Attachment V - Past Performance Questionnaire (PPQ).doc
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- Solicitation number
- 12905B24Q0049
About this file
This document includes a past performance questionnaire template and details of a federal contract opportunity for parking lot sealing and re-striping services. The past performance questionnaire is to be completed by the contractor's references for prior projects and submitted to USDA by a given date. The federal contract opportunity is issued by the USDA Agricultural Research Service Pacific West Area office to provide all labor, equipment, materials and supervision for parking lot sealing and re-striping at two locations in Hilo, Hawaii. The requirement is set aside for small businesses with a NAICS code of 237310 and size standard of $45 million. The contract type will be firm fixed price. The site visit date is included and offerors should monitor the site for amendments. The response date is not provided.
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Text version
Request For Proposal (RFQ) # 12905B24Q0049 USDA-ARS-PWA Hilo HI Attachment V
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 .