C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1268.doc
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- Solicitation number
- 1232SA26Q1268
About this file
This is a Past Performance Questionnaire attachment for a Request for Quotation (RFQ) solicitation issued by the USDA Agricultural Research Service for a Fluorescence Microscope System.
The questionnaire is a template designed to evaluate contractor past performance capabilities relevant to the fluorescence microscope acquisition for the USDA-ARS Small Grains and Pulses Genomics and Phenomics Group (SMGPG) in Urbana, Illinois. As an appendix and evaluation tool rather than a standalone technical document, it does not specify detailed product requirements or delivery schedules. Instead, it functions as a standardized assessment mechanism to gather information from prospective quoters regarding their relevant experience, project history, and performance track record in supplying similar high-resolution fluorescence imaging systems and associated components. Offerors responding to solicitation 1232SA26Q1268 would complete this questionnaire to demonstrate their qualifications and past success in delivering comparable microscopy systems, software, and technical support to federal research institutions.
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Request For Proposal (RFP) # 1232SA26Q1268 USDA-ARS-MWA Urbana IL 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 .