Attachment J-9 - Past Performance Questionnaire.doc
DOC document 85 KB Posted
- Attached to
- GPO 5th Floor SID Smartcard Room Design/Build Construction Federal contract opportunity
- Solicitation number
- 040ADV-25-R-0001
- Issued by
- Government Publishing Office
About this file
This is a Past Performance Questionnaire template (Attachment J-9) related to a GPO solicitation for a 5th floor smartcard room design/build construction project. The questionnaire is due by February 18, 2025, at 12:01 PM and must be submitted via email to gstevens@gpo.gov and twhite@gpo.gov at the U.S. Government Publishing Office Acquisition Services.
The questionnaire consists of two sections: one to be completed by the contractor (including contract details, value, period of performance, and project description) and another by the evaluating organization. The evaluation portion rates the contractor's performance across nine categories using a scale from Exceptional to Unsatisfactory: Quality of Products/Services, Overall Performance, Schedule, Technical Requirements, Cost Control, Subcontracting, Customer Satisfaction (both routine and unexpected situations), and likelihood of Repeat Business. The form also includes sections for documenting the contractor's weak and strong points, other completed projects, and award fee percentage if applicable.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment J-8 -Cost-Price Proposal.xlsx | XLSX spreadsheet | |
| 040ADV-25-R-0001.pdf | ||
| Attachment J-3 - Architectural and Existing Floor Plans of GPO Building A 5th Floor.pdf | ||
| Attachment J-6 - Lighting Layout for 5th Floor.jpg | JPG image | |
| Attachment J-7 - Power Plan for 5th Floor.jpg | JPG image | |
| Attachment J-1 - Pictures of the Renovation Site - Reduced.pdf | ||
| Attachment J-2 - Conceptual Drawings of the Overall Space Design.pdf | ||
| Attachment J-4 - HVAC Service Area for 5th Floor.pdf | ||
| Attachment J-5 - Sprinkler System Layout for 5th Floor.pdf |
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Text version
Attachment J-9 Past Performance Questionnaire
Past Performance Questionnaire
ORGANIZATION’S PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this questionnaire and send by email to: gstevens@gpo.gov and twhite@gpo.gov
U.S. Government Publishing Office Acquisition Services
732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401 Response Due Date February 18, 2025, at 12:01 PM
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY CONTRACTOR
1. CONTRACTOR’S NAME AND ADDRESS
3. CONTRACT NO.:
CONTRACT DATE:
4. PERIOD OF PERFORMANCE:
4. PACE OF PERFORMANCE:
5. COMPLETION DATE:
6. CONTRACT VALUE $
2. PROJECT NAME:
7. TYPE OF CONTRACT:
8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:
Please add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:
EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)
EVALUATOR’S PHONE NUMBER
MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please check the response code for each topic that best reflects your experience with this Contractor:
EX = Exceptional VG = Very Good S = Satisfactory MG = Marginal US = Unsatisfactory N/O = Not Observed
Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Overall Performance- Assess the Contractor’s overall performance for the project.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.
FORMCHECKBOX
EX
FORMCHECKBOX
VG
FORMCHECKBOX
S
FORMCHECKBOX
MG
FORMCHECKBOX
US
FORMCHECKBOX
N/O
List Contractor’s Weak Points:
List Contractor’s Strong Points:
List any other projects this Contractor has completed for you:
If an award fee contract, what was the average award fee % earned?
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