PPQ.docx

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE FOR HEAVY EQUIPMENT BPA

Solicitation W912EP19Q0002

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE

CONTRACTINFORMATION

Phone Number: Email:

2. Work Performance: 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:

How is this project relevant toproject of submission?(Please provided tails such as similar equipment, requirements, conditions, etc.)

W912EP18R0048 Amendment 0005

5. Client Information Name: Title: Phone Number:

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

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

8. Client’s Signature:

W912EP19Q0002 Amendment 0001