Attachment VII - Past Performance Questionnaire (PPQ).doc

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Attached to
USDA-ARS-PWA Install Overhead Irrigation System Prosser WA
Solicitation number
12905B24Q0036
Issued by

About this file

This solicitation requests proposals for an automatic overhead irrigation system installation project. The United States Department of Agriculture Agricultural Research Service Pacific West Area Western Regional Research Center requires the installation of an overhead irrigation system at its facility located at 24106 N. Bunn Road in Prosser, Washington by December 2023. Offerors shall provide all labor, equipment, materials, and supervision to complete the project in accordance with the plans and specifications. As the project cost is less than $25,000, the agency will issue a firm fixed-price construction contract pursuant to Federal Acquisition Regulation Part 36. The requirement is set aside exclusively for small businesses under NAICS code 238220 with a size standard of $19 million in average annual revenue. A site visit is scheduled for February 20, 2024, and potential offerors must monitor the website for any amendments.

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Request For Proposal (RFQ) # 12905B240036 USDA-ARS-PWA Prosser 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 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 .