Attachment V - Past Performance Questionnaire (PPQ).pdf
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- Solicitation number
- 12905B24Q0016
About this file
This document is a past performance questionnaire template for a federal contract opportunity with the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Pacific West Area. The template requests information on a referenced project including the client organization name, brief description of support provided, total period of performance and cost. It also includes sections for ratings and contact information for both a technical and contracting point of contact at the client organization. These sections ask the client to rate the contractor's technical performance, quality of work, schedule performance, cost performance, risk mitigation, and likelihood of using the contractor again. Contractors are to complete the company information and forward the template to their clients to also complete with ratings and send back to USDA by specified dates.
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Text version
Request For Quotation (RFQ) # 12905B24Q0016
USDA-ARS-PWA TTFVRU WAPATO WA –
REPLACE DOMESTIC WATER PUMP SKID UNIT PROJECT
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.
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 December 21, 2023, and that a USDA representative may contact him/her sometime after that date?
Yes No 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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