Attachment V Past Performance Questionaire (PPQ).pdf
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- Solicitation number
- 12905B22R0007
About this file
This document contains a past performance questionnaire template and details of a federal contract opportunity. The contract opportunity is a solicitation issued by the United States Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Pacific West Area to award a firm fixed price construction contract located at the USDA ARS PWA Carl Haden Bee Research Center in Tucson, Arizona. The intent of the contract is to repair or replace HVAC and electrical components in Buildings 107 and 108, resulting in conformance with applicable local and state building codes. The contractor will provide all labor, materials, tools, equipment, supplies, transportation, and supervision for the renovation. The requirement is being prepared according to FAR Part 36 for construction contracts and will be solicited as a 100% small business set-aside for NAICS code 236220 with a small business size standard of $39.5 million. The estimated value is between $500,000 and $1,000,000. The solicitation package can be downloaded from SAM.gov and any questions should be directed to the point of contact by the specified deadline.
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Text version
Request For Proposal (RFP) # 12905B22R00057 USDA Carl Hayden Bee Research Center (CHBRC) Tucson AS – Buildings
107 and 108 PROJECT
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.blumepham@usda.gov This will expedite the response from each referenced source.
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 April 28, 2022, and that a USDA representative may contact him/her sometime after that date?
Yes No mailto:lam.pham@usda.gov
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):
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?
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:
| Brief description of support provided: |
| Total period of performance, dates, and total cost/price: |
| SECTION 1: |
| Name and Title of Technical Point of Contact (POC): |
| SECTION 2: |
| Name and Title of Contracting Point of Contact (POC): |
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