Attachment 5 - Past Performance Questionnaire.pdf
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- Solicitation number
- 1232SA25Q0191
About this file
The document is a Past Performance Questionnaire (PPQ) for Request for Quote (RFQ) #1232SA25Q0191, associated with a laboratory remodel project for USDA-ARS in Parlier, CA. The form is designed to collect detailed performance feedback from previous clients, with sections for contractors to provide project details and clients to evaluate the contractor's performance across multiple dimensions including technical performance, quality of work, schedule performance, and cost performance. The questionnaire requires the contractor to complete Section 1 with project specifics, forward the form to clients, and have clients complete Sections 2-4, which include ratings on technical and contractual performance, risk management, and willingness to work with the contractor again. The completed questionnaire must be submitted via email to michael.hassett@usda.gov by the RFQ closing date.
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Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
Past Performance Questionnaire Request For Quote (RFQ) # 1232SA25Q0191
Lab Remodel with USDA-ARS at Parlier, CA
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.hassett@usda.gov no later than the closing date of the RFQ.
SECTION 1: To be completed by the contractor
Name of Contractor:
Name of client organization:
Project name and contract/task order number:
Brief description of support provided:
Total period of performance and dates:
Total cost/price:
Number of contractor personnel assigned to the project, by skill category:
Name and Title of Technical Point of Contact (POC) for the customer:
Address of Technical POC:
Email and 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, and that a USDA representative may contact him/her sometime after that date?
Yes No
SECTION 2: To be completed by the customer.
Please BOLD the rating indicating your projects rating in the following areas:
mailto:theodore.blume@usda.gov
Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
1. Overall Technical Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
2. Quality of work
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
3. Schedule Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
4. Cost Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?
Yes No
6. Would you use this company again? Yes No
SECTION 3: To be completed by the customer’s contracting office (If different from TPOC in section 1).
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:
Section 4: Please BOLD the rating your Contracting POC (or TPOC if there isn’t a contracting POC) indicated he/she would give your project if contacted:
1. Overall Contractual Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
2. Would your Contracting POC use your company again? Yes No
Contracting POC Signature (TPOC if contracting POC is N/A)
File details come from the government source that posted it. Updated .