W912P926RA001 Attachment 0006 - Appendix A Past Performance Questionnaire.pdf

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LOCK FOUNDATION AND SITE PREPARATION FOR LOCK and DAM 25 NAVIGATION ECOSYSTEM SUSTAINABILITY PROGRAM (NESP)
Solicitation number
W912P926RA001
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About this file

This is a Past Performance Questionnaire (PPQ) template used by NAVFAC and USACE to evaluate contractor performance on federal construction and services contracts. The form is designed to be completed jointly by contractors and their clients, with contractors providing contract information in Blocks 1-4 and clients providing evaluation ratings and narrative comments in Blocks 5-8.

The questionnaire requires contractors to supply CAGE Code, DUNS Number, firm name, contact information, work role (prime, subcontractor, joint venture), contract details including number, type, title, location, award date, completion dates, and original/final contract prices. Contractors must also indicate work complexity (high, medium, routine) and explain relevance to the current submission. Clients evaluate contractor performance across seven categories using a six-point adjective rating scale: Quality (technical data preparation, quality standards, problem resolution, quality assurance); Schedule/Timeliness (delivery compliance, resource utilization); Customer Satisfaction (end-user satisfaction, cooperation, responsiveness); Management/Personnel/Labor (on-site management, workforce qualification, subcontractor management, personnel expertise, small business utilization, multi-project capability, change management); Cost/Financial Management (contract price compliance, cost reduction innovations, invoice accuracy, accounting system adequacy, termination history, financial stability); Safety/Security (safety plan adherence, security compliance); and General (emergency response capability, contractual compliance, overall performance). Rating options range from Exceptional (E) through Very Good (VG), Satisfactory (S), Marginal (M), and Unsatisfactory (U), with Not Applicable (N) available. The form requires client signature and narrative remarks addressing specific strengths, weaknesses, deficiencies, and performance risk factors.

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W912P926RA001 Solicitation.pdf PDF
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NAVFAC / USACE Past Performance Questionnaire (PPQ) Form PPQ -0 (9/30/11)

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

CAGE Code: ______________ DUNs Number: _______________________

1. Contractor Information Firm Name: _______________________________________________ Address: ________________________________________________ Phone Number: __________________________________________ Email Address: ____________________________________________ Point of Contact: ___________________________________________ Contact Phone Number: ______________

Sub Contractor Joint Venture Other (Explain)2. Work Performed as: Prime Contractor Percent of project work performed: _________ If subcontractor, who was the prime (Name/Phone #): ___________________________________________________

Cost Reimbursement Other (Please specify):

3. Contract Information Contract Number: ____________________________________ Delivery/Task Order Number (if applicable): ________________________________________ Contract Type: Firm Fixed Price ____________________ 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.) __________________________________________________________________________________

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name: _________________________________________ Title: __________________________________________ Phone Number: _________________________________ Email Address: ______________________________________________

6. Describe the client’s role in the project: ___________________________________________________________

7. Date Questionnaire was completed (mm/dd/yy): _____________________

8. Client’s Signature: ______________________________________________

NOTE: NAVFAC/USACE requests that the client completes this questionnaire and submits directly back to the offeror.

The offeror will submit the completed questionnaire to USACE with their proposal, and may duplicate this questionnaire for future submission on USACE solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to USACE. Please contact the offeror for USACE POC information. The Government reserves the right to verify any and all information on this form.

Section L - Appendix A

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

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.

(VG) Very 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 Very 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

PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE

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)

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract E VG S M U N

3. CUSTOMER SATISFACTION

a) To what extent were the end users satisfied with the project? E VG S M U N

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)

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)? E VG S M U N

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

c) If this is/was a Government cost type 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)

E VG S M U N

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. 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 below. Yes No

6. SAFETY/SECURITY

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.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N

7. GENERAL

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).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this contractor. E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, 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):

CONTRACT INFORMATION Contractor to complete Blocks 14:
CAGE Code:
Firm Name:
DUNs Number:
Address:
Phone Number:
Email Address:
Point of Contact:
Contact Phone Number:
Prime Contractor: Off
Sub Contractor: Off
Joint Venture: Off
Other Explain: Off
Percent of project work performed:
If subcontractor who was the prime NamePhone:
Contract Number:
DeliveryTask Order Number if applicable:
Firm Fixed Price: Off
Cost Reimbursement: Off
undefined: Off
Other Please specify:
Contract Title:
Contract Location:
Award Date mmddyy:
Contract Completion Date mmddyy:
Actual Completion Date mmddyy:
Explain Differences:
Original Contract Price Award Amount:
Final Contract Price to include all modifications if applicable:
Explain Differences_2:
High: Off
Med: Off
Routine: Off
conditions etc 1:
conditions etc 2:
conditions etc 3:
CLIENT INFORMATION Client to complete Blocks 58:
5 Client Information Name Title Phone Number Email Address:
Name:
Title:
Phone Number_2:
Email Address 1:
Email Address 2:
6 Describe the clients role in the project 1:
6 Describe the clients role in the project 2:
undefined_2:
7 Date Questionnaire was completed mmddyy:
undefined_3:
8 Clients Signature:
A: Choice10
B: Choice16
PPQ: Choice16
C: Off
D: Off
E: Off
F: Off
G: Off
H: Off
I: Off
J: Off
K: Off
L: Off
M: Off
N: Off
O: Off
P: Off
Q: Off
R: Off
which may assist our office in evaluating performance risk please attach additional pages if necessary 1:
which may assist our office in evaluating performance risk please attach additional pages if necessary 2:
which may assist our office in evaluating performance risk please attach additional pages if necessary 3:
which may assist our office in evaluating performance risk please attach additional pages if necessary 4:
which may assist our office in evaluating performance risk please attach additional pages if necessary 5:
which may assist our office in evaluating performance risk please attach additional pages if necessary 6:
which may assist our office in evaluating performance risk please attach additional pages if necessary 7:
which may assist our office in evaluating performance risk please attach additional pages if necessary 8:
which may assist our office in evaluating performance risk please attach additional pages if necessary 9:
which may assist our office in evaluating performance risk please attach additional pages if necessary 10:
which may assist our office in evaluating performance risk please attach additional pages if necessary 11:
S: Off
T: Off
U: Off
V: Off
W: Off
X: Off
Y: Off
Z: Off
AA: Off
AB: Off
AC: Off

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