Attachment VI - PPQ.pdf
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- Solicitation number
- 12905B24R0012
About this file
This document is a Past Performance Questionnaire (PPQ) related to a federal contract opportunity. The PPQ is intended to be completed by the contractor and their clients to provide an assessment of the contractor's past performance on a specific project. It covers areas such as overall technical performance, quality of work, schedule performance, cost performance, risk management, and the client's likelihood of using the contractor again. The PPQ is to be returned to the USDA by June 30, 2024.
The related federal contract opportunity is for the USDA-ARS-PWA Wolfskill Irrigation Well Phase II project in Winters, CA, with an estimated value between $250,000 and $500,000. Proposals are due by July 9, 2024. The contractor must provide all labor, materials, equipment, and services to complete the project. A mandatory site visit is scheduled for June 13, 2024, and all questions must be submitted by June 20, 2024. Bid bond, payment bond, and performance bond requirements are specified.
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Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
Attachment VI
Past Performance Questionnaire Request For Proposal (RFQ) # 12905B24R0012
USDA-ARS-PWA Winters, CA Wolfskill Irrigation Well Phase II
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 no later than 27 June 2024.
SECTION 1: To be completed by the contractor
Name of Contractor:
Name of client organization:
Project name and contract/task order number:
Brief description of support provided:
Total period of performance and dates:
Total cost/price:
Number of contractor personnel assigned to the project, by skill category:
Name and Title of Technical Point of Contact (POC) for the customer:
Address of Technical POC:
Email and 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 6/30/2024, and that a USDA representative may contact him/her sometime after that date?
Yes No
SECTION 2: To be completed by the customer.
Please BOLD the rating indicating your projects rating in the following areas:
mailto:theodore.blume@usda.gov
Source Selection Information - See FAR 2.101 and 3.104 Controlled Unclassified Information
1. Overall Technical Performance
Excellent Very Good Satisfactory Marginal Unsatisfactory Poor N/A
2. Quality of work
3. Schedule Performance
4. Cost Performance
5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?
Yes No
6. Would you use this company again? Yes No
SECTION 3: To be completed by the customer’s contracting office (If different from TPOC in section 1).
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:
Section 4: Please BOLD the rating your Contracting POC (or TPOC if there isn’t a contracting POC) indicated he/she would give your project if contacted:
1. Overall Contractual Performance
2. Would your Contracting POC use your company again? Yes No
Contracting POC Signature (TPOC if contracting POC is N/A)
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