S02 - PPQ.docx
DOCX document 48 KB Posted
- Attached to
- Z1DA--523A4-CSI-221 Naeotom Alpha CT
- Solicitation number
- 36C24124R0101
About this file
This document is a Past Performance Questionnaire. It requests information about a contractor's prior work, including the contract number, period of performance, dollar value, description of services, and evaluation of the contractor's performance in areas such as quality of work, personnel, cost/budget control, customer satisfaction, and timeliness of deliverables. The questionnaire asks the customer to provide an overall assessment of the contractor's performance and whether they would select the contractor again. The information provided in this questionnaire is intended to be used to evaluate the contractor's past performance for a specific federal contract opportunity, as referenced in the related information provided.
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| File | Type | Posted |
|---|---|---|
| S02 - Siemens Naeotom Alpha CT typical 21086.pdf | ||
| S02 - 523A4-CSI-221 SOW revised.docx | DOCX document | |
| S02 - MA WD 09-20-2024.txt | TXT text file | |
| S02 - Final Specs.pdf | ||
| S02 - PCRA.pdf | ||
| S02 - Siemens Naeotom Alpha CT Cutsheet.pdf | ||
| S02 - ICRA.pdf | ||
| S02 - WR Site Plan.pdf | ||
| 36C24124R0101 DB Solicitation.docx | DOCX document |
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PAST PERFORMANCE QUESTIONNAIRE
1. Contractor Name:
Role on Project:
2. Contract Number:
| 3. Contractor Address: |
| 4. Contract Type: |
· Firm Fixed Price
· T&M/LH
· Cost Reimbursement
· Other (Please Specify):
| 5. Procuring Agency/Company Name: |
| 6. Agency/Company POC: Phone: |
Email:
| 7. Period of Performance: |
| 8. Dollar Amount of Award: $ Annual Amount: $ |
Total Dollar Value w/ Mods:$
9. Title of Contract:
10. Description of Contract Service/Scope of Contract:
11. Complexity of Work:
FOR OFFICIAL USE ONLY
NOTE: Please use adjectival ratings from attached sheet.
| 12. Evaluation Factor |
| 13. Comments (Mandatory, Attach additional sheets, if necessary.) |
| 14. Rating |
a. Quality of Work
b. Personnel
c. Cost/Budget Control
d. Customer Satisfaction
e. Timeliness of Performance/Deliverables
f. Business Relations
g. Overall Performance
D15. Would you s□elect this contracto□r again? Please explain. (Attach additional sheet if necessary.) Definitely Probably Definitely Not
16. Name:
Date:
17. Title:
PAST PERFORMANCE RATING GUIDELINES
Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, and Exceptional. Use the following instructions as guidance in making these evaluations. Please use the comments area on the preceding form to justify the rating given.
| Ratings |
| Quality of Work/ |
| Cost/Budget |
| Customer |
| Timeliness of |
| Business |
| Personnel/Service |
| Control |
| Satisfaction |
| Services/Deliverable |
| Relations |
Customer
-Effective Mgmt
-Compliance w/contract
| Satisfaction is a |
| -Met interim |
| -Business like |
| requirements |
| -Within budget |
| measure of how |
| milestones |
| correspondence |
| -Accuracy of reports |
| -Current, accurate, |
| products and |
| -Reliable |
| -Responsive to |
| -Appropriateness of personnel |
| complete billings |
-Relationship of services supplied by a company
| -Responsive to technical direction |
| contract reqmnts |
-Prompt notification
| -Technical excellence |
| negotiated costs to |
| meet or surpass |
| -Completed on time |
| of problems |
actual -Cost efficiencies customer expectations.
-Reasonable/ cooperative
-Change orders
-Flexible issued
-Pro-active
| Unsatisfactory |
| Nonconformances are comprising the |
achievement of contract reqmnts
| Cost issues are comprising performance |
| 1 - Very Unsatisfied |
| Delays are compromising achievement of |
contract reqmts Response is not effective
| Marginal |
| Nonconformances |
| Cost issues require major agency resources to ensure achievement of |
contract reomnts
| 2 - Somewhat |
| Delays require major agency resources to ensure achievement of |
contract reomnts Response is require major agency
Dissatisfied marginally effective resources to ensure achievement of contract reomnts
| Satisfactory |
| Nonconformances do not impact |
achievement of contract reomnts Cost issues do not impact achievement of contract reomnts
| 3 - Neither Satisfied Nor Dissatisfied |
| Delays do not impact achievement of contract reqmnts |
| Response is usually effective |
| Very Good |
| There are no quality problems/issues, and the |
| There are no cost management issues |
| 4- Somewhat Satisfied |
| There are no delays |
| Response to inquiries and/or |
| contractor has |
| and the Contractor |
technical, service,
| substantially exceeded the contract performance |
| has exceeded the |
contract administrative issues are effective.
| requirements without |
| requirements, |
| commensurate additional |
| achieving cost |
| costs to the Government |
| savings to the |
Government.
| Exceptional |
| The contractor has |
| The contractor has |
| 5 - Very Satisfied |
| The contractor has |
| The contractor has |
| demonstrated an |
| demonstrated an |
| demonstrated an |
| demonstrated an |
| exceptional performance level that was |
| exceptional |
performance. It is
| exceptional performance level. |
| exceptional performance level. |
| significantly in excess of |
| expected that this |
| It is expected that |
| It is expected that |
| anticipated achievements |
| rating will be used in |
| this rating will be |
| this rating will be |
| and is commendable as |
| those rare |
| used in those rare |
| used in those rare |
| an example for others. It |
| circumstances |
| circumstances |
| circumstances |
| is expected that this |
| where the contractor |
| where contractor |
| where contractor |
| rating will be used in |
| achieved cost |
| performance clearly |
| performance clearly |
| those rare circumstances |
| savings and |
| exceeds the |
| exceeds the |
| where contractor |
| performance clearly |
| performance levels |
| performance levels |
performance clearly exceeds the performance exceeds the performance levels
| described as "Exceptional". |
| described as |
"Exceptional".
| levels described as |
| described as |
| "Exceptional". |
| "Exceptional". |
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