C04_Attachment IV - Past Performance Questionnaire_1232SA26Q0778.doc
DOC document 39 KB Posted
- Attached to
- 1232SA26Q0778 - Combination Synopsis-Solicitation for Mercury Analyzer USDA ARS NEA Beltsville MD
- Solicitation number
- 1232SA26Q0778
About this file
This is a Past Performance Questionnaire (PPQ) template for RFQ 1232SA26Q0778 issued by USDA-ARS (Agricultural Research Service) at the Sasel/Beltsville, Maryland facility. The form is designed to be completed by contractors and their clients to evaluate past performance on relevant projects. Contractors must complete Section 1 with company and project information, then forward the form to their clients' Technical and Contracting Points of Contact (POCs) who complete Section 2 with performance ratings and return it to theodore.blume@usda.gov.
Section 2 requires client evaluation across multiple criteria including Overall Technical Performance, Quality of Work, Schedule Performance, and Cost Performance, with rating options of Excellent, Very Good, Good, Fair, Poor, or N/A. The questionnaire also assesses whether the contractor proactively identified and mitigated risks and whether the client would use the contractor again. A separate Contracting POC section evaluates Overall Contractual Performance. The form requests contractor personnel to be identified by skill category and requires the contractor to confirm that the client has been notified of the PPQ completion deadline and potential USDA follow-up contact. This template is a standard evaluation tool for past performance assessment but does not specify required products, services, response deadlines, or pricing information.
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Text version
Request For Proposal (RFQ) # 1232SA26Q0778 USDA-ARS-NEA SASL/Beltsville MD 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 .