ATTACHMENT Y Past Performance Questionnaire.docx
DOCX document 56 KB Posted
- Attached to
- FNS Storage and Distribution Services Federal contract opportunity
- Solicitation number
- 12-3198-25-R-0010
About this file
This is a Past Performance Questionnaire (PPQ) template for USDA Food and Nutrition Service's (FNS) solicitation #12-3198-25-R-0010 for storage and distribution services. The questionnaire must be submitted by March 06, 2025, at 10:00 AM EST to SM.FN.CMD-Proposals@usda.gov.
The PPQ evaluates contractors on five main categories using a 0-5 rating scale (5=Outstanding to 0=Unsatisfactory): Quality (technical expertise, staff knowledge, reliability), On-Time Delivery/Response (scheduling, timeliness, reporting), Performance (storage/handling, delivery, quality control), End User Satisfaction (customer service, responsiveness), and Contract Management (task order management, problem notification, cost containment). Respondents must provide contract details including total dollar value, length of contract, and contact information for the evaluator.
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Text version
Solicitation Number: 12-3198-25-R-0010 FNS Storage & Distribution Services
ATTACHMENT Y – Past Performance Questionnaire
EVALUATION SURVEY OF CONTRACTOR’S PAST PERFORMANCE FORM
You have been reported as having prior experience with the provider of storage and distribution 3PL solution services by the Contractor named below. The United States Department of Agriculture (USDA), Food and Nutrition Service (FNS) is evaluating proposals for storage and distribution services. To help FNS evaluate the Contractor’s past performance, would you please fill out this short survey and identify yourself at the bottom of the form. Please return it by email to: SM.FN.CMD-Proposals@usda.gov . Questionnaire surveys are requested by 10:00AM, Eastern Standard Time (EST) March 06, 2025. Thank you in advance for your assistance.
| Name of Contractor: | Contract No.: | |
| Rating Instructions: In the column on the far-right, circle or X the number which corresponds to the performance rating for each category in the box on the left. Factors to be considered in evaluating each category are shown in the middle column. Circle the average score that best reflects all the factors considered, using a scale of 0 to 5, 5=Outstanding, 4=Excellent, 3=Good, 2=Fair, 1=Poor, and 0=Unsatisfactory (use N/A for not observed or inapplicable to your contract): |
QUALITY
Compliance with contract requirements Staff were knowledgeable and training appropriately Technical expertise; understanding of technical issues Professionalism of key personnel Accuracy in diagnosing problems Reliability N/A
Additional Comments
ON-TIME DELIVERY/
RESPONSE
Adherence to milestones/scheduling Response was timely Response was appropriate Contractor-caused delays/problems Timely administration/billing and submission of accurate reports Customer notifications N/A
Additional Comments
PERFORMANCE:
(the extent you were satisfied w/ quality of services and deliverables) Storage and Handling of Commodities Delivery/Order to Customers Accurate/On-time Exigency Planning Quality Assurance/Quality Control Program Management
N/A
Additional Comments
END USER
SATISFACTION
Customer Service Effectiveness of services provided to your needs Responsiveness to problems associated with Contractor’s behavior, activities or attitude Any awards to contractor for quality of work or terminations for default or convenience (Please cite specifically in the Additional Comments) N/A
Additional Comments
CONTRACT
MANAGEMENT
Effectiveness of delivery/task order management Business-like concern for the interests of the customer/end-user Prompt notification of problems; close, professional working relationships to solve issues Project management and resource allocation; cost containment Cost of the contract versus the value and timeliness of services and products received Maintaining qualified staff N/A
Additional Comments
Overall, on a scale of 0-5, how satisfied were you with this service Contractor? _____ Please give FNS an idea of the size and scope of the contract you described above:
Total dollar award - Length of contract -
| Name: | Your Function: | |
| Organization: | (Contracting Officer, Program Manager, etc.) | |
| Email: | Phone: |
Food and Nutrition Service, Braddock Metro Center, 1320 Braddock Place, Alexandria, VA 22314 USDA is an Equal Opportunity Provider, Employer, and Lender image1.png
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