C04_Attachment IV - Past Performance Questionnaire_1232SA26Q0846.doc

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Attached to
1232SA26Q0846 Amend # 00001- Vacuum Oven USDA-ARS-SEA Auburn AL
Solicitation number
1232SA26Q0846
Issued by

About this file

This is a Past Performance Questionnaire (PPQ) template for RFP #1232SA26Q0846 issued by USDA-ARS-SEA in Auburn, Alabama. The form is designed to collect performance feedback from clients who have engaged the contractor on previous projects. The contractor completes Section 1 with company-specific information, project details, period of performance, cost/price, personnel assignments, and technical point of contact information. The contractor then forwards the form to clients for completion of Section 2, where clients provide ratings and feedback that must be returned via email to theodore.blume@usda.gov.

Section 2 requires clients to rate the contractor's performance on five technical dimensions (overall technical performance, quality of work, schedule performance, cost performance, and risk identification/mitigation) using a five-point scale (Excellent, Very Good, Good, Fair, Poor, or N/A), and to indicate whether they would use the contractor again. A separate contractual performance section requires clients to rate overall contractual performance and willingness to hire the contractor in the future. The form captures which contractor employees conducted the client contact. This is a template document with no specific response deadlines or award information included; it functions as an appendix to support the evaluation of contractor past performance in the associated solicitation for a vacuum oven with pump and aluminum thermoshelf (100% small business set-aside).

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Attachment IV - PPQ

Request For Proposal (RFP) # 1232SA26Q0846 USDA-ARS-SEA Auburn AL 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 .