Attachment III - Past Performance Questionnaire (PPQ).doc
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- Solicitation number
- 12905B23R0021
About this file
This document contains a past performance questionnaire template for a federal contractor to send to client references regarding Solicitation Number 12905B23R0021 from the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Pacific West Area. The solicitation seeks to replace rooftop air handling units at the USDA-ARS-PWA facility in Corvallis, Oregon. The contractor is required to contact past clients by September 20, 2023 and obtain ratings on overall technical performance, quality of work, schedule performance, cost performance, risk mitigation, and willingness to use the contractor again from both a technical point of contact and a contracting point of contact. Employees who contact the references must also be provided.
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Text version
Request For Proposal (RFP) # 12905B23R0021 Replace Rooftop HVAC Units – Corvallis OR 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 September 20, 2023, and that a USDA representative may contact him/her sometime after that date?
FORMCHECKBOX
Yes FORMCHECKBOX No
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
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?
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 .