C04_Attachment VI - Past Performance Questionnaire_1232SA26Q1206.doc
DOC document 39 KB Posted
- Attached to
- 1232SA26Q1206 – Amendment 0001 Combo Synopsis/Solicitation Liquid Nitrogen Generator USDA-ARS-PWA Hilo HI
- Solicitation number
- 1232SA26Q1206
About this file
This is a Past Performance Questionnaire (PPQ) template for RFP 1232SA26Q1206 issued by the USDA Agricultural Research Service for a Liquid Nitrogen Generator acquisition in Hilo, Hawaii. The questionnaire is designed to be completed by contractors and their clients to evaluate past performance on relevant projects.
The form is divided into two sections: Section 1 is completed by the contractor and requests company-specific information including the client organization name, project details, contract/task order number, brief description of support provided, total period of performance with dates and costs, number of personnel assigned by skill category, and technical point of contact information. Section 2 is completed by the client POC and requests ratings on a five-point scale (Excellent, Very Good, Good, Fair, Poor, or N/A) for technical performance criteria including overall technical performance, quality of work, schedule performance, and cost performance. Additional evaluation items include whether the contractor proactively identified and mitigated risks, contractor use of risk management practices, and whether the client would use the contractor again. A separate contractual performance section requests ratings on overall contractual performance and repeat business likelihood from the contracting POC. Completed questionnaires must be sent via email to theodore.blume@usda.gov, and contractors are instructed to inform clients of the submission deadline and that USDA representatives may follow up with references.
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Attachment IV
Request For Proposal (RFP) # 1232SA26Q1206 USDA-ARS-PWA Hilo HI 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 .