PPQ VBA.doc
DOC document 182 KB Posted
- Solicitation number
- 36C10D25R0012
- Issued by
-
Department of Veterans Affairs
About this file
This document is a Past Performance Questionnaire (PPQ) issued by the Department of Veterans Affairs (VA) Veterans Benefits Administration for evaluating a contractor's performance history. The PPQ is designed to collect detailed feedback about a company's past project performance, with sections for the offeror to provide project details and for the project evaluator to rate the contractor's performance across multiple dimensions including relationship management, corporate integrity, quality control, and schedule adherence.
The questionnaire requires comprehensive ratings on a scale from Outstanding (O) to Unacceptable (U) across nine specific performance criteria, including contract team relationship, management integrity, quality control, and schedule performance. The form is specifically associated with VA Solicitation Number 36C10D25R0012 for a project involving replacement of Air Handling Units 1 & 2 at the Montgomery Regional Office. The PPQ instructions indicate that contractors may submit 3-5 past performance questionnaires, with projects completed within the last five years, and emphasize strict submission deadlines with no late submissions accepted.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10D25R0012 0003.docx | DOCX document | |
| FINAL RFI Questions 36C10D25R0012 1-118.xlsx | XLSX spreadsheet | |
| 36C10D25R0012 0002.docx | DOCX document | |
| S04 site visit sign-in sheet.pdf | ||
| 36C10D25R0012 0001.docx | DOCX document | |
| P07 Al20250093 03.14.2025 SAM.pdf | ||
| FINAL from AE 00 Combined 100 percent.pdf | ||
| FINAL specs.pdf | ||
| 36C10D25R0012_1.docx | DOCX document |
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Text version
Department of Veterans Affairs
VETERANS BENEFITS ADMINISTRATION
Acquisition Directorate 1800 G Street NW
Washington, DC 20006
Past Performance Questionnaire (PPQ)
U.S. Department of Veterans Affairs, Veterans Benefits Administration is considering the company listed below in Section A for a project opportunity - Your comments would be appreciated regarding this company’s past performance.
Instructions:
1) The offeror is to complete only the information in Section A, then send the entire past performance questionnaire to project owner/evaluator for completion.
2) The project owner/evaluator (or reference) is to complete Section B, then send the entire past performance questionnaire back to the offeror to be provided with their complete proposal package, which will then be reviewed for evaluation.
3) The past performance questionnaire must be received by the contracting point of contact by the date and time specified in the solicitation (or any amendments). Please note that for electronic submissions, offerors should consider and account for potential delays in transmissions between when an electronic submission is submitted and when an electronic submission is received. Late past performance questionnaires will not be accepted.
4) One past performance questionnaire is to be used for each past performance project submitted. The offeror may submit between 3-5 past performance questionnaires for this solicitation. Past performance projects must have been completed within five years of the completion of performance of the evaluated contract or order.
Section A
Project Title:
Location:
Description:
| Company Name: |
| Unique Entity ID/Cage Code: |
| Owner/Project Manager Name: |
| Email Address: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
Section B
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 |
FORMCHECKBOX
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
2. Overall corporate management, integrity, reasonableness, and cooperative conduct:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
3. Quality control:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
4. Ability to meet the performance schedule:
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
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 no, please explain:
Yes
No
| 7. Was the customer satisfied with the final product and services? If no, please explain: |
| Yes |
No
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
Yes
No
9. Overall Rating
O
A
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
10. Comments
Evaluator Signature
Name
Date:
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