Past Performance Questionnaire and Pricing Schedule

Section L
PROPOSAL PREPARATION AND SUBMISSION INSTRUCTIONS.

Attachment 01: 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:

Section L
PROPOSAL PREPARATION AND SUBMISSION 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.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING

DEFINITION

(E) Exceptional

Performance meets contractual
requirements and exceeds many to
the Government/Owner’s benefit.
The contractual performance of the
element or sub-element being
assessed was accomplished with few
minor problems for which corrective
actions taken by the contractor was