Attachment VI - Past Performance Questionnaire (PPQ).doc

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Attached to
12905B25R0002 Cancellation of Requirement for Water Well Repair USDA-ARS-PWA Dubois ID
Solicitation number
12905B25R0002
Issued by

About this file

The document is a Past Performance Questionnaire (PPQ) for USDA-ARS Solicitation #12905B25R0002, which seeks a contractor to repair a water well at the RSPERC facility in Dubois, Idaho. The construction project is valued between $1,000,000 and $5,000,000 and involves drilling a new water well shaft, with all necessary labor, equipment, materials, and supervision.

Key solicitation details include a mandatory site visit on Wednesday, 28 May 2025 at 11:00 a.m. Mountain Time, with all questions to be submitted via email by 10:00 a.m. Mountain Daylight Time on Thursday, 12 June 2025. Proposals are due by 5:00 p.m. Mountain Time on Monday, 30 June 2025, and must be emailed to theodore.blume@usda.gov. Bid and performance bonds are required for proposals above $150,000, with payment bonds needed for proposals above $35,000. The solicitation is unrestricted and seeks comprehensive water well repair services for the USDA Agricultural Research Service's Pacific West Area Office.

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Request For Proposal (RFP) # 12905B25R0002 USDA-ARS-PWA RSPERC Dubois ID Attachment VI

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

This will expedite the response from each referenced source. CONTRACTOR COMPLETES SECTION 1. CLIENT POC COMPLETES SECTION 2.

SECTION 1:

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:

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 2/19/2025, and that a USDA representative may contact him/her sometime after that date?

FORMCHECKBOX

Yes FORMCHECKBOX No

SECTION 2:

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? FORMCHECKBOX Yes FORMCHECKBOX No

6.

Would your Technical POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX 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? FORMCHECKBOX Yes FORMCHECKBOX No

Employee(s) who made the contact with above-named client references:

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