Attachment III - Past Performance Questionnaire (PPQ).pdf
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- Solicitation number
- 12905B23R0016
About this file
This document is a past performance questionnaire template to be completed by contractors responding to Request for Proposal 12905B23R0016 issued by the United States Department of Agriculture Agricultural Research Service Pacific West Area. The RFP seeks proposals for forage seed and cereal research services to be performed at the USDA-ARS facility in Prosser, Washington. Contractors must provide the name and contact information of references from previous contracts who can verify the quality of the contractor's technical performance, schedule performance, cost performance, risk mitigation efforts, and overall contractual performance. References will be contacted by a USDA representative and asked to rate the contractor's performance. Proposals are due by April 28, 2022 and the award date was not specified.
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Text version
Request For Proposal (RFQ) # 12905B23R0016 USDA-ARS-PWA Forage Seed/Cereal Research Prosser WA
Attachment III
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.
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:
SECTION 1:
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 Mary 18 2023, and that a USDA representative may contact him/her sometime after that date?
Yes No
Attachment III mailto:theodore.blume@usda.gov
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
3. Schedule Performance
4. Cost Performance
5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? Yes No
6. Would your Technical POC use your company again? Yes No
SECTION 2:
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:
Did you inform your client that a past performance questionnaire must be completed and returned to USDA by April 28, 2022, and that a USDA representative may contact him/her sometime after that date?
Yes No
Please BOLD the rating your Contracting POC indicated he/she would give your project if contacted:
1. Overall Contractual Performance
2. Would your Contracting POC use your company again? Yes No
Employee(s) who made the contact with above-named client references:
| Brief description of support provided: |
| Total period of performance, dates, and total cost/price: |
| SECTION 1: |
| Name and Title of Technical Point of Contact (POC): |
| SECTION 2: |
| Name and Title of Contracting Point of Contact (POC): __________________ |
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