C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1017.doc
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- Attached to
- 1232SA26Q1017 - Amendment 00002 Combined Synopsis-Solicitation Bison Handling Equipment USDA ARS MWA Ames IA
- Solicitation number
- 1232SA26Q1017
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of their response to RFP/RFQ 1232SA26Q1017 for Bison Handling Equipment. The form is designed to be completed in two sections: contractors complete Section 1 with company-specific information and client details, then forward the form to their relevant clients who complete Section 2 with performance ratings and assessments. Completed questionnaires must be returned to theodore.blume@usda.gov by a specified deadline, and USDA representatives may conduct follow-up contact with client references after submission.
Section 1 requires contractors to provide their name, client organization name, project details including contract/task order number, description of support provided, period of performance with dates and total cost, number of personnel by skill category, and technical point of contact information. Section 2 requests that client Technical Points of Contact rate the contractor on 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), and answer yes/no questions regarding proactive risk identification and likelihood of future engagement. A separate contractual performance section asks the Contracting POC to rate Overall Contractual Performance and indicate willingness to use the contractor again. The form serves to assess past performance as an evaluation criterion for this Department of Agriculture Agricultural Research Service (USDA-ARS) small business set-aside solicitation for bison handling equipment.
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Text version
Attachment IV
Request For Proposal (RFP) # 1232SA26Q1017 USDA-ARS-MWA Ames IA 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 .