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This document includes a past performance questionnaire template to be completed by contractors responding to Request for Proposal 12905B22R0003 from the Department of Agriculture Agricultural Research Service. The RFP seeks to renovate Greenhouse #6 and buildings 5 and 10 at the USDA Physiology and Pathology of Tree Fruit Research Laboratory in Wenatchee, Washington. The estimated value of the contract is between $500,000 and $1,000,000 to be awarded on a firm-fixed price basis. Contractors must provide references from previous clients who will complete the past performance questionnaire, rating the contractor's technical performance, quality of work, schedule performance, cost performance, risk mitigation, and likelihood of using the contractor again. Responses are due to the contracting officer by April 25, 2022.

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Request For Proposal (RFP) # 12905B22R0003 USDA Physiology and Pathology of Tree Fruit Research Laboratory

Renovate Greenhouse and Buildings Wenatchee WA – 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.

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:

SECTION 1:

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 April 25, 2022 12:00pm PDT, and that a USDA representative may contact him/her sometime after that date?

Yes No mailto:theodore.blume@usda.gov

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? Yes No

6. Would your Technical POC use your company again? Yes No

SECTION 2:

Name and Title of Contracting Point of Contact (POC):

Address of Contracting POC:

Telephone number of Contracting POC:

Date the Contracting POC was contacted for this PPQ:

Did you inform your client that a past performance questionnaire must be completed and returned to USDA by April 25, 12:00pm PDT, 2022, and that a USDA representative may contact him/her sometime after that date?

Yes 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? Yes No

Employee(s) who made the contact with above-named client references:

Brief description of support provided:
Total period of performance, dates, and total cost/price:
SECTION 1:
Name and Title of Technical Point of Contact (POC):
SECTION 2:
Name and Title of Contracting Point of Contact (POC):

File details come from the government source that posted it. Updated .