C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1281.doc
DOC document 39 KB Posted
- Attached to
- 1232SA26Q1281 Combination Synopsis/Solicitation Small Electric Cultivating Tractor USDA-ARS-MWA St. Paul MN
- Solicitation number
- 1232SA26Q1281
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP #1232SA26Q1281 issued by USDA-ARS for a small electric cultivating tractor acquisition. The form is designed to collect client feedback on contractor performance and must be completed by the contractor and their referenced clients, with responses submitted to theodore.blume@usda.gov.
Section 1 requires the contractor to provide company and project-specific information including the client organization name, project name and contract/task order number, brief description of support provided, total period of performance with dates and cost, number of personnel by skill category, and the technical point of contact (POC) with contact details. The contractor must confirm that the client was notified of the PPQ completion deadline and that USDA representatives may conduct follow-up contact. Section 2, completed by the client's Technical POC, requests ratings on a five-point scale (Excellent, Very Good, Good, Fair, Poor, N/A) for overall technical performance, quality of work, schedule performance, and cost performance, along with yes/no responses regarding risk mitigation and future utilization. A separate section requests the Contracting POC to rate overall contractual performance and future utilization preference. The form concludes with a field to identify employees who contacted the client references. This is a template/administrative document rather than a substantive procurement requirement document.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1281 USDA-ARS-MWA St. Paul MN 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 .