USACE PAST PERFROMANCE SHORT FORM.docx

DOCX document 32 KB Posted

Attached to
NEW 5 YEAR PEST CONTROL SERVICES Federal contract opportunity
Solicitation number
W912EP25R0011
Issued by
Department of the Army Corps of Engineers Engineering District Jacksonville

About this file

This is a Past Performance Questionnaire (PPQ) form template used by the US Army Corps of Engineers (USACE) to collect contractor performance information. The form includes sections for contractors to provide basic contract information (contract number, type, value, dates, etc.) and for clients to evaluate the contractor's performance. The form is structured to collect details about the contractor's role (prime/sub), project complexity, and relevance to current requirements. No specific products or services are described in this template, as it is meant to be completed by contractors and their references when submitting proposals for USACE opportunities.

The form is referenced in relation to solicitation W912EP25R0011 for pest control services, but this document itself is simply a standardized template for collecting past performance data. The form includes instructions requesting that clients complete and return the questionnaire directly to the offeror, who will then submit it with their proposal, though clients may also submit directly to USACE if preferred.

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Other files for this federal contract opportunity

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Amendment Solicitation 25R0011-0001 Pest Control Services.pdf PDF
Copy of Blank Pricing Schedule Pest Control Service Contract SFOO.xlsx XLSX spreadsheet
QASP Pest Control Services.pdf PDF
Solicitation 25R0011 Pest Control Services Feb 07 2025 Metigated 2.pdf PDF

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Text version

USACE PAST PERFROMANCE SHORT FORM

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 Subcontractor 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 WorkHighMedRoutine

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:

SACE PAST PERFROMANCE SHORT FORM-INSTRUCTIONS

NOTE: USACE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO USACE WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON USACE SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO USACE. PLEASE CONTACT THE OFFEROR FOR USACE POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

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