Past Performance Questionnaire (PPQ)_12905B24Q0088.docx

12905B24Q0088 Repair to transmission of Kubota tractor

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 at shelley.steen @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 June 5, 20244 and that a USDA representative may contact him/her sometime after that date?

|_|Yes |_|No

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

1. Overall Technical Performance

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 February 16, 2024 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:

2. Would your Contracting POC use your company again? |_|Yes |_|No

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