Attachment 12: Past Performance Questionnaire

Attachment 12
Past Performance Questionnaire

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SOLICITATION NO. 140RR027R0009

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

U.S. Department of the Interior, Bureau of Reclamation, Boulder City, NV, is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.

Past Performance Information:

Evaluator: (The following information will assist in the analysis of the data.)

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”
“A”
“S”
“M”

Outstanding
Above Average
Satisfactory
Marginal

“U”

Unacceptable

Performance greatly exceeded the contract requirements. Performance exceeded the contract requirements.
Performance met the contract requirements.
Performance met the minimum contract requirements but
Some material aspects of the contractor’s performance
were less than satisfactory.
Performance was poor and/or did not satisfy contract
requirements.

ATTACHMET 4

Please circle the appropriate rating and provide any supporting information/comments for the following:
1.
2.
3.
4.
5.
6.
7.
8.
9.

The relationship between the firm and client’s/customer’s contract team: The firm’s management and coordination of subcontractors/consultants: Overall corporate management, integrity, reasonableness and cooperative conduct: Quality of work:
Quality control:
Ability to meet the performance schedule:
Ability/actions to improve schedule problems, if applicable: Ability to control costs and provide the required work at a reasonable total price: Compliance with labor standards, as applicable:

10. Compliance with safety standards and/or number of safety related incidents, code compliance, as applicable:

O
O
O
O
O
O
O
O
O
O

A
A
A
A
A
A
A
A
A
A

S
S
S
S
S
S
S
S
S
S

M
M
M
M
M
M
M
M
M
M

11. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

No

12. Would you award another contract to the firm being evaluated? If no, please explain:

Yes

No

13. Was the customer satisfied with the end product? If no, please explain:

Yes

No

14. 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?