A21_ATTACHMENT_B_-_PPQ_W912HQ-17-R-0004_vs4-11.docx
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- W912HQ-17-R-0007
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Attachment B - PPQ
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(Presented for Information Only – Not to be completed by Offeror)
ATTACHMENT B
PAST PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE
Please return this completed Questionnaire via e-mail to the Contract Specialist at richard.j.pecoraro@usace.army.mil
PAST PERFORMANCE QUESTIONNAIRE
Company/Agency Name
Address
Person Completing Survey
Date Survey Completed
Position Held in Reference to the Contract
Length of Involvement in Contract
Email Address
Telephone Number
Fax Number
Contractor
Contract Title
Contract Number
Project Description
Contract Type
Award Date
Original Contract Price
Final Contract Price
Explain Difference
Percentage of Work Performed by Contractor
Roles and Responsibilities as Sub or Prime
Expected Completion Date
Actual Completion Date
Explain Differences
Past Performance Questionnaire (continued)
1. Quality of Service:
| a) | Was the Contractor’s effort in Quality Control successful in ensuring quality workmanship on your project? | |||
| |_| Unsatisfactory | |_| Marginal | |_| Satisfactory | |_| Very Good | |_| Excellent |
| b) | Was the Contractor committed to customer satisfaction? | |||
| |_| Unsatisfactory | |_| Marginal | |_| Satisfactory | |_| Very Good | |_| Excellent |
| c) | Overall rating for Quality of Work | |||
| |_| Unsatisfactory | |_| Marginal | |_| Satisfactory | |_| Very Good | |_| Excellent |
2. Timeliness of Performance:
| a) | Was the Contractor timely in submitting schedules, reports, billings and other contract submittals? | |||
| |_| Always | |_| Usually | |_| Sometimes | |_| Never | |_| N/A |
| b) | Did the Contractor complete the contract on time taking into account all excusable delays? | |||
| |_| Yes | |_| No | |_| N/A | ||
| c) | Was the Contractor assessed any liquidated damages or deductions for late or nonperformance of required work? If yes, please explain. | |||
| |_| Yes | |_| No | |||
| d) | Did the Contractor exceed contractual requirements in relation to Timeliness of Performance in a way that was deemed beneficial to your agency? | |||
| |_| Yes | |_| No | |_| N/A | ||
| If you answered No, indicate your reason by checking one of the following: | ||||
| |_| Contractor met the requirements, but did not exceed them | ||||
| |_| Did not meet some of the requirements | ||||
| |_| Did not meet requirements and recovery is not likely | ||||
| e) | Overall rating for Timeliness of Performance | |||
| |_| Unsatisfactory | |_| Marginal | |_| Satisfactory | |_| Very Good | |_| Excellent |
4. Business Relations:
| a) | Did the Contractor award subcontracts in a timely manner and properly manage them? | |||
| |_| Always | |_| Usually | |_| Sometimes | |_| Never | |_| N/A |
5. Customer Satisfaction:
| a) | Did the Contractor show reasonable and cooperative behavior and attention to customer satisfaction? | |
| |_| Yes | |_| No | |_| N/A |
| If you answered NO, please explain why: |
Past Performance Questionnaire (continued)
6. Overall Rating of Contractor:
In summary, which of the following would you choose to best describe the overall quality of this firm’s past performance?
|_| Unacceptable |_| Marginal |_| Acceptable |_| Good |_| Outstanding
7. Contact Information Name of Person Completing Form _______________________________________________ Position ____________________________________________________________________ Project Description ___________________________________________________________ Role of Contractor ___________________________________________________________ Phone No. ________________________________________________________________
The information provided in this Questionnaire may be verified by Humphreys Engineer Center Support Activity (HECSA) personnel and/or USACE Finance Center (UFC) personnel.
File details come from the government source that posted it. Updated .