C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1193.doc
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- Attached to
- 1232SA26Q1193 Combo Synopsis/Solicitation HR Accurate Mass LC-MS Measurement System USDA-ARS-PWA Hagerman ID
- Solicitation number
- 1232SA26Q1193
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q1193 for a HR Accurate Mass LC-MS Measurement System being procured by USDA-ARS for their Hagerman, Idaho facility. The questionnaire is designed to gather client references and evaluations of the contractor's past performance on relevant projects.
The form is divided into two sections: Section 1 is completed by the contractor, requiring them to provide company information, client organization details, project name and contract/task order number, description of support provided, period of performance and total cost, number of personnel assigned by skill category, and technical and contracting points of contact information. Section 2 is completed by client points of contact who rate the contractor's overall technical performance, quality of work, schedule performance, and cost performance on a scale of Excellent to Poor, and indicate whether they would use the contractor again. The questionnaire also asks whether the contractor proactively identified and mitigated risks and responded to critical situations. Contractors are responsible for contacting their clients, forwarding the form to them for completion and verification, and ensuring responses are returned via email to theodore.blume@usda.gov by a specified deadline.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1193 USDA-ARS-PWA Hagerman ID 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 .