Attachment IV - Past Performance Questionnaire (PPQ).doc

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Attached to
1232SA26Q1080 5HP Paddlewheel Aerators USDA-ARS-SEA Stoneville MS
Solicitation number
1232SA26Q1080
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About this file

This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q1080 for 5HP Paddlewheel Aerators issued by the USDA Agricultural Research Service in Stoneville, Mississippi. 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, contract/task order number, period of performance, total cost, number of personnel assigned by skill category, and the technical point of contact information. The contractor must also confirm that the client has been informed of the PPQ submission deadline and that USDA may contact them for verification.

Section 2 is completed by the client's technical and contracting points of contact, who provide performance ratings across multiple categories including overall technical performance, quality of work, schedule performance, and cost performance using a scale of Excellent, Very Good, Good, Fair, Poor, or N/A. The client POC also rates overall contractual performance and indicates whether they would use the contractor again. Completed questionnaires must be sent directly to theodore.blume@usda.gov. The template includes checkboxes for yes/no responses regarding the contractor's ability to identify and mitigate risks and whether the client would engage the contractor for future work.

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Attachment IV

Request For Proposal (RFP) # 1232SA26Q1080 USDA-ARS-SEA Stoneville MS Attachment IV

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 .