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PAST PERFORMANCE QUESTIONNAIRE (PPQ)
SECTION I: CONTRACTOR INFORMATION
A. Your Company Name and Address: _____________________________________________________ B. Phone /Fax #: _____________________________________________________________________ C. Point of Contact/Email Address: ________________________________________________________ D. Authorization is hereby granted to provide the information requested in SECTION II and III of this questionnaire.
______________________________________________ ________________________ Signature of Authorized Contractor Representative Date ____________________________________________________ Printed Name and Title of Authorized Contractor Representative SECTION II: RESPONDENT INFORMATION: Request a reference from respondent by completing Section II and III and return to theresa.hood2@usda.gov.
A. Client/Reference Name and Address: ___________________________________________________ B. Phone/Fax #: ______________________________________________________________________ C. Point of Contact/Email Address: ________________________________________________________ D. Reference Contract Number: __________________________________________________________ Project Title: ___________________________________________________________________________ Contract Value/Type: ________________________________________________________________ Period of Performance: _______________________________________________________________ How long have you worked with the contractor: ___________________________________________ More detailed description of the work performed: ____________________________________________
Date completed: _____________________________ Past Performance Evaluation Ratings
| Acceptable |
| Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown. |
| Unacceptable |
| Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort. |
SECTION III: PERFORMANCE EVALUATION
| 1. |
| Working relationship with your Company? |
| A |
| U |
| 2. |
| How well did the contractor provide experienced workers, managers and supervisors with the technical and administrative abilities needed? |
| A |
| U |
| 3. |
| Did the contractor exhibit knowledge of and compliance with government (or other) regulations and industry standards? |
| A |
| U |
| 4. |
| How well did the contractor provide and properly maintain operational equipment throughout the term of the contract? |
| A |
| U |
| 5. |
| Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract? |
| A |
| U |
| 6. |
| How well did the contractor comply with Environmental, health, labor laws, safety and security requirements? |
| A |
| U |
| 7. |
| How well did the contractor coordinate and control subcontractors, if any? |
| A |
| U |
| 8. |
| Contractor’s Overall Performance. |
| A |
| U |
| B. |
| QUALITY OF SERVICE/CONTROL |
| 1. |
| Contractor’s accomplishment in meeting the quality standards. |
| A |
| U |
| 2. |
| The contractor provided an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain. |
| A |
| U |
| 3. |
| Contractor identified and corrected deficient Work. |
| A |
| U |
| 4. |
| Contractor’s Overall Quality of Workmanship. |
| A |
| U |
| C. |
| TIMELINESS OF PERFORMANCE |
| 1. |
| How well did the contractor comply with the contract schedule? |
| A |
| U |
| 2. |
| Did the contractor provide timely and accurate records, submittals, and/or reports? |
| A |
| U |
| 3. |
| How well did the contractor resolve any delays? |
| A |
| U |
REMARKS: For ratings of unacceptable, please provide remarks to describe the reasons for the rating. If additional remarks are necessary, please attach an additional sheet. ________________________________ Attachment 3 - Solicitation 1202SC22Q2707 Waterax Mark-3 Pump Original Manufacturer Parts (OEM) IPO, Logistics Contracting Branch
Department of Agriculture Forest Service