Attachment 5 - Past Performance Questionnaire.pdf
PDF 374 KB Posted
- Attached to
- Rewire Fire Alarm Voice Notification System
- Solicitation number
- 1232SA25Q0324
About this file
This document is a Past Performance Questionnaire (PPQ) for Request for Quote (RFQ) #1232SA25Q0324 for a fire alarm rewiring project with USDA-ARS at Ames, Iowa. The form is designed for contractors to provide detailed information about their previous project performance and for clients to evaluate and rate the contractor's performance across multiple dimensions including technical performance, quality of work, schedule performance, cost performance, and risk management.
The PPQ requires the contractor to complete Section 1 with project-specific details such as contract information, project description, and client contact information. In Section 2, the client is asked to rate the contractor's performance using a scale from Excellent to Poor across four key performance areas, and indicate whether they would use the company again. Section 3 and 4 are for the customer's contracting office to provide additional performance assessment and confirmation, with space for signatures and contact information. The completed questionnaire must be submitted via email to tiffany.reval@usda.gov by the RFQ closing date.
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Text version
Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
Past Performance Questionnaire Request For Quote (RFQ) # 1232SA25Q0324
Rewire Fire Alarm with USDA-ARS at Ames, Iowa
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
The Contractor shall complete the company specific information on this form, contact their clients, forward this form to their clients and request that their clients complete it (verify/concur and score) and send it via email to tiffany.reval@usda.gov no later than the closing date of the RFQ.
SECTION 1: To be completed by the contractor
Name of Contractor:
Name of client organization:
Project name and contract/task order number:
Brief description of support provided:
Total period of performance and dates:
Total cost/price:
Number of contractor personnel assigned to the project, by skill category:
Name and Title of Technical Point of Contact (POC) for the customer:
Address of Technical POC:
Email and telephone number of Technical POC:
Date the Technical POC was contacted for this PPQ:
Did you inform your client that a past performance questionnaire must be completed and returned to USDA, and that a USDA representative may contact him/her sometime after that date?
Yes No
SECTION 2: To be completed by the customer.
Please BOLD the rating indicating your projects rating in the following areas:
mailto:theodore.blume@usda.gov
Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
1. Overall Technical Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
2. Quality of work
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
3. Schedule Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
4. Cost Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?
Yes No
6. Would you use this company again? Yes No
SECTION 3: To be completed by the customer’s contracting office (If different from TPOC in section 1).
Name and Title of Contracting Point of Contact (POC):
Address of Contracting POC:
Telephone number of Contracting POC:
Date the Contracting POC was contacted for this PPQ:
Section 4: Please BOLD the rating your Contracting POC (or TPOC if there isn’t a contracting POC) indicated he/she would give your project if contacted:
1. Overall Contractual Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
2. Would your Contracting POC use your company again? Yes No
Contracting POC Signature (TPOC if contracting POC is N/A)
File details come from the government source that posted it. Updated .