C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1378.doc
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- Attached to
- 1232SA26Q1378 Combination Synopsis/Solicitation Irriland NS/Irriland Reel USDA-ARS Corvallis OR
- Solicitation number
- 1232SA26Q1378
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q1378 issued by the USDA Agricultural Research Service in Corvallis, Oregon. The form serves as an evaluation tool to assess contractor performance on past projects and must be distributed to client references for completion and verification.
The PPQ is structured in two sections: Section 1 requires the contractor to provide company information, client organization details, project description, period of performance, total cost/price, personnel assignments by skill category, and technical point of contact (POC) information. The contractor must also confirm that they notified their client of the completion deadline and that USDA may conduct follow-up contact. Section 2 is completed by the client's Technical POC and Contracting POC, who rate the contractor's overall technical performance, quality of work, schedule performance, and cost performance on a scale of Excellent to Poor. Additional evaluation criteria include whether the contractor proactively identified and mitigated risks, and whether the client POCs would use the contractor again. Completed questionnaires must be returned via email to theodore.blume@usda.gov. This template is an appendix to the solicitation and does not address specific products or services required under the contract.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1378 USDA-ARS-PWA Corvallis OR 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 .