C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1265.doc
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- Attached to
- 1232SA26Q1265 – Combination Synopsis/Solicitation for a Vapor Sorption Analyzer USDA ARS SEA New Orleans LA
- Solicitation number
- 1232SA26Q1265
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP 1232SA26Q1265 for the USDA Agricultural Research Service in New Orleans, Louisiana. The questionnaire is designed to be completed in two sections: contractors fill out Section 1 with their company information, client organization details, project description, period of performance, total cost, personnel assignments, and technical point of contact information. Contractors then forward the form to their clients, who complete Section 2 by rating the contractor's performance across multiple dimensions and returning the completed questionnaire to theodore.blume@usda.gov.
Section 2 requires client technical points of contact to provide ratings on a scale of Excellent, Very Good, Good, Fair, Poor, or N/A across five criteria: overall technical performance, quality of work, schedule performance, cost performance, and whether the contractor proactively identified and mitigated risks. Contracting points of contact separately rate overall contractual performance and likelihood of rehiring the contractor. The questionnaire also includes yes/no questions regarding risk management and future business relationship continuation. This template serves as the past performance evaluation mechanism for the vapor sorption analyzer acquisition and must be completed and returned prior to contract award consideration.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1265 USDA-ARS-SEA New Orleans LA 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 .