C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1190.doc
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- Attached to
- 1232SA26Q1190 – Combination Synopsis/Solicitation for a Seed Counting Carousel USDA-ARS-MWD Ames IA
- Solicitation number
- 1232SA26Q1190
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of the RFP process for solicitation 1232SA26Q1190, a Request for Quotation issued by the USDA Agricultural Research Service for a seed counting carousel. The questionnaire is divided into two sections: Section 1 is completed by the contractor, requiring company-specific information including the client organization name, project name, contract/task order number, brief description of support provided, total period of performance with dates and costs, number of contractor personnel by skill category, and technical and contracting points of contact. The contractor must also confirm that the client has been informed of the PPQ completion deadline and that USDA may contact them.
Section 2 is completed by the client's technical and contracting points of contact, who must rate the contractor's performance across multiple dimensions including overall technical performance, quality of work, schedule performance, and cost performance on a scale of Excellent, Very Good, Good, Fair, Poor, or N/A. Additional evaluation criteria include whether the contractor proactively identified and mitigated risks and whether the client would use the contractor again for future work. Completed questionnaires must be returned via email to theodore.blume@usda.gov. This template is an essential evaluation tool for assessing contractor past performance qualifications in response to this small business set-aside acquisition for commercial seed counting equipment.
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Text version
Attachment IV
Request For Proposal (RFP) # 1232SA26Q1190 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 .