Attachment 9 Past Performance Questionnaire.pdf

PDF 58 KB Posted

Attached to
Flight Test Apron Hill Air Force Base Federal contract opportunity
Solicitation number
W9123822R0015
Issued by
Department of the Army Corps of Engineers Engineering District Sacramento

About this file

This document includes a past performance questionnaire template and details of a related federal contract opportunity for replacement of aircraft apron pavement at Hill Air Force Base. The past performance questionnaire is to be completed by both the contractor and client for a prior project and requests information including contract details, description of work performed, and a client review. The related federal opportunity is a design-build-bid solicitation for the Army Corps of Engineers seeking replacement of over 190,000 square yards of concrete apron along with structural base work, drainage, tie-downs and markings. The work must comply with DoD facility criteria and Air Force instructions and will include underdrain installation, manholes and pavement markings. The response deadline has passed and award is anticipated by the end of 2022.

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Text version

Attachment 09 - PAST PERFORMANCE QUESTIONNAIRE

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information

Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information

Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

File details come from the government source that posted it. Updated .