Attachment III - Past Performance Questionnaire (PPQ).pdf
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- Solicitation number
- 12905B23R0016
About this file
This document is a past performance questionnaire template for contractors to provide to their clients regarding prior federal contract work. The template requests information about a referenced project including a brief description of support provided, total period of performance and costs. It also includes sections for ratings from both a technical and contracting point of contact at the client organization regarding metrics such as overall performance, quality of work, schedule performance and cost performance. Contractors are to complete project details, contact client references, and have them return the completed questionnaire to USDA by April 28, 2022. The related federal contract opportunity is for forage seed and cereal research support services by the USDA Agricultural Research Service located in Prosser, Washington, to upgrade facilities for hop harvesters.
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Request For Proposal (RFQ) # 12905B23R0014 USDA-ARS-PWA Carl Hayden Bee Reseaarch Center Tucsson AZ
DNA Sequencing Attachment V
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 Mary 18 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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