Attachment 2 - Past Performance Questionnaire.docx

Attachment 2

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Solicitation: W911RX22Q0027 – Noxious and Invasive Weed Spraying

The Contractor shall complete the company specific information on this form, contact their past performance POCs, forward this form to their past performance POCs and request that their past performance POCs complete it (verify/concur and score) and send it via email to at chrystal.a.artigue.civ@mail.mil and Ronald.l.kabat.civ@mail.mil . This will expedite the response from each referenced source.

1. COMPANY:_____________________________________________________________________

Point of Contact:___________________________ Phone: (_________) ______________________

Contract Number:__________________________ Est Amount:_____________________________ (If Applicable) Brief Description:____________________________________________________________________

Did you inform your past performance POC that a past performance questionnaire must be completed and returned to the MICC by 5:00 pm (CST), 18 May 2022 and that a MICC representative may contact him/her sometime after that date?

|_|Yes |_|No

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:_________________________________________

Please BOLD the rating the Technical POC would give this project:

1. Overall Technical Performance

1. Quality of work

1. Schedule Performance

1. Cost Performance

Section 2:

Please BOLD the rating the Technical POC would give this project:

1. Overall Contractual Performance

2. Would your Contracting POC use this company again? |_|Yes |_|No

Signature of Technical POC