C04_Attachment IV - Past Performance Questionnaire_1232SA26Q1431.doc
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- Attached to
- 1232SA26Q1431 – Combination Synopsis/Solicitation John Deere 5100E Tractor Repair USDA-ARS-MWA Ames IA
- Solicitation number
- 1232SA26Q1431
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q1431 issued by USDA-ARS-MWA in Ames, Iowa. The form serves as an evaluation tool for assessing contractor performance on past projects relevant to the current solicitation for John Deere 5100E Tractor Repair services, specifically R&I Transmission/Differential Assembly replacement work. Contractors are required to complete Section 1 with company and project-specific information, then distribute the form to their client references who complete Section 2 with performance ratings and feedback. Completed questionnaires must be returned via email to theodore.blume@usda.gov by the deadline specified in the solicitation.
Section 2 of the PPQ requests technical POC ratings across five dimensions: Overall Technical Performance, Quality of Work, Schedule Performance, and Cost Performance (each rated as Excellent, Very Good, Good, Fair, Poor, or N/A), plus yes/no questions regarding proactive risk identification and willingness to use the contractor again. A separate contractual performance section requests the Contracting POC to rate Overall Contractual Performance and provide a yes/no response on future engagement. The form requires documentation of when the contractor contacted their references and confirmation that clients were informed of the PPQ submission deadline and potential follow-up contact from USDA representatives. This template does not specify pricing terms, award dates, or other solicitation parameters, serving solely as a due diligence mechanism for evaluating contractor past performance qualifications.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1431 USDA-ARS-MWA Ames IA 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 .