Attachment III - Past Performance Questionnaire (PPQ).doc

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1232SA26Q0047 - Combination Synopsis/Solicitation for Table-Top Free-Space Measuring System USDA-ARS-SEA Auburn AL
Solicitation number
1232SA26Q0047
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This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q0047 for a Table-Top Free-Space Measuring System acquisition by USDA-ARS-SEA in Auburn, Alabama. The form requires contractors to provide company-specific information in Section 1, including the client organization name, project details, contract/task order number, brief description of support provided, total period of performance with dates and costs, number of personnel assigned by skill category, and technical point of contact information. Contractors must contact their clients and request completion of Section 2, which involves technical and contracting points of contact rating the contractor's performance across multiple evaluation criteria including overall technical performance, quality of work, schedule performance, cost performance, and contractual performance on a scale of Excellent to Poor. Additionally, references must indicate whether they would use the contractor again and whether the contractor proactively identified and mitigated risks. Completed forms must be returned via email to theodore.blume@usda.gov by a specified deadline, with USDA representatives potentially contacting references for verification.

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Request For Proposal (RFP) # 1232SA26Q0047 USDA-ARS-SEA Auburn AL Attachment III

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.

CONTRACTOR COMPLETES SECTION 1. CLIENT POC COMPLETES SECTION 2.

SECTION 1:

Name of Contractor: ______________________________________________________

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:

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 DATE, and that a USDA representative may contact him/her sometime after that date?

FORMCHECKBOX

Yes FORMCHECKBOX No

SECTION 2:

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? FORMCHECKBOX Yes FORMCHECKBOX No

6.

Would your Technical POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX 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? FORMCHECKBOX Yes FORMCHECKBOX No

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

File details come from the government source that posted it. Updated .