Attachment V - Past Performance Questionnaire - PPQ.doc

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Attached to
1232SA26Q0410 Combination Synopsis/Solicitation for Carpet Replacement USDA-ARS-MWA Madison WI
Solicitation number
1232SA26Q0410
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About this file

This file is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit to the U.S. Department of Agriculture Agricultural Research Service (USDA-ARS) for the Carpet Replacement solicitation (RFQ 1232SA26Q0410) at the Cereal Crops Research Unit (CCRU) Facility in Madison, Wisconsin. The questionnaire is structured in two sections: Section 1 requires the contractor to provide company-specific information including the client organization name, project description, contract/task order number, total period of performance with dates and costs, number of personnel assigned by skill category, and the technical and contracting points of contact. The contractor must also confirm that they have informed their client that the PPQ must be completed and returned to USDA by a specified deadline, with the understanding that USDA may contact the client reference afterward.

Section 2 is completed by the client's technical and contracting points of contact and requires them to rate the contractor's performance across multiple dimensions including overall technical performance, quality of work, schedule performance, and cost performance using a five-point scale (Excellent, Very Good, Good, Fair, Poor, or N/A). Additionally, the client references must indicate whether the contractor proactively identified and mitigated risk areas and whether they would use the contractor's company again. The completed questionnaires serve as a critical evaluation tool for past performance assessment during the proposal evaluation process and should be submitted via email to theodore.blume@usda.gov.

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Request For Proposal RFQ1798705 USDA-ARS-MWA/Madison WI CCRU Facility Carpet Replacement 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 .