Attachment IV - Past Performance Questionnaire (PPQ).doc
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- Solicitation number
- 1232SA26Q0259
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP 1232SA26Q0259 for a bale wrapper with round bale grabber acquisition by USDA-ARS-MWA in Madison, Wisconsin. The form is divided into two sections: Section 1 is completed by the contractor with company-specific information including the client organization name, project details, period of performance, total cost, number of personnel assigned by skill category, and technical point of contact information. Section 2 is completed by the client's Technical and Contracting Points of Contact, who rate the contractor's overall technical performance, quality of work, schedule performance, and cost performance on a scale of Excellent to Poor, and indicate whether they would use the company again and whether the contractor proactively identified and mitigated risks.
Contractors must contact their clients, forward the completed Section 1 form to them for verification and scoring in Section 2, and request that clients email the completed questionnaire to theodore.blume@usda.gov by a specified deadline. The form serves as an evaluation criterion for past performance on similar projects and allows USDA representatives to contact client references directly. This is a template document without specific response dates, pricing terms, or other solicitation-level details; those parameters are contained in the main solicitation documents and Attachment 1 - Solicitation Terms and Conditions.
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Request For Proposal (RFP) # 1232SA26Q0259 USDA-ARS-MWA/Madison WI Attachment VI
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 .