Attachment III Past Performance Questionnaire.doc

Attachment 3

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Request For Quote (RFQ) # 12905B23Q0011 Hop Early-Line Evaluation Germplasm Project United States Department of Agriculture (USDA)

Agricultural Research Service (ARS)

Pacific West Area (PWA)

Forage Seed and Cereal Research Unit (FSCRU)

3450 SW CAMPUS WAY

Corvallis, OR 97331 Instructions: The Contractor shall complete their company specific information on this form, forward this form to their clients and request that their clients complete it (verify/rate) and send it via email to spencer.hamilton@usda.gov This past performance questionnaire must be completed and sent to USDA by April 7, 2023 at 5:00 PM Pacific Time. A USDA representative may contact the client after that date.

1. Name of Contractor Employee who is contacting the below-named client references:___________

2. Name of Client organization:

3. Project name and contract/task order number:

4. Brief description of support provided:

5. Period of performance dates:

6. Total cost/price:

7. Number of contractor personnel assigned to the project, by skill category:

SECTION 1: Client’s Technical Point of Contact (POC) Name and Title of Technical POC:

Address:

Telephone:

Email:

Date the Technical POC was contacted for this PPQ:

Please BOLD the rating for each element below.

1. Overall Technical Performance

2.

Quality of work

3.

Schedule Performance

4.

Cost Performance

5.

Did the contractor proactively identify risk areas, mitigate risks, and/or 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: Client’s Contracting Point of Contact (POC):

Name and Title of Contracting POC:

Address:

Telephone:

Email:

Date Contracting POC was contacted for this PPQ:

Please BOLD the rating for each element below.

1.

Overall Contractual Performance

2.

Would you use this company again? FORMCHECKBOX Yes FORMCHECKBOX No