C04_Attachment VI - Past Performance Questionnaire_1232SA26Q0517.doc
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- Solicitation number
- 1232SA26Q0517
About this file
This is a Past Performance Questionnaire (PPQ) template form used as Attachment VI to Request for Proposal (RFP) #1232SA26Q0517 for Janitorial Services at the USDA-ARS-PA Grand Forks ND facility. The form is a template designed to collect and document past performance ratings from the contractor's previous clients to inform the government's evaluation of contractor proposals.
The PPQ requires contractors to complete Section 1 with company-specific information, including the client organization name, project details, period of performance, total cost/price, number of personnel assigned by skill category, and technical point of contact information. Contractors must then forward the form to their clients for completion of Section 2, where technical and contracting points of contact independently rate the contractor's performance across multiple criteria including overall technical performance, quality of work, schedule performance, cost performance, contractual performance, risk identification and mitigation, and likelihood of future engagement. All completed questionnaires must be returned via email to theodore.blume@usda.gov by the deadline specified in the solicitation. The form does not address specific service requirements but serves as an evaluation mechanism for assessing contractor qualifications based on documented past performance from reference clients.
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Text version
Request For Proposal (RFP) # 1232SA260517 USDA-ARS-PA/Grand Forks ND Attachment VI
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 .