C04_Attachment IV - Past Performance Questionnaire (PPQ).doc
DOC document 39 KB Posted
- Attached to
- 1232SA26Q0311 – Combo Synopsis/Solicitation for Multi-Organ-on-Chip System USDA ARS SEA Little Rock AR
- Solicitation number
- 1232SA26Q0311
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFQ 1232SA26Q0311 for the USDA Agricultural Research Service in Little Rock, Arkansas. The form is designed to collect references from the contractor's past clients regarding performance on similar projects.
The PPQ requires contractors to complete Section 1 with company-specific information, including the client organization name, project details, contract/task order number, period of performance, total cost, personnel assigned by skill category, and technical and contracting points of contact. Contractors must then forward the form to their referenced clients for completion of Section 2, which asks clients to rate the contractor's technical and contractual performance on a scale of Excellent, Very Good, Good, Fair, or Poor across multiple criteria including overall technical performance, quality of work, schedule performance, cost performance, risk identification and mitigation, and likelihood of rehiring. Completed questionnaires must be returned to theodore.blume@usda.gov. The form serves as an evaluation tool to assess contractor qualifications and past performance capability relative to the organ-on-a-chip technology platform requirement outlined in the solicitation.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment IV
Request For Quotation (RFQ) # 1232SA26Q0311 USDA-ARS-SEA Little Rock AR 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 .