Attachment 3 - Past Performance questionnaire.docx
DOCX document 40 KB Posted
- Attached to
- A/C units for modular buildings - Hilo, HI Federal contract opportunity
- Solicitation number
- 12905B23Q0098
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 - SOW.pdf | ||
| Attachment 2 - Wage Determination Number 2015-5691.pdf | ||
| RFQ_1905B23Q0098 - Combined Syn-SOL - Terms and Conditions.pdf |
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Request For Proposal (RFQ) # 12905B23Q0098 USDA-ARS-PWA Hilo, HI A/C Replacement Attachment 3
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 Brian.Fien@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 June 17, 2023, and that a USDA representative may contact him/her sometime after that date?
Yes 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? | Yes | No |
| 6. Would your Technical POC use your company again? | Yes | No |
SECTION 2:
Name and Title of Contracting Point of Contact (POC): Same as above
| 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 June 17, 2023, and that a USDA representative may contact him/her sometime after that date?
Yes 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? | Yes | No |
Employee(s) who made the contact with above-named client references:
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