002_Form_1___Past_Performance_Quesionnaire_1_page.pdf

PDF 125 KB Posted

Attached to
REPLACE GENERATOR AND UPS AT FR HQ Federal contract opportunity
Solicitation number
140P5323Q0037
Issued by
Department of the Interior National Park Service Southeast Region

About this file

This document is a past performance questionnaire for a federal contractor. It requests information about a contractor's performance on a prior contract to support a source selection for a new opportunity. The questionnaire asks the evaluator to provide details of the prior contract such as the contract number, initiation and completion dates, value, and type. It also requests the evaluator to rate the contractor's performance on factors including quality, schedule, cost control, and overall assessment using response codes of exceptional, very good, satisfactory, marginal, and unsatisfactory. The related federal contract opportunity is a solicitation from the Department of the Interior National Park Service Southeast Region to replace a generator and uninterruptible power supply at a federal headquarters building. The solicitation number and name are provided.

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Sol_140P5323Q0037_Amd_0002.pdf PDF
corrected_Price_Schedule_1_page_0002.pdf PDF
Sol_140P5323Q0037_Amd_0001.pdf PDF
Price_Schedule_1_page_0001.pdf PDF
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SOW_Replace_Generator_and_UPS_at_FR_Headquarters_11_pgs.pdf PDF
Sol_140P5323Q0037.pdf PDF
Price_Schedule_1_page.pdf PDF
003_Form_2_pges_3_.pdf PDF

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Text version

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this questionnaire and email to: (insert email) Desired Response Date: (insert response date)

When complete, the information in this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104 and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Pease add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR’S NAME, POSITION (Project Manager/COR/Other) AND ORGANIZATION:

b. EVALUATOR’S PHONE NO: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A-G) that best reflects your experience with this contractor.

EX = Exceptional S = Satisfactory US = Unsatisfactory

VG = Very Good MG = Marginal N/O = Not Observed

A. Quality of Products and Services – Assess the contractor’s conformance to contract requirements, specification, and standards of good workmanship (e.g. technical, professional, environmental, or safety and health standards). EX VG S MG US N/O

B. Performance – Assess the contractor’s performance as the General Contractor or A/E (as appropriate) for the project. EX VG S MG US N/O

C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract. EX VG S MG US N/O

D. Schedule – Assess the timeliness of contractor against the schedule of activities.

EX VG S MG US N/O

E. Cost Control – Assess the contractor’s ability to manage the contract budge and control costs.

EX VG S MG US N/O

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and user

“friendliness”. EX VG S MG US N/O

G. Overall Assessment. EX VG S MG US N/O

2. CONTRACT NO:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options):

6. TYPE OF CONTRACT (Fixed Price, FPI, etc.):

1a: NAME OF PRIME CONTRACTOR (if this questionnaire is for a team member on the SRI Ranch House project):

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