Attachment III - Past Performance Questionnaire (PPQ).pdf

PDF 174 KB Posted

Attached to
Amendment 01 USDA-ARS-PWA Wolfskill Irrigation Well Phase I Winters CA Federal contract opportunity
Solicitation number
12905B23R0019
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Pacific West Area

About this file

This document is a past performance questionnaire template for contractors to complete and provide as an attachment to proposal submissions for Amendment 01 USDA-ARS-PWA Wolfskill Irrigation Well Phase I Winters CA solicitation number 12905B23R0019. The past performance questionnaire requests information on previous projects including a description of support provided, period of performance dates and total cost, number of contractor personnel assigned by skill category, and ratings from both a technical point of contact and contracting point of contact at the client organization for overall technical performance, quality of work, schedule performance, cost performance, risk identification and mitigation, and whether the client would use the contractor again. Contractors are to provide the completed questionnaire to their clients to verify the ratings indicated before returning it to USDA.

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Other files for this federal contract opportunity

Other files attached to Amendment 01 USDA-ARS-PWA Wolfskill Irrigation Well Phase I Winters CA, newest first.
File Type Posted
12905B23R0019 Questions - Responses 7-21-2023.pdf PDF
2023.07.14 RFI Compiled Responses.pdf PDF
12905B23R0019 Amend 01.pdf PDF
Sign In Sheet for Well Site Visit.pdf PDF
12905B23R0019 Amend 01 Adding Drawings.pdf PDF
Attachment IV - ARS-371 - CONSTRUCTION PROGRESS AND PAYMENT SCHEDULE.pdf PDF
12905B23R0019 with T-n-Cs and Attach I - II Final.pdf PDF
Attachment V - ARS-372 - CONTRACTORS REQUEST FOR PAYMENT TRANSMITTAL.pdf PDF
Attachment VI - Contractor RFI FORM.pdf PDF

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Text version

Request For Proposal (RFQ) # 12905B23R0019 USDA-ARS-PWA National Clonal Germplasm Repository Winters CA

Wolkskill Irrigation Well Phase I 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.

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:

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 19, 2023, and that a USDA representative may contact him/her sometime after that date?

Yes No

Attachment III mailto:theodore.blume@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

3. Schedule Performance

4. Cost Performance

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 April 28, 2022, 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

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): __________________

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