C04_Attachment VII - Past Performance Questionnaire_1232SA26Q1036.doc
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- Solicitation number
- 1232SA26Q1036
About this file
This is a Past Performance Questionnaire (PPQ) template for USDA-ARS contractors to complete and submit as part of RFP 1232SA26Q1036 for Integrated Pest Management (IPM) Services at USDA-ARS facilities in Colorado and Wyoming. The form is divided into two sections: Section 1 requires contractors to provide company information, client organization details, project description, contract/task order number, period of performance, total cost/price, personnel assignments by skill category, and technical point of contact (POC) information. Contractors must also confirm they have informed clients that the completed questionnaire must be returned to theodore.blume@usda.gov by a specified deadline and that USDA representatives may contact the client afterward.
Section 2 is completed by the client's Technical POC and Contracting POC to provide performance ratings across six key evaluation areas: Overall Technical Performance, Quality of Work, Schedule Performance, Cost Performance, Risk Identification and Mitigation, and Overall Contractual Performance. Each category uses a five-point scale (Excellent, Very Good, Good, Fair, Poor) with an N/A option, and yes/no questions assess whether the POCs would use the contractor again and whether the contractor proactively identified and mitigated risks. This questionnaire serves as the mechanism for evaluating contractor past performance on relevant previous projects and is required documentation for bid consideration on this small business set-aside solicitation.
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Attachment VI
Request For Proposal (RFP) # 1232SA26Q1036 USDA-ARS-PA Fort Collins CO 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 .