions below.
INSTRUCTIONS TO REFERENCE CONTACT: The contractor named above is submitting an offer to a prime contractor for a United States Department of Veterans Affairs contract requirement, and has sent this form to you, in your role as a past performance reference contact. Please complete this form in full. Once completed, please send the form to the Contracting Officer only by email:
Department of Veterans Affairs NCO 8 Contracting Office TO: David Hernandez Contracting Officer, Email: david.hernandez1@va.gov
REF SOLICITATION NUMBER:
Reference FAR 42.1503 Table 42-1
1 - Rating: Unsatisfactory Definition: Performance does not meet most contractual requirements, and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor's corrective actions appear or were ineffective.
2 - Rating: Marginal Definition: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.
3 - Rating: Satisfactory Definition: 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.
4 - Rating: Very Good Definition: Performance meets contractual requirements and exceeds some to the Government's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
5 - Rating: Exceptional Definition: Performance meets contractual requirements and exceeds many to the Government's benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
6 - N/A (not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation.
Remarks:
Printed Name and Title
Signature image3.png image4.png image1.png image2.png
File details come from the government source that posted it. Updated .