C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1283.doc
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- Solicitation number
- 1232SA26Q1283
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP 1232SA26Q1283 for the USDA-ARS Somerville, Texas facility. The questionnaire is designed to collect client references and performance feedback on past projects, with two distinct sections: Section 1 requires the contractor to provide company information, client details, project scope, personnel assignments, and technical point of contact (POC) information, along with confirmation that the client was notified of the PPQ submission deadline; Section 2 requires the client's Technical POC to rate the contractor on overall technical performance, quality of work, schedule performance, cost performance, risk identification and mitigation, and likelihood of future engagement, using a five-point scale (Excellent, Very Good, Good, Fair, Poor). Additionally, the questionnaire requests the Contracting POC to rate overall contractual performance and provide feedback on future contractor engagement.
The PPQ must be completed by the contractor and forwarded to clients for their verification, scoring, and submission directly to theodore.blume@usda.gov. This questionnaire applies to solicitation 1232SA26Q1283, which is an RFQ for two 25-foot pruning tower lifts under an unrestricted acquisition with NAICS code 333924 and a 900-employee small business size standard. The requirement is not set-aside for small business concerns, and all responsible sources are eligible to submit quotations.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1283 USDA-ARS-PA Somerville TS 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 .