PPQ Template.docx

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Attached to
Solicitation Number 47PB5126R0022 - Centers for Medicare & Medicaid Services Headquarters (CMS) Roofs & Elevators Project
Solicitation number
47PB5126R0022
Issued by
Not on record

About this file

This is a Past Performance Questionnaire (PPQ) template used by the Public Buildings Service (PBS) to evaluate contractor performance on completed projects. The template is designed to be completed by clients who have worked with contractors and submitted to offerors, who then include completed questionnaires with their proposals to PBS solicitations.

The questionnaire captures contractor information (firm name, DUNS number, contact details) and project details including contract type, award date, completion date, contract price modifications, and work complexity. Clients rate contractor performance across seven primary evaluation categories using a five-point scale: Exceptional (E), Good (G), Satisfactory (S), Marginal (M), and Unsatisfactory (U). The evaluation categories include Quality (technical data preparation, quality standards compliance, problem resolution, and quality assurance adherence); Schedule/Timeliness (delivery schedule compliance and resource utilization); Customer Satisfaction (end user satisfaction, contractor responsiveness, and cooperation); Management/Personnel/Labor (on-site management, workforce qualification, government property control, personnel expertise, small business utilization, and multi-project management); Cost/Financial Management (price compliance, cost-saving innovations, invoice accuracy, accounting systems adequacy, and contract termination history); Safety/Security (safety plan adherence and security compliance); and General (emergency response, contractual compliance, and overall performance). The template also includes sections for sustainability practices and whether the client would rehire the contractor, with space for detailed comments addressing strengths, weaknesses, and performance risks.

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PAST PERFORMANCE QUESTIONNAIRE (PPQ)

PBS PAST PERFORMANCE QUESTIONNAIRE (PPQ)

CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name:

Address:

Phone Number:

DUNs Number:

Contact Name Email Address: :

Contact Phone Number:

2. GENERAL WORK INFORMATION

Work performed as: ☐ Prime Contractor ☐ Sub Contractor ☐ Joint Venture ☐ Other (Please explain):

Percent (%) of project work performed:

If a subcontractor, who was the prime (Name/Phone #):

3. CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: ☐ Firm Fixed Price ☐ Cost Reimbursement ☐ Other (Please explain)

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. PROJECT DESCRIPTION

Complexity of Work: ☐ High ☐ Med ☐ Routine

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requests that the client completes this questionnaire and submits it directly back to the offeror. The offeror will submit the completed questionnaire to PBS with their proposal and may duplicate this questionnaire for future submission on PBS solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to PBS. Please contact the offeror for PBS POC information. The government reserves the right to verify any and all information on this form.

Use the following adjective ratings and definitions in your evaluation of the Contractor’s performance.

RATING
DEFINITION
NOTE
(E) Exceptional
Performance meets contractual requirements and exceeds many to the Government/Owner’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 was highly effective.
An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.
(G) Good
Performance meets contractual requirements and exceeds some to the Government’s/Owner’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.
A Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.
(S) Satisfactory
Performance meets minimum 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.
A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.
(M) Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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.
A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.
(U) Unsatisfactory
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 serious problem(s) for which the contractor's corrective actions appear or were ineffective.
An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.
(N) Not Applicable
No information or did not apply to your contract
Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

CLIENT INFORMATION

Client Point of Contact Information Name:

Title:

Phone Number:

Email Address:

Project Information Contract Type:

Contract Title:

Contract Location:

Describe your role in the project:

Date Questionnaire was completed (mm/dd/yy):

Client’s Signature:

Instructions: Please select the adjective rating that best reflects your evaluation of the contractor’s performance.

1. QUALITY:
E G S M U N
(a) Quality of technical data/report preparation efforts.
☐ ☐ ☐ ☐ ☐ ☐
(b) Ability to meet quality standards specified for technical performance.
☐ ☐ ☐ ☐ ☐ ☐
(c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance.
☐ ☐ ☐ ☐ ☐ ☐
(d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).
☐ ☐ ☐ ☐ ☐ ☐
2. SCHEDULE/TIMELINESS OF PERFORMANCE:
E G S M U N
(a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below.)
☐ ☐ ☐ ☐ ☐ ☐
(b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract.
☐ ☐ ☐ ☐ ☐ ☐
3. CUSTOMER SATISFACTION:
E G S M U N
(a) To what extent were the end users satisfied with the project?
☐ ☐ ☐ ☐ ☐ ☐
(b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administrative reports, businesslike and communication).
☐ ☐ ☐ ☐ ☐ ☐
(c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?
☐ ☐ ☐ ☐ ☐ ☐
(d) Overall customer satisfaction.
☐ ☐ ☐ ☐ ☐ ☐
4. MANAGEMENT/ PERSONNEL/LABOR
E G S M U N
(a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?
☐ ☐ ☐ ☐ ☐ ☐
(b) Ability to hire, apply, and retain a qualified workforce to this effort.
☐ ☐ ☐ ☐ ☐ ☐
4. MANAGEMENT/ PERSONNEL/LABOR - Continued
E G S M U N
(c) Government Property Control.
☐ ☐ ☐ ☐ ☐ ☐
(d) Knowledge/expertise demonstrated by contractor personnel.
☐ ☐ ☐ ☐ ☐ ☐
(e) Utilization of Small Business concerns.
☐ ☐ ☐ ☐ ☐ ☐
(f) Ability to simultaneously manage multiple projects with multiple disciplines.
☐ ☐ ☐ ☐ ☐ ☐
(g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes.
☐ ☐ ☐ ☐ ☐ ☐
(h) Effectiveness of overall management (including ability to effectively lead, manage and control the program).
☐ ☐ ☐ ☐ ☐ ☐
5. COST/FINANCIAL MANAGEMENT
E G S M U N
(a) Ability to meet the terms and conditions within the contractually agreed price(s)?
☐ ☐ ☐ ☐ ☐ ☐
(b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.
☐ ☐ ☐ ☐ ☐ ☐
(c) If this is/was a Government cost type contract, or a CMc/CMc at Risk Contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).
☐ ☐ ☐ ☐ ☐ ☐
(d) Is the Contractor’s accounting system adequate for management and tracking of costs? (If no, please explain in comment section below.)
☐ Yes ☐ No
(e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? (Indicate if show cause or cure notices were issued, or any default action in comment section below.)
☐ Yes ☐ No
(f) Have there been any indications that the contractor has had any financial problems? (If yes, please explain in the comment section below.)
☐ Yes ☐ No
6. SAFETY/SECURITY
E G S M U N
(a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.).
☐ ☐ ☐ ☐ ☐ ☐
(b) Contractor complied with all security requirements for the project and personnel security requirements.
☐ ☐ ☐ ☐ ☐ ☐
7. GENERAL
E G S M U N
(a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).
☐ ☐ ☐ ☐ ☐ ☐
(b) Compliance with contractual terms/provisions (If there were specific issues, please explain in the comments sections below
☐ ☐ ☐ ☐ ☐ ☐
(c) In summary, provide an overall rating for the work performed by this contractor.
☐ ☐ ☐ ☐ ☐ ☐

8. SUSTAINABILITY

Did this project include sustainable methods, materials, processes or certifications? (See Whole Building Design Guide for acceptable requirements. Link to guide WBDG Green Building Standards and Certification Systems.) (If yes, please explain in the comments section below.)
☐ Yes☐ No

9. SUMMARY

Would you hire or work with this firm again? (If no, please explain in the comments section below.)
☐ Yes☐ No

COMMENTS SECTION

Please provide additional information below, and attach additional pages if necessary.

Please provide responses to the above questions (if applicable) and/or additional remarks. Also please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary)

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