Attachment VI - Past Performance Questionnaire (PPQ).doc
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- Solicitation number
- 12905B24Q0029
About this file
This solicitation requests offers for a reinforced concrete pad construction project. The United States Department of Agriculture Agricultural Research Service Pacific West Area Office requires the reinforced concrete pad and associated site improvements at its Soil and Water Conservation Research Center in Adams, Oregon. Offerors must provide all labor, equipment, materials, transportation, and supervision to complete the work in accordance with the plans and specifications. The project is less than $25,000 and will be awarded as a firm fixed price construction contract. The requirement is fully set aside for small businesses under NAICS code 238110 with a size standard of $19 million. A site visit is scheduled for February 14, 2024 at 9:00am Pacific Time. Offers are due by the response date specified in the solicitation. The solicitation and any amendments must be monitored through the designated website.
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Text version
Request For Proposal (RFQ) # 12905B240029 USDA-ARS-PWA Adams, OR 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 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:
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 DATE, and that a USDA representative may contact him/her sometime after that date?
FORMCHECKBOX
Yes FORMCHECKBOX No
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
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 28, 2022, and that a USDA representative may contact him/her sometime after that date?
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 .