C04_Attachment VI - Past Performance Questionnaire_1232SA26Q1356.doc
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- Attached to
- 1232SA26Q1356 Questions and Updated Attachment III Hazardous Waste Disposal Services USDA-ARS-MWA Madison WI
- Solicitation number
- 1232SA26Q1356
About this file
This is a Past Performance Questionnaire (PPQ) template that contractors must complete and submit as part of RFP #1232SA26Q1356 for hazardous waste disposal services with the USDA-ARS Madison location. The form requires contractors to provide company-specific information in Section 1, including details about the client organization, project name, contract/task order number, scope of support provided, period of performance, total cost, personnel assigned by skill category, and technical point of contact information. Contractors must contact their clients and request that the client's Technical POC and Contracting POC complete Section 2 of the form, rating the contractor's performance across multiple dimensions including overall technical performance, quality of work, schedule performance, cost performance, contractual performance, risk identification and mitigation, and likelihood of future engagement. Completed questionnaires must be returned via email to theodore.blume@usda.gov by a specified deadline, as USDA representatives may follow up directly with references after that date.
The form uses a standardized rating scale of Excellent, Very Good, Good, Fair, Poor, or N/A for technical and contractual performance metrics. Contractors are required to inform their clients of the PPQ requirement and deadline before submitting the form. This attachment applies to the small business set-aside solicitation for hazardous waste removal and lab packing services supporting five research units at the USDA-ARS Madison facility, which handle diversified chemical and biological wastes including pyrophoric, explosive, reactive, toxic substances, and compressed gases.
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Attachment VI
Request For Proposal (RFP) # 1232SA26Q1356 USDA-ARS-MWA/Madison WI Attachment VI
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 .