Attachment V - Past Performance Questionnaire (PPQ).doc
DOC document 39 KB Posted
- Solicitation number
- 1232SA26Q0392
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q0392 for sterilizer maintenance services with the USDA Agricultural Research Service in Fargo, North Dakota. The questionnaire is structured in two sections: contractors complete Section 1 with company and project information, then forward the form to their clients for completion of Section 2. Completed questionnaires must be returned via email to theodore.blume@usda.gov by a specified deadline, with the contractor responsible for coordinating timely responses from client references.
Section 2 requires client points of contact to rate the contractor's technical and contractual 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). Additional evaluation criteria include whether the contractor proactively identified and mitigated risks, responded effectively to critical situations, and whether the client would use the contractor again for future work. The form also requests information on the number of contractor personnel assigned by skill category, project dates, total contract value, and technical and contracting points of contact with their contact information.
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Other files
| File | Type | Posted |
|---|---|---|
| 1232SA26Q0392 with Attach I - II - III.pdf | ||
| Attachment IV - Contractor RFI FORM.pdf |
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Attachment V
Request For Proposal (RFP) # 1232SA26Q0392 USDA-ARS-PA Fargo ND 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.
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:
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