C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1380.doc
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- Attached to
- 1232SA26Q1380 - Combination Synopsis/Solicitation 8 Channel Spectrophotometer USDA-ARS Athens GA
- Solicitation number
- 1232SA26Q1380
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of their response to USDA-ARS RFP 1232SA26Q1380 for an 8 Channel Spectrophotometer procurement. The form requires contractors to provide company-specific information in Section 1, including details about the client organization, project name, contract/task order number, description of support provided, total period of performance, cost/price, number of personnel assigned by skill category, and technical point of contact information. Contractors must then contact their clients and request that the clients complete Section 2, which asks the technical and contracting points of contact to rate the contractor's performance across multiple criteria including overall technical performance, quality of work, schedule performance, cost performance, and contractual performance on a scale of Excellent to Poor. The form also requires yes/no responses regarding the contractor's proactive risk identification and mitigation, as well as whether the client would use the company again.
Completed questionnaires must be returned via email to theodore.blume@usda.gov by a specified deadline, with the government noting that USDA representatives may contact references after that date. This template serves as a mechanism for the Department of Agriculture Agricultural Research Service to evaluate contractor past performance as part of the selection process for this unrestricted commercial item procurement.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1380 USDA-ARS-SEA Athens GA 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 .