002_Form_1___Past_Performance_Quesionnaire_1_page.pdf

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Attached to
REPLACEMENT OF GAP CREEK WR TRAIL BRIDGE
Solicitation number
140P5323R0004
Issued by

About this file

This document contains a past performance questionnaire and details of a related federal contract opportunity. The past performance questionnaire is a template for evaluating a contractor's prior work and includes questions regarding quality, performance, technical requirements, schedule, cost control, customer satisfaction, and an overall assessment. It requests the contractor's name and address and contract details including number, initiation date, completion date, value, and type. The related federal contract opportunity is for the replacement of a Gap Creek wilderness trail bridge and solicits bids from the Department of the Interior National Park Service Southeast Region. It provides the solicitation number and name of the project along with an opportunity type and brief description.

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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 .