Attachment IV - Past Performance Questionnaire (PPQ).doc

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Attached to
1232SA26Q0242 - Combination Synopsis/Solicitation for Manure Spreader USDA-ARS-MWA Ames IA
Solicitation number
1232SA26Q0242
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About this file

This is a Past Performance Questionnaire (PPQ) template required for RFP 1232SA26Q0242 issued by the USDA Agricultural Research Service (ARS) Midwest Area located in Ames, Iowa. The form serves as an evaluation tool for assessing contractor performance on past projects and is mandatory for proposal submission.

The questionnaire is divided into two sections: Section 1 is completed by the contractor and requires identification of the client organization, project details, contract/task order number, scope of work provided, period of performance with associated costs, number of contractor personnel by skill category, and technical point of contact information. The contractor must also confirm that the client was notified of the deadline for questionnaire completion and that USDA may contact the client. Section 2 is completed by the client's Technical POC and Contracting POC, who rate the contractor's performance using a five-point scale (Excellent, Very Good, Good, Fair, Poor) across dimensions including overall technical performance, quality of work, schedule performance, cost performance, risk identification and mitigation, and overall contractual performance. Additionally, both POCs indicate whether they would use the company again. Completed questionnaires must be submitted via email to theodore.blume@usda.gov to expedite the evaluation process.

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Request For Proposal (RFP) # 1232SA26Q0242 USDA-ARS-MWA/Ames IA Attachment IV

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 theodore.blume@usda.gov

This will expedite the response from each referenced source.

CONTRACTOR COMPLETES SECTION 1. CLIENT POC COMPLETES SECTION 2.

SECTION 1:

Name of Contractor: ______________________________________________________

Name of client organization:

Project name and contract/task order number:

Brief description of support provided:

Total period of performance, dates, and total cost/price:

Number of contractor personnel assigned to the project, by skill category:

Name and Title of Technical Point of Contact (POC):

Address of Technical POC:

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 by DATE, and that a USDA representative may contact him/her sometime after that date?

FORMCHECKBOX

Yes FORMCHECKBOX No

SECTION 2:

Please BOLD the rating your Technical POC indicated he/she would give your project if contacted:

1. Overall Technical Performance

Excellent
Very Good
Good
Fair
Poor
N/A

2.

Quality of work

Excellent
Very Good
Good
Fair
Poor
N/A

3.

Schedule Performance

Excellent
Very Good
Good
Fair
Poor
N/A

4.

Cost Performance

Excellent
Very Good
Good
Fair
Poor
N/A

5.

Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? FORMCHECKBOX Yes FORMCHECKBOX No

6.

Would your Technical POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX No

Please BOLD the rating your Contracting POC indicated he/she would give your project if contacted:

1.

Overall Contractual Performance

Excellent
Very Good
Good
Fair
Poor
N/A

2.

Would your Contracting POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX No

Employee(s) who made the contact with above-named client references:

File details come from the government source that posted it. Updated .