S01 Attachment 4 Past Performance Questionnaire.docx
DOCX document 23 KB Posted
- Attached to
- PO-75 LaBranch Marsh Creation, Louisiana Federal contract opportunity
- Solicitation number
- 12FPC323R0001
About this file
This document contains a past performance questionnaire and details of a federal contract opportunity for marsh creation in Louisiana. The past performance questionnaire is for a contractor that has performed on an unspecified previous contract and includes instructions for the assessor to provide feedback on the contractor's performance. It outlines a five-point rating system for six performance elements and an overall rating. The related federal contract opportunity is solicitation number 12FPC323R0001 to create 1,200 acres of marsh and 6,540 linear feet of tidal creeks in St. Charles Parish, Louisiana through dedicated dredging from Lake Pontchartrain. The contract type will be firm-fixed price for a performance period of 524 calendar days from the notice to proceed. The contracting agency is the Department of Agriculture Under Secretary for Farm Production and Conservation.
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Text version
ATTACHMENT 4: PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Instructions:
| - | The Offeror will complete Section I and II. |
| - | The Assessor will complete Sections III-VII. |
Message to the Assessor: Your assistance is requested by the agency to assist with providing feedback regarding the past performance of the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Officer respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: [insert email address] by [insert date and time that questionnaire must be returned]. Please sign and date the last page.
I. Solicitation Information
| Solicitation Number |
| [Insert solicitation number] |
| Project/Requirement |
| [Enter Project Name/Requirement Title] |
| Agency |
| [Insert name of agency being supported] |
| Project/Requirement Description |
| [Enter brief project/requirement description] |
II. Contract Information for Past Performance Reference
CONTRACTOR NAME
[insert contractor name]
| Contract No |
| [Fill-in] |
| Period of Performance/Delivery Schedule |
| [Fill-in] |
| [Fill-in] |
Project/Requirement Description
[Fill-in]
Please select from the following as it applies to this contract:
Contracting Role
|_| PRIME |_| SUBCONTRACTOR
III. Assessor Information Assessor Name
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| Role |
| Period of Involvement |
Contracting Officer
Contract Specialist
Contracting Officer’s Representative (COR)
Other (please note)
IV. Evaluation Definitions The following definitions must be used in your assessment of Contractor performance.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NEUTRAL |
| No past performance. This is neither a negative nor positive assessment. |
V. Performance Evaluation
| Performance Elements |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unacceptable |
| N/A |
Technical Quality
Subcontract & team management
Cost control & savings
Customer satisfaction & responsiveness
Performance schedules
Adapting to changed conditions
Timeliness of reports
VI. Overall Rating of Contractor’s Performance
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
VII. General Comments Any comments are appreciated; however, at a minimum please provide rationale for ratings of marginal or unsatisfactory for both the individual element and overall ratings.
| _________________________________ | ______________ | |
| Assessor’s Signature | Date |
Assessor’s Name
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