Attachment 4 Past Performance Questionnaire (PPQ).pdf
PDF 441 KB Posted
- Attached to
- Medical Waste Removal Services in Albany, CA
- Solicitation number
- 12905B22Q0087
About this file
This document contains a past performance questionnaire and details of a solicitation for medical waste removal services. The past performance questionnaire is to be completed by contractors and their references for a solicitation from the USDA Agricultural Research Service for medical waste removal services at their facility in Albany, California. The solicitation seeks weekly collection and transportation of medical waste in compliance with DOT and state regulations, including providing drums, packing materials, labels, and personal protective equipment. The contractor must also provide treatment and disposal of wastes at an authorized facility, including incineration when required. The facility generates approximately 15-20 twenty-gallon containers or 350-400 pounds of waste per week, including sharps, lab materials contaminated with BSL-2 agents, animal carcasses, and prion-contaminated materials. The completed past performance questionnaires are due back to USDA by July 29, 2022.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Request For Quote (RFQ) # 12905B22Q0087 USDA ARS WRRC Albany, Ca - Medical Waste Services
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 Michael.Sherlock@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 July 29, 2022, 11:00am PDT, along with your offer, and that a USDA representative may contact him/her sometime after that date?
Yes No mailto:lam.pham@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
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? 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 July 29, 2022 by 12:00pm PDT, 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
Excellent Very Good Good Fair Poor N/A
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): |
File details come from the government source that posted it. Updated .